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What is the treatment for two tone skin with facial warts?

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 facial warts and they are really prominent. I have two-tone skin, and sometimes my skin will be dry, and sometimes it will be oily. What to do?

Thank you.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome to icliniq.com.

There is no attached photograph in your message. Kindly send a picture of the affected area to help you better. I need to see the affected area to assess the condition and suggest an appropriate diagnosis and treatment.

Thank you.

Patient's Query

Hello doctor,

I have attached the file.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome back to icliniq.com.

The picture attached (attachment removed to protect the patient's identity) shows erythematous facial flushing (sensitive skin) with acne scars and post-inflammatory hyperpigmentation marks with Xanthelasma (lipid outgrowth). To know the exact cause, routine blood investigations like LFT (liver function test), lipid profile, and hormonal assays need to be done. I would like to know:

  1. Since when are there flare-ups?
  2. Are there any aggravation factors?
  3. Is there any history of atopy or allergies?
  4. Is there any history of photosensitivity?
  5. Is there prolonged exposure to the sun?
  6. Hormonal imbalance fluctuations?
  7. Is there any stress?
  8. Is there any history of popping or pricking pimples?
  9. Excess scratching and rubbing of lesions?
  10. Any oily or greasy cosmetic products used?
  11. Any steroid application in the past?

Apply Retino A (Tretinoin) 0.025% gel at night for ten days, as it has peeling action in acne scars. Other options like derma fillers, collagen stimulation, laser resurfacing, dermarollers, and more are the treatment of choice. Cosmetic procedures are very costly.

Thank you.

Patient's Query

Hello doctor,

I do have environmental allergies and nickel allergies. My last LFT panel was normal, but I did have HPV warts on my finger in the past, and since then, I have these skin tags and warts on my face. I have pricked pimples on my face. My flare-up will appear on wearing wool or any clothing that has wool in it, animal fur and environmental pollution will cause flares on my skin. I do not apply much foundation for makeup because I start to sweat, and my skin gets oily, and I will only apply face powder. But in my cheeks, I have dry white patches, and at my nose, it gets oily.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome back to icliniq.com.

Please get a hormonal profile (FSH (follicle-stimulating hormone), LH (luteinizing hormone), testosterone, blood sugar, lipid profile) done to rule out the possible causes like PCOS (polycystic ovary syndrome). Till then, I would suggest you:

  1. Practice safe sex.
  2. Avoid excess use of cosmetics or facials, and steroid use.
  3. Avoid dairy products and food with a high glycemic index, like refined carbohydrates, fatty foods, and more.
  4. Eat a well-balanced diet and exercise daily.

Consult a nearby dermatologist for proper treatment. Attach laboratory investigation reports so I can guide you accordingly.

I hope this helps you.

Thank you.

Answered byDr. Dhepe Snehal Madhav

Medically reviewed byDr. K. Shobana

Published At March 4, 2021
Reviewed AtFebruary 16, 2026

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

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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