Q. I am having some dark marks on my stomach. Do I need surgery for this?

Answered by
Dr. Shanza Ikram
and medically reviewed by iCliniq medical review team.
Published on Oct 22, 2019

Hello doctor,

I had marks on my stomach for the past six months. I am scared that they will spread and never go away. I consulted a dermatologist, and she said it is noncancerous. Do I need to get surgical treatment for this? I have been applying steroids for the last two months but no changes. Please help.

Dr. Shanza Ikram



Welcome to icliniq.com.

I have gone through your case. In my opinion, the dark marks on your stomach are post-inflammatory hyperpigmentation or lichen planus. It does not require surgical intervention at all. But it is important to know if other body areas are also involved. Did you have any other previous lesions in the same area? Did you ever have pustules or any itching or burning symptoms? If you do not have any symptoms, then relax, it may regress after some time.

Regarding treatment steroid alone is also fine. But treatment applying a mixture of 1 % Hydrocortisone cream with 2 % of hydroquinone at night for three weeks will also help. But it may take a prolonged duration to cure.

I hope this helps.

Thank you doctor,

There is no itching or burning sensation. If I do the proposed treatment, will they eventually fade out? Or will the dark marks stay forever? Are these marks permanent? Have you seen other cases where marks fade out? Do you think, in my case, will the marks fade out?

Dr. Shanza Ikram



Welcome back to icliniq.com.

I can understand your concern. I have seen many cases getting fade out. But the process is slow and can take four to five months. Unfortunately, they may not disappear completely. However, they will get lighten, and you will not appreciate them immediately.

With previously described treatment, the process of recovery will speed up. Remember to apply the mixture at night only at the dark spots. Do not rub on the whole stomach. As we have to lighten the dark spots so that it can become equivalent to the surrounding skin.

I hope this helps.

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