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MESSAGES TO
Christina from Singapore asked a question

How to get rid of skin darkening? (photo)

I would like to know how to get rid of darkening skin please. 

DOCTOR’S ANSWER (4)
Dr Joanna Chan
Aesthetic
Singapore
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Dr Joanna Chan
Aesthetic
Singapore
Answered on Tue Jun 05 2018 03:59:22 GMT+0000 (UTC)

Dear Christina,

It appears that you have a brown to grey-brown patch starting from the side of the ear, which extends in a reticular (lacy) pattern over the cheek. This could be melasma, pending further history and a thorough examination of your skin. There also appear to be some solar lentigo (“sun spots”) on the cheeks. 

Several factors can contribute to an individual developing melasma, such as pregnancy, certain medical conditions e.g. thyroid problems, medications, and genetic factors.

I would suggest you make an appointment with a trusted doctor for a consultation. Firstly, we would have to come to a diagnosis, before we determine whether you may need further tests/investigations and finally, a treatment plan for you. 

In general, melasma treatments can be categorized as follows and most doctors use a combination approach to best target melasma:

1. Avoiding known triggers e.g birth control pills, hormonal therapy 

2. Evidence-based medications and creams - medications in this category may include trans retinoic acid (a vitamin A derivative), hydroquinone, tranexamic acid 

3. Medical-grade lasers and associated procedures 

4. Sun protection!

Medications/Creams and lasers/procedures should only be performed under strict medical supervision; in the meantime, like what Dr. Justin has mentioned, do remember to sun block and sun protect as one of the most important things you can do to prevent melasma from worsening is to protect yourself frm UV radiation. 

Hope this helps! :)

Regards,

Dr. Joanna Chan

0 148 views 1 Doctors agree Tue Jun 05 2018 03:59:22 GMT+0000 (UTC)
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Dr Justin Boey
Aesthetic
Singapore
(8 Ratings)
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Dr Justin Boey
Aesthetic
Singapore
(8 Ratings)
Answered on Tue Jun 05 2018 02:02:25 GMT+0000 (UTC)

Dear Christina, 

Based on your photo, you have a hyper-pigmented macular patch which can be melasma. 

To make an accurate diagnosis, I will need clearer photos, find out more about your medical history and do a thorough assessment of the skin-care products that you have been using. 

In terms of Pigmentation treatment, you should consider medical-grade pigmentation creams and pigment lasers like picosecond lasers to gradually lighten the hyper-pigmentation. Sun-block is also an important step to prevent worsening of this condition.

Please see a trusted doctor for a consult and treatment! Hope that this helps!

Warmest regards,

Dr Justin Boey

0 160 views 0 Doctors agree Tue Jun 05 2018 02:02:25 GMT+0000 (UTC)
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Dr Jiwei Wu
Aesthetic
Singapore
(3 Ratings)
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Dr Jiwei Wu
Aesthetic
Singapore
(3 Ratings)
Answered on Tue Jun 05 2018 03:46:00 GMT+0000 (UTC)

Hello Christina 

Pigmentation can usually be treated with a combination of 

  • Topical pigment/ bleaching creams 
  • Pigment laser (Nano/ Pico)   
  • Chemical peel

A few sessions is usually needed and sun protection is also vital during the treatment process. Consult a doctor to get an accurate assessment before proceeding. Hope this helps!

Regards

Dr Jiwei Wu 

0 151 views 0 Doctors agree Tue Jun 05 2018 03:46:00 GMT+0000 (UTC)
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Dr Vincent Tan
Aesthetic
Singapore
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Dr Vincent Tan
Aesthetic
Singapore
Answered on Thu Jun 07 2018 11:30:03 GMT+0000 (UTC)

Hi Christina,

The picture is slightly blur, but I do agree with Dr Chan, it appears to be consistent with melasma. Possible treatment includes a combination of laser and medical grade pigmentation cream, with the progress monitored by a medical doctor. 

Hope this helps!

Best,

Vincent

0 91 views 0 Doctors agree Thu Jun 07 2018 11:30:03 GMT+0000 (UTC)
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