How do I manage eczema on my face after using a cream?

Question

Hello doctor,

I had black spots on my face due to pimples. I tried to get rid of them using Blue Heaven cream and a whitening soap that was recommended to me. It damaged my skin badly and caused a lot more pimples.

I then bought Funbact-A, and I definitely do not like what my face has turned into. It looks like it has been bleached or lightened unevenly. I have also developed something like eczema on my face.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can completely understand what you are going through, and thank you so much for sharing everything in detail. I appreciate that.

Based on your history and attached picture (attachments removed to protect the patient’s identity), your facial skin has developed irritant or contact dermatitis with worsening inflammatory acne due to the use of fairness and bleaching cream, whitening soap, and Funbact-A (Betamethasone, Clotrimazole, and Neomycin sulfate). Such products commonly damage the skin barrier and aggravate acne, leading to redness, eczema-like changes, and dark spots.

The most important step is to stop all current products immediately. Do not use any bleaching creams, whitening soaps, steroid-containing creams, combination creams, scrubs, or home remedies on your face. Keep your skincare routine very simple. Wash your face twice daily with a gentle, refreshing face wash only. Avoid harsh cleansers and medicated soaps.

For treatment, apply Benclin gel (Benzoyl peroxide and Clindamycin) or Duac gel (Clindamycin with Benzoyl peroxide) in a pea-sized amount on the affected area once daily at bedtime for three weeks. Mild dryness or a slight burning sensation may occur initially and is expected. During the day, use a broad-spectrum sunscreen (SPF 30 or higher). If available, use any non-comedogenic sunscreen. Sun protection is essential to prevent further pigmentation.

Please avoid picking or squeezing pimples and do not introduce any new products during this period. Once the inflammation and acne have settled, the remaining pigmentation can be treated safely. Kindly follow this plan and contact us back after three weeks for reassessment and further management for pigmentation.

I hope this helps.

Thank you.