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HomeAnswersDermatologypost-inflammatory hyperpigmentationWhy do I have dark spots all over my body?

What is the best treatment for dark spots and acne scars?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 10, 2016
Reviewed AtApril 25, 2024

Patient's Query

Hi doctor,

I am a 31-year-old female with three kids. When I was in my teenage, I developed red bumps which later on turned into acne. Most of the time I scratch them as they are very itchy and the same with insect bites. I have a lot of dark spots now all over my face, buttocks, back of my thighs, and upper arm. It is also present in my inner thighs. I have attached some pictures that you might want to look at and see which is the best dermatological treatment that suits me. I wanted to restore my skin and remove these dark spots and scars on my legs as well. This has been the source of my insecurities since I was in high school. And I always envy those girls who wear sleeveless shirts and short shorts. Let me know what treatment is the best to solve my skin problem. I am too shy to go to a derma clinic because I do not know what to say to them so I resorted to an online consultation. I am not on any regular medication except my breastfeeding supplement and some vitamins. I hope you treat my case with the utmost confidentiality.

Hi,

Welcome to icliniq.com.

Please answer me the following questions to give more accurate treatment.

  1. How long has it been there? Is itching still there?
  2. Can you mention any exaggerating and relieving factors? Any area spared?
  3. How long have you been breastfeeding?

Patient's Query

Hi doctor,

Please find my answer. Regarding the buttock scar, this started when I was a teenager around 13 years old, then gradually it became like that. It does not itch so much, but it left many scars, and quite red bumps are still present. The itching is not very much now. No aggravating or relieving factors as such. It started on my buttocks, and then it is now down to the back of my thighs and inner thighs. I breastfed my first child only for two months and my second child for around 7 months. My third kid is 4 months old and I am breastfeeding now.

Hi,

Welcome back to icliniq.com.

You are currently having post-inflammatory hyperpigmentation. Apply Melrio cream (combination of Hydroquinone, Tretinoin and Fluticasone propionate) once daily at night over affected area. This hyperpigmentation is either a result of acne vulgaris or malassezia folliculitis or a combination of both. Since the active disease is not there, I am not prescribing you any oral medication. As you are breastfeeding it is better to avoid. Get review in two months.

Patient's Query

Hi doctor,

Thank you very much. I would very much appreciate if you please give specific instructions as below. How long should I do this? And do you have any skin care specific instructions so that my scars will go away aside from the cream? Are there any in-clinic derma solutions that I can resort to like peeling or something to speed up the clearing of my dark spots? Do you have specific diet changes to recommend me?

Hi,

Welcome back to icliniq.com.

  • Just avoid picking it and avoid sun exposure as both these can exaggerate post-inflammatory hyperpigmentation. You may require eight to ten weeks of this followed by Kojic acid preparations for maintenance.
  • Chemical peeling is only fruitful if any trained dermatologist is doing it otherwise it can further aggravate the situation. Since you are too shy to visit dermatologist even for opinion I do not think that it is a feasible option for you as minimum four to five session are required to show optimum results.
  • Antioxidants suppose to help so take green vegetables as much as you can.

For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Investigations to be done

Probable diagnosis

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atishay Bukharia
Dr. Atishay Bukharia

Dermatology

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