Q. I have several flat black spots on the foreskin. Please suggest a solution to remove them.

Hello,

Welcome to icliniq.com.

I understand your concern.

But there are no attached photographs in your message. Kindly send a picture of the affected area to assess the condition and suggest the appropriate diagnosis and treatment.

Hi,

Welcome back to icliniq.com.

I have seen the photographs (attachment removed to protect patient identity). These are known as melanotic macules and common on genitals. There is nothing to worry about yet. They are harmless as such and do not require any treatment. If one still wants treatment for cosmetic purposes, laser or radiofrequency can be done. If they change their color or texture suddenly, which is rare, you need to consult a dermatologist at that time, and it might require biopsy. But that is very rare.

I hope this has helped you.

Thank you.

Hello,

Welcome back to icliniq.com.

No, I will not recommend applying all these things, as it might lead to an irritant reaction. For laser, you need to visit a dermatologist who has a laser center. Laser requires multiple sessions to remove it, once every three to four weeks. If you decide to leave it as such, it is harmless.

Hi,

Welcome back to icliniq.com.

Creams are not effective for these. Q-switched lasers are used for hyperpigmentation, including Q-switched Nd:YAG (Neodymium-doped Yttrium Aluminum Garnet), Q-switched Ruby, Q-switched Alexandrite, and more. Anesthesia is required, but in the form of a cream. The cream is applied for 40 to 60 minutes, which will lead to local anesthesia, or the doctor might prefer injections at the site of lesions. The laser itself will then take 10 to 15 minutes. There might be slight redness and crusting after the laser treatment. It needs to be repeated after three to four weeks and might require multiple sessions. Without anesthesia, it will be a bit painful.

I hope this has helped you.

Thank you.

Hi,

Welcome back to icliniq.com.

Initial redness, and in 10 percent of cases, there might be light hyperpigmentation or hypopigmentation; scarring is rare. You can leave it as it is, as there is no harm. If it changes color suddenly, or there is a sudden increase in thickness or size, you can consult.

Hi,

Welcome back to icliniq.com.

Topicals (creams) do not help much, as I explained earlier. Laser is the best option. Nevertheless, you can try this cream once at night, applying a very small amount and avoiding excessive rubbing. Mild redness and dryness may occur, which is normal with these medications. Supatret (a combination of Tretinoin and Clindamycin) 0.04 percent gel should be used once at night. Use it for four to six weeks to see if there are any results.

I hope this has helped you.

Thank you.

Hi,

Welcome back to icliniq.com.

Laser treatment in the case of pigmentation removal has nothing to do with duration as such. But yes, laser is the only effective modality unless, of course, you decide to leave them and observe for any changes.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Dilip Kumar Meena

Experience: 17 + Yrs

Dermatology

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