How to treat darn patches on the face when the rest of the body is normal?
Patient: Sir, i am 47 years old working lady.  I am having dark patches on face.  I am wheatish but my face is very darker than whole body.  It looks very shabby. I have taken treatment of five to six Dermitoligsts but no use. Kindly help me in this matter.Mrs. Patil YYYY@YYYY Doctor: Hello,Welcome to healthcare magic.The dark patches on your face could be melasma, lichen plan us pigmentosus or Reihl' s melanosis.Since you have met 6 dermatologists, I presume an appropriate diagnosis has been made as each condition has a different prognosis.However, some common steps you can follow are - 1. Always use a broad spectrum sunscreen with SPF 30 or above every 3 hours.2. Cover your face with a scarf in addition to using a sunscreen.3. Eat plenty of colored fruits and vegetables.4. Take oral antioxidants.5. You could try lightening agents containing kojic acid, liquorice, arbutin and niacinamide at bedtime.6. You could try chemical peels like glycolic peels and retinol peels.Hope these help you.Take care.