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Pigmentation &dark spot& dark patches dull skin
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Skin & Hair Concerns
Question #11091
232 days ago
288

Pigmentation &dark spot& dark patches dull skin - #11091

Sarbajit sahoo

How to prevent all these my skin problems like hyper pigmentation &darkpatches in face & neck & make a glower & brighten face accordingto switabpe my face that too much oily so please recommend the best medicine

Age: 19
Chronic illnesses: sarbajitsahoo64@gmail.com
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Doctors' responses

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.
232 days ago
5

Investigation 1) CBC 2) Vitamin B12

RX 1) Face wash glutafine Use twice daily 2) sun scoop brightening sunscreen spf50 Use everyday when going out 3) Glyco 6 cream Use at night daily if any redness stop for 3 days 4) Tab limcee 500 1 tab twice daily after meal for 3 months

Thank you

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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.
232 days ago
5

Hello dear Pigmentation can be due to local or systemic reasons I suggest you to please get following tests done for confirmation Serum d3 Serum glucocorticoid Serum cortisone Rbs Rft In addition you take take following medications for improvement Aquaphor moisturizer Niacinamide cream Laser/ photodyanamic therapy Azelaic 10 percent for two weeks Tulsi-haldi paste for two weeks Alovera gel twice a day for 1 month In case of no improvement Please share the details with dermatologist in person for better clarification Hope you recover soon Regards

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Addressing skin concerns such as hyperpigmentation, dark patches, and overall dullness, especially with an oily complexion can be quite manageable with the right approach. Pigmentation issues often stem from a mix of sun exposure, hormonal changes, or post-inflammatory reactions like acne. For oily skin and pigmentation, it’s crucial to combine topical treatments with diligent sun protection. Consider integrating a broad-spectrum sunscreen with at least SPF 30 into your daily routine, regardless of the weather, as UV exposure can exacerbate pigmentation. Look for formulations that are non-comedogenic to avoid clogging pores since your skin is oily. You might benefit from using active ingredients such as niacinamide, which can help with regulating oil production and also has skin brightening properties, or salicylic acid that clears out pores and helps in shedding pigmented, dead skin cells. Alpha hydroxy acids (AHAs) like glycolic acid, can also help exfoliate the skin gently, promoting brighter skin over time. Retinoids, available over-the-counter as retinol or at prescription strength from a dermatologist, are highly effective for both pigmentation and acne, but should be introduced gradually to minimize irritation. It’s important to use moisturizers even with oily skin; look for ones labeled as oil-free or gel-based. Since you mentioned oily skin, avoid creams with additional oils that may lead to breakouts. Remember to hydrate adequately and maintain a diet rich in antioxidants like fruits and vegetables, which support healthy skin. If you’re trying these over-the-counter methods and see no improvement after a few weeks, or if you’re experiencing new or worsening symptoms, it would be wise to see a dermatologist. They can offer treatments like chemical peels, laser therapy, or prescribe stronger lightening creams containing hydroquinone or kojic acid. Changes in pigmentation can be persistent, so be patient and consistent with your routine while being cautious of any new or aggravated symptoms.

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