Hyperpigmentation is when the skin becomes darker than the surrounding skin. The common types of hyperpigmentation are age spots, post-inflammatory hyperpigmentation (PIH), melasma. The treatment options include topical creams (Corticosteroids, Kojic acid, Hydroquinone), laser therapy, chemical peels, and microdermabrasion.

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I have multiple black marks on my shoulder and backside. Can you suggest a treatment for this?

Query: Hello doctor,I am 25 years old. I am fit physically and mentally. But I have some skin problems on my backside. There are a lot of black marks on my shoulders and the backside. Please suggest any lotion, cream, or soap for this condition.Thank you.  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to icliniq.com. The details you have provided are not sufficient to make a complete diagnosis. We need more details, so please tell us what is the climatic condition in your area. Do you sweat a lot? Do you scratch your back frequently? Are you eating nutritious food? I am, however,...  Read Full »

I have uneven tanning and hyperpigmentation. Can I use Tranexamic acid, Kojic acid, and Alpha arbutin to improve my skin tone?

Query: Hello doctor, I have been facing issues with uneven tanning and hyperpigmentation. I do not have melasma but I was thinking of using products that contain Tranexamic acid, Kojic acid and arbutin. Are they safe to use? Please help.  Read Full »

Dr. Sandhya Narayanan Kutty

Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. Uneven hyperpigmentation and tanning are due to multiple reasons and most often are caused due to genetic susceptibility wherein a similar condition runs within one's family, which then gets transmitted genetica...  Read Full »

What treatments are available for dryness, itching, and hyperpigmented marks around the waist?

Query: Hello doctor, I am 28 years old. Since a few days ago, there have been hyperpigmented markings and dryness around the area of my waist where the elastic or waistband of my lowers comes, and I have been experiencing itching there for about two months. Kindly help.  Read Full »

Dr. Dhepe Snehal Madhav

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. It is dryness with superficial fungal infection. I suggest you follow the suggestions listed below. Apply Ketoconazole lotion 20 minutes before bath for 20 days. Tablet Levocetirizine 5 mg at night after foo...  Read Full »

Can hyperpigmented scar be removed?

Query: Hi doctor, I am a 30 year old male. I have a disfigured nose tip with the hyperpigmented scar as a result of a Hydroquinone reaction (Melalite 15 cream). I have undergone several treatments including dermabrasion, subcision and chemical peel. Currently, I am taking Limcee (vitamin c) tablets and co...  Read Full »

Dr. Suvash Sahu

Answer: Hi, Welcome to icliniq.com. Since you already undergone all possible treatments, the last nonsurgical option, but a very good option is ND:YAG laser (neodymium-doped yttrium aluminium garnet laser) along with the daily night application of Clearz daily cream (Kojic acid and vitamin C) during nigh...  Read Full »

Which face wash, moisturizer, and sunscreen should I use, as some face washes make my skin darker?

Query: Hi doctor, I figured I had a combination skin last month, and I have started following a daily skincare routine. But, whenever I use face wash to wash my face, my face becomes darker, but when I use regular soap, my face looks good. I want to add that initially, I used a face wash containing aloe ve...  Read Full »

Dr. Sandhya Narayanan Kutty

Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. As per the history provided by you, using face washes with strong contents like Salicylic Acid and Glycolic Acid in higher concentrations are mainly used to get rid of acne. And the presence of aloe vera, to whi...  Read Full »

Does IPL change the texture and permanently damage the skin?

Query: Hi doctor, I got IPL for dry eyes almost one month ago. Since then, I noticed that my skin is different in texture in some parts. I will post a picture. I have seen a dermatologist who said that this healing process could take months. Should I trust them, or will it permanently damage my skin? I wo...  Read Full »

Dr. Shama Naaz

Answer: Hi, Welcome to icliniq.com. The area after IPL (intense pulsed light) treatment becomes sensitive. So please make sure to take proper care to avoid these side effects. These instructions (pre and post-treatment care) are given to the patients before the therapy. I hope they had given you counselin...  Read Full »

How to reduce pigmentation due to melasma on the face?

Query: Hi doctor,I have pigmentation with dark spots and melasma on my face for the past 16 years. I have taken a lot of medication and consulted many dermatologists. But there is no relief. My past medications are Claripex, Dermaclean, Cybele scagel, Sangobian, Evion, Glutamax, Colophylum, Lycopodium, and...  Read Full »

Dr. Subhash Kashyap

Answer: Hi, Welcome to icliniq.com. Melasma occurs due to the sensitivity of dark color-producing cells called melanocytes in the skin. In some cases, some of the cells present in the affected area become more sensitive to the sun and they produce more pigments. The reason behind it is not clear. Avoid ha...  Read Full »

Why has the skin around my face, hands, and neck turned black for the past three years?

Query: Hello doctor,I am a 25-year-old married woman. I have a fair complexion, but the skin around my face, hands, and neck has turned black for the past three years. Why is this happening?  Read Full »

Dr. Shanza Ikram

Answer: Hi, Welcome to icliniq.com. There are numerous reasons for getting a dark face and neck. It would have been better if you had also sent an image. However, I am suggesting medications based on the description: Apply sunscreen with SPF (sun protection factor) 30 before going in the sunlight. Apply V...  Read Full »

I am a 28-year-old male with a hyperpigmented patch on my right groin area that has been present for many years. Please help.

Query: Hi doctor, I am a 28-years-male and have a hyperpigmented patch on my right groin area that has been present for multiple years. Please help.  Read Full »

Dr. Dhepe Snehal Madhav

Answer: Hello, Welcome to icliniq.com I understand your concern. I suggest you apply Luliconazole cream at night for four weeks and use Ketoconazole soap for a bath for one month. I would like you to answer the following questions for more details in order to treat the condition effectively. 1. Is there a...  Read Full »

I have a history of recurrent multiple anal fissures and have a hyperpigmented lesion on the inner border of my anal sphincter. Why?

Query: Hello doctor, I am a 32-year-old female, relatively healthy. However, I have a history of chronic cough and exertional dyspnea, for which I see a respirologist. PFT is not conclusive, showing borderline low lung volumes and diffusing capacity, possibly restrictive lung disease. But the doctor said I...  Read Full »

Dr. Sanjeev Gupta

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. From the attached images (attachments removed to protect the patient's identity), I can only make a probable diagnosis. That can either be a skin tag or papilloma. For proper diagnosis, you need a proctoscopic examinati...  Read Full »

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