Melasma is the brown or blackish discoloration of the skin in the upper cheeks, upper lip, forehead, and chin, and it commonly affects women in the reproductive years. It is caused by sun exposure, birth control pills, hormonal imbalance, and during pregnancy.

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What cause hair loss across in the forehead and pigmentation on the nose in females?

Query: Hello doctor, I have hair loss across my forehead area and pigmentation on my nose and cheeks for the past 15 years.  Read Full »

Dr. Shalini Patodiya

Answer: Hello, Welcome to Hair loss over the frontal area of 15 years duration is suggestive of a diagnosis of female pattern alopecia. There are multiple treatment options for you. Minoxidil, Finasteride, Dutasteride, PRP (platelet-rich plasma) are among them. The exact treatment depends upon ...  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 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 »

I am a 28-year-old male who developed freckles on my face three years ago after donating blood. Kindly suggest a treatment.

Query: Hello doctor, I am a 28-year-old male and have freckles on my face. I donated blood three years ago, and freckles appeared on my face after some time. I have attached my photo, kindly suggest medicine.  Read Full »

Dr. Ashwini. V. Swamy

Answer: Hello, Welcome to I saw your clinical picture (attachment removed to protect the patient's identity), and In my opinion you have melasma. This is not freckles. Melasma is a condition where the skin over the cheeks, nose, eyebrows, and upper lip becomes brown. This is most of the time ...  Read Full »

How to get the black line off my nose?

Query: Hello doctor, I have a horizontal black line on my nose from the past seven years. During the time of menses, it looks lighter, but on the other days, it looks darker. I applied everything from lemon juice, potato juice, cucumber, kojic cream, etc. But nothing works. What should I do?  Read Full »

Dr. G. S. S. Sandeep

Answer: Hello, Welcome to Your concern may be post inflammatory hyper pigmentation or melasma.I suggest you try Lumacip plus (a combination of Fluocinolone topical, Hydroquinone topical and Tretinoin topical) cream. It is a triple combination cream. You can apply the cream on the pigmentation, ...  Read Full »

How to get rid of melasma?

Query: Hi doctor, I am a 28 year old male. I am having melasma over the last eight years. I am using Lookbrite cream at night and Melalite and Dermadew lotion in the morning with Suncros sunscreen SPF 26. But when I stop using it, the melasma increases. It becomes more darken on cheeks and nose. Please su...  Read Full »

Dr. Sushil Kakkar

Answer: Hi, Welcome to I have read your question and understood your concern. Melasma can relapse. Therefore, you must continue with a maintenance regime once your melasma clears. I suggest you to use a higher SPF sunscreen like Sebamed sunscreen SPF 50+. In addition I would suggest you to ...  Read Full »

The doctor has prescribed me glycolic acid cream for melasma. Kindly help me with how to use this.

Query: Hi doctor, My friend gifted me a pack that contains vitamin C serum, Hyaluronic acid, Niacinamide, and Retinol. I need to learn how to use it. The doctor prescribed Glyco 12 (Glycolic acid cream) for melasma. Please advise me on how to use these products.  Read Full »

Dr. Sandhya Narayanan Kutty

Answer: Hello, Welcome to First, the product kit gifted by your friend is a perfect combination for treating skin disorders. These skin disorders include discoloration, textural variations, mild acne, skin tone differences, dark spots due to post inflammatory hyperpigmentation, and excessivel...  Read Full »

I have hyperpigmentation on cheeks and forehead with spots on it. Kindly help.

Query: Hello doctor, I have hyperpigmentation on cheeks and forehead and have spots on it. I took medications for it before and when I stopped taking it, the condition came back. Why do they occur? I am attaching the photographs. Can you please provide me with internal treatments. Kindly help.  Read Full »

Dr. Dilip Kumar Meena

Answer: Hello, Welcome to Thanks for writing in, and I understand your concern. This condition can be melasma. Melasma is a hyperpigmentation disorder characterized by dark patches over cheeks, nose, forehead, and rarely on hands. It usually happens due to some hormonal causes and can get wo...  Read Full »

I am confused if my skin condition is just pigmentation or if it is melasma or melanoma. Please help.

Query: Hi doctor, I am a 25-year-old male, 5 feet 10 inches. I am not sure if I have skin pigmentation, melasma, or melanoma. It showed up three years ago as a little mark, and I did not think anything about it then. But one day, when I woke up, it looked like a bruise or pigmentation all around it. I wen...  Read Full »

Dr. Dhepe Snehal Madhav

Answer: Hi, Welcome to I went through your query and understood your concern. Kindly answer the questions for details: 1. Is the pigmented part itching? 2. Does it resemble a ring-like lesion? 3. Is it an edematous inflammatory lesion? 4. Do you have any history of atopy or allergies? 5. Did yo...  Read Full »

I have dark spots on my cheeks and chin. Please help.

Query: Hello doctor, I have been suffering from a skin condition. I have dark spots on my cheeks and chin. I am undergoing frequent facial treatment, but it is not helping. Kindly advise.   Read Full »

Dr. Suvash Sahu

Answer: Hello, Welcome to I understand your concern. I have reviewed your pictures (attachment removed to protect the patient's identity). Based on your description and pictures, you have PIH (post-inflammatory hyperpigmentation) or melasma. Melasma is an acquired pigmentation in sun-expose...  Read Full »

I am a 48-year-old female with wheatish skin color and melasma. Can I use Glutathione injection for skin whitening?

Query: Hello doctor, I am a 48-year-old female with bright wheatish skin color and melasma, for which I have been using the 5 % Cysteamine cream for the last seven days. But now I would like to take Glutathione injections for skin whitening. Please advise on this. Thank you.  Read Full »

Dr. Sandhya Narayanan Kutty

Answer: Hello, Welcome to I read your query and understand your concern. The Cysteamine cream (Cysteamine Hydrochloride) that you are using currently is a great treatment for reducing the appearance of hyperpigmentation which is caused due to melasma. Tranexamic acid tablets are also used f...  Read Full »

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