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Face pigmentation and fungal infection
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Skin & Hair Concerns
Question #10597
74 days ago
159

Face pigmentation and fungal infection - #10597

Xyz xyz

So, I’m getting treatment for laser hair reduction. And my face is getting pigmentation. My face used to be very fair with no spots. But now it’s dull and dark spots. Second, I have fungal infection or something from very small age. It causes discolouration of skin near my armpits and shoulders. So suggest please. Thank you.

Age: 25
Chronic illnesses: No
Skin
Pigmentation
200 INR (~2.35 USD)
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
73 days ago
5

Hello dear Please be aware I think it is generalised fungal infection very prominent these days Kindly follow below instructions Ointment lulliconazole 3 times a day over lesions Tablet terbinafine 250 mg twice a day for 1 week Clomed or clozed powder antifungal In case of no improvement contact general physician Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
73 days ago
5

1) Cetaphil Gentle Cleanser Use twice daily

2) Minimalist Alpha Arbutin 2% + Hyaluronic Acid Serum Apply 2–3 drops to dark spots only, not whole face

3) demelan Cream Apply at night on dark spots alternate night for 2 months 4) sun scoop brightening sunscreen Apply daily twice a day 5) Zole-F cream Apply thin layer to both armpits and discoloured patches, 2 times daily Use for at least 4–6 weeks 6) Ketostar Soap for entire body Use daily for 2–3 months to prevent recurrence

Follow up soon Thank you

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
72 days ago
5

Antifungal Body Wash Ketoconazole 2% wash or Salisilk with salicylic acid + ketoconazole → Use in bath daily on affected areas → Leave for 5 mins before rinsing

2. Topical Antifungal Cream Luliconazole 1% or Clotrimazole + Beclomethasone → Eg: Lulifin, Zole-F, Canesten-S → Apply twice daily for 4–6 weeks

TREATMENT FOR FACE PIGMENTATION AFTER LASER

Always use a high-SPF sunscreen (SPF 50+) Use every morning, even indoors Reapply every 3–4 hours if in sunlight Suggested: La Shield, Re’equil Ultra Matte, or UV Doux

Gentle face cleanser Use CeraVe, Cetaphil, or Bioderma (non-foaming, non-drying)

Pigmentation-fade cream (Night Only):

Kojic acid 2% + Niacinamide 4% + Glycolic acid based: Demelan cream

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Pigmentation after laser hair reduction can happen, often due to irritation or an inflammatory reaction called post-inflammatory hyperpigmentation, especially if you have a darker skin tone or have been exposed to sun without proper protection. Generally, it’s crucial to protect your skin from the sun and irritants; use a broad-spectrum sunscreen with at least SPF 30 whenever you step outside. Also, avoid other skin products that can cause irritation, like retinoids or exfoliants. You might want to talk to your dermatologist about using a cream like hydroquinone or other topical agents that can lighten the dark spots. Be sure to get treatments only from experienced professionals, as improper technique and post-treatment care can worsen pigmentation.

As for the discoloration under your arms and shoulders, it sounds like it could be tinea versicolor, a common fungal infection. This can cause patchy skin discoloration and is usually treated with topical antifungal creams or shampoos, like ketoconazole or selenium sulfide, which you apply and leave on for a bit before rinsing off. Keeping the area dry and avoiding tight, non-breathable clothing can also help since moisture can worsen fungal infections. Sometimes, oral antifungal medications are prescribed if the topical treatments don’t do the trick. Since this issue has been ongoing since childhood, it would be beneficial to have a healthcare provider look at it again to confirm the diagnosis and update treatment if necessary. Just avoid self-medicating with strong treatments without medical advice, as misdiagnoses can lead to improper management.

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