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What can help with my hormonal acne and dark body areas?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have uneven skin tone, hormonal acne, hyperpigmentation, and dark thighs. How can I reduce them?

Please help.

Thank you.

Answered by Dr. Misha Saghir

Education:

MBBS

Professional Bio:

Dr. Misha Saghir, MBBS, FCPS (Dermatology Resident) • Clinical Dermatologist & Tele-Derm Specialist • Experienced in skin, hair, nail, and cosmetic concerns • Expertise in acne, pigmentation, eczema, psoriasis, vitiligo, melasma, infections, skin hair and nail disorders • Former General Practitioner with 2 years in government healthcare • Provides evidence-based, patient-centered online consultations • Practical treatment plans with clear guidance and follow-up

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have read your query.

I understand your concerns about achieving an even skin tone on your body, managing hormonal acne, hyperpigmentation (a common condition that makes some areas of the skin darker than others), and dark inner thighs.

Do not worry. It is manageable with the right lifestyle changes and treatment options.

First, it is important to rule out acanthosis nigricans, a condition that can cause darkening of skin folds and may be linked to insulin resistance or hormonal imbalance.

For that, get your HbA1c (glycated hemoglobin) checked and try to manage a healthy weight.

For your facial care, I recommend using a gentle cleanser, day and night. Then use a lightweight and non-comedogenic moisturiser to maintain your skin barrier and prevent dryness.

Daily use of a broad-spectrum sunscreen with SPF 30+ (sun protection factor 30+) is essential to protect your skin from sun damage and prevent hyperpigmentation from worsening. For targeted treatment of facial pigmentation and acne, applying Aziderm cream 15 percent (Azelaic acid) under your moisturizer at night can help improve uneven skin tone and reduce active acne lesions. This will help in managing your pigmentation, scars, texture, and acne.

For your thighs and body pigmentation, a daily application of Kojivit plus cream (which has Kojic acid dipalmitate, Arbutin, Glycolic acid, mulberry extract, Octinoxate, Vitamin E acetate, and grape seed extract) can help gently exfoliate and lighten dark areas over time. Use it under the cover of moisturiser to avoid irritation.

Avoiding tight clothing and minimizing friction in these areas will also help prevent further darkening. General care, such as staying hydrated, following a balanced diet, gentle exfoliation, and consistency in your skincare routine, is crucial. Improvement in pigmentation may take several weeks, so patience and regular use of the recommended regimen are key.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 20, 2026
Reviewed At May 20, 2026

Education:

MBBS

Professional Bio:

Dr. Misha Saghir, MBBS, FCPS (Dermatology Resident) • Clinical Dermatologist & Tele-Derm Specialist • Experienced in skin, hair, nail, and cosmetic concerns • Expertise in acne, pigmentation, eczema, psoriasis, vitiligo, melasma, infections, skin hair and nail disorders • Former General Practitioner with 2 years in government healthcare • Provides evidence-based, patient-centered online consultations • Practical treatment plans with clear guidance and follow-up

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Misha Saghir, MBBS, FCPS (Dermatology Resident) • Clinical Dermatologist & Tele-Derm Specialist • Experienced in skin, hair, nail, and cosmetic concerns • Expertise in acne, pigmentation, eczema, psoriasis, vitiligo, melasma, infections, skin hair and nail disorders • Former General Practitioner with 2 years in government healthcare • Provides evidence-based, patient-centered online consultations • Practical treatment plans with clear guidance and follow-up

This doctor is not available for online consultations on the platform anymore.

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