Dark pigmentation on face. Using kligman with hydroquinone, switched to demelan. Demelan safe to use?
Patient: HI i AM 53 YEARS OLD AND HAVE BEEN USING 4% KLIGMAN with hydroquinone for almost a year and half. I was advised by my dermatologist to stop and start using Demelan. My skin was very lovely while using kligmans but once i stop using for a few days the skin turns black again. Now that i am using Demelan I AM AFRAID THAT IT IS NOT GOING TO REALLY show results. I have very dark pigmentation on my face. please help. Doctor: Dear dhana..pigmentation problems need to be 'visualised' & 'assessed' by a dermatologist or cosmetolgist before prescribing medication as each patient's problem is unique. One man's food is another man's poison is an adage that springs to mind. I am happy the age old tried & tested Kligman's formula worked for you. I understand you are not happy with demelan. However, you may want to consider using a sunscreen in the morning depending on your dermatologist's recommendation. All the good work of the kligman's maybe being undone by lack of regular & proper use of suscreen that incidentally has to be used even on cloudy days & when not in contact with direct sunlight & rea-pplied each 3-4 hrs to be beneficial. I do hope this advice is useful. Do feel free to send in your photographs & contact me on this portal even in a private capacity if you prefer anonymity. Regds & good luck. Dr Praveen Rodrigues MD Dermatologist & Cosmetologist, Bangalore, India