How to treat the weird redness on my cheeks?

Question

Hi doctor,

I have some weird redness on my cheeks all the time no matter what weather it is. I have attached my photos for your reference. It is just there and it does not hurt at all. But, I want to overcome it. Is there any way? I am 18 years old now.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I have seen your pictures (attachments removed to protect patient's identity) and description.

It looks like melasma or post-inflammatory hyperpigmentation. Melasma is an acquired pigmentation of sun-exposed areas. Areas that receive excessive sun exposure, including the cheeks, upper lip, chin, and forehead are the most common locations. Melasma can be difficult to treat. The pigment of melasma develops gradually and the resolution is also gradual. Regarding treatment, there are certain general measures to follow:

Avoid direct sunlight.
Use a broad-brimmed hat if you go out in the sun.
Use skin lightening cream during night hours like Kojic acid cream.
Use broad-spectrum physical sunscreen during day hour and repeat four hourly.

Other treatment options are, Glycolic acid chemical peel, Nd:YAG laser (neodymium-doped yttrium aluminium garnet) with variable results. You need regular follow up with dermatologist.

Hope it helps.

Thanks and regards.