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37 years
Hi Dr.s I have a large erea on my face skin pegmentation since 7 years & I tride many cream products, no resolts really I hate that which caused me to lock my salfe at home since 5 monthes+ divorced
Aug 4, 2014

Dr. Salim Saab Otolaryngology (ENT)
it can be removed by laser or by surgery
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Dr. Zakia Dimassi Pediatrics
Years of sun exposure can result in spotted hyperpigmentation (dark skin spots) in light complexion individuals, due to increased pigment production. The extent of sun damage depends very much on a person’s skin color and his or her history of long-term or intense sun exposure. Recommended treatments:
-Dark spots from early sun damage in light-skinned individuals tend to be affect only the upper layer of skin. Topical hydroquinone or retinol (an over-the-counter form of vitamin A).
-When topical therapy fails, superficial chemical peels based on salicylic acid and glycolic acidin combination with topical therapies.
-Intense Pulsed Light (IPL) devices and Q-switched lasers (only under a physician's supervision) also may be used alone or in combination with topical therapies.
-Daily sun protection with a sunscreen that provides broad-spectrum protection from UVA and UVB rays and has a Sun Protection Factor (SPF) of 30 or greater is essential in preventing further sun damage and resulting dark spots.
2 very common pigmentation problems that occur in people with darker skin tones are melasma and post-inflammatory hyperpigmentation.Melasma is a patchy brown discoloration observed on sun-exposed areas of the face and is commonly referred to as “the mask of pregnancy” because it often occurs during pregnancy. More common in dark skin. The dermis (the deeper layer of the skin) is affected. Post inflammatory hyperpigmentation (PIH) is a condition in which increased pigment production results from injury and inflammation of the skin.The most common cause of PIH is acne, also psoriasis, a burn, or an injury For PIH secondary to acne, target both problems simultaneously with topical retinoids. For melasma, hydroquinone therapy is used as a mainstay treatment.
Darker-skinned patients resistant to over-the-counter therapies may be good candidates for microdermabrasion or chemical peels in addition to topical therapy. Lasers are reserved for resistant cases of melasma.
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