Common "Hyperpigmentation" queries answered by top doctors | iCliniq

Hyperpigmentation

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 dark circles and hyperpigmentation. Please help.

Query: Hello doctor, I had undergone a Co2 laser treatment around my eyes about three and half years ago. Now, I am left with dark circles under the eyes along with hyperpigmentation and redness. About one and half weeks back, the doctor prescribed me a cream that has Kojic acid 1%, Glycolic acid 5%, Betam...  Read Full »


Dr. Sushil Kakkar

Answer: Hi, Welcome to icliniq.com. I have gone through your query and reviewed the pictures (attachment removed to protect patient identity). I suggest you a moderately potent topical steroid like Fluticasone propionate 0.05 % cream, twice daily for a few days. Prescription hyperpigmentation treatment ca...  Read Full »

My pregnant wife has hair loss and face pigmentation. What to do?

Query: Hello doctor, The patient is my wife. She is 30. She is seven months pregnant. This is the second pregnancy. She complains of pigmentation points on cheeks and hair loss increased as pregnancy is progressing. Her diet is alright. Endocrine reports are fine. Face pigmentation and hair loss is causing...  Read Full »


Dr. Sushil Kakkar

Answer: Hello, Welcome to icliniq.com. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). I suggest her to use a broad spectrum sunscreen such as Sunstop 30 or Suncros soft sunscreen. Reapply every two to three hours throughout the day. At night, she m...  Read Full »

I have darkened skin due to steroid use. Please help.

Query: Hi doctor, I have eczema and over the years doctors have provided me a steroid ointment which I have been using. The side effects were darkening of the skin. Wondering if there is a solution since now my skin has become really dark on my face and neck. Also, I have hyper-pigmentation all over my che...  Read Full »


Dr. Sushil Kakkar

Answer: Hello, Welcome to icliniq.com. I have noted your concern and I have viewed the images (attachment removed to protect patient identity).You seem to have acne along with post-inflammatory hyperpigmentation (PIH) from previously healed acne. Acne is a well-known side effect of steroid creams. So perh...  Read Full »

What is the treatment for scratch marks in a 4-year-old?

Query: Hello doctor, My daughter, who is 4 years old got a scratch mark three months ago. It has left a brown mark. It is a little white in the middle. Is it a scar? Will it go away soon? I have attached a few images for your reference.  Read Full »


Dr. Sushil Kakkar

Answer: Hello, Welcome to icliniq.com. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). She has some postinflammatory pigmentary changes at the site of the trauma, that is, hyperpigmentation and hypopigmentation. However, there is nothing to worry ab...  Read Full »

I get red cysts on my face. Is it acne or rosacea?

Query: Hello doctor, I am a 25 year old male. I am 6'1" tall and I weigh 170 pounds. Often, I get red cysts of some sort on my face beneath the skin that take a while to heal. I have oily skin, and get whiteheads as well. I have fluid-filled boil-like lesions on my face. I have been to a few dermatologist...  Read Full »


Dr. Sushil Kakkar

Answer: Hello, Welcome to icliniq.com. Rosacea is a skin disorder that affects people above 30 years. Other than acne-like lesions, people with rosacea have redness of the face and dry skin associated with burning sensation. They also have redness and irritation in the eyes. The redness of the face is agg...  Read Full »

After applying Hydroquinone cream, my skin turned dark. Kindly help.

Query: Hello doctor, I applied Hydroquinone cream, and now I am facing a hyperpigmentation problem. My skin turned dark. I have been under medication, applying sunscreen and skin rejuvenation cream as suggested by my dermatologist. Still, I feel only a little improvement and do not get my neck color back. ...  Read Full »


Dr. Sushil Kakkar

Answer: Hello, Welcome to icliniq.com. I would keep a possibility of pseudoacanthosis nigricans. Pseudoacanthosis nigricans is a skin disorder with darker, thick, velvety skin in body folds and creases. The skin becomes dark, velvety, and thick in the back and sides of the neck, armpits, thighs, elbows, a...  Read Full »

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