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Hyperpigmentation marks over the body po
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Skin & Hair Concerns
Question #11202
275 days ago
301

Hyperpigmentation marks over the body po - #11202

Divya

There are many hyperpigmented marks over the arms and back partially faded occurredpost scratch over there.its been over 10 years The pigmentation got faded but not completely is there any solution to fade away the marks completely

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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.
275 days ago
5

Hello dear See for alredy healed lesions you can go for both topical application and surgical ( non invasive procedures) Spf -30 apply twice for 1 month Azelaic acid 10 percent for two months Tretinoin twice a day for 2 months Adalepine accordingly Benzoic acid 5 percent solution for 2 months Non invasive surgery procedure Laser Electrocautery Pdt therapy In case of no recovery in 2 months, get in person consultation with dermatologist for better clarification Also,get the non invasive procedures from the concerned doctor only Hopefully you recover soon Regards

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Hyperpigmentation resulting from long-standing skin trauma like scratches can be persistent, as melanocytes, the cells responsible for pigment, were triggered to produce excess melanin during the injury and have deposited it into deeper layers of the skin. Over time, some natural fading occurs as the skin renews itself, but complete resolution without intervention might be slow. For further lightening, a few potential solutions are available. Topical treatments containing ingredients like hydroquinone, tretinoin, glycolic acid, or vitamin C can be beneficial. These agents work by either inhibiting melanin production or promoting faster skin cell turnover. It’s essential to use these treatments under the guidance of a dermatologist, as they can help determine appropriate concentrations and monitor for any side effects. Furthermore, procedures such as chemical peels, laser therapy, or microdermabrasion might help significantly in reducing pigmentation by removing the uppermost skin layers or targeting deeper layers where the pigment resides. However, these can be more expensive and might come with downtime or discomfort. Daily use of broad-spectrum sunscreen is crucial, as UV exposure can further darken affected areas or impede the effectiveness of treatments. Ensure consistent application even on cloudy days or indoors near windows. Blue or LED light treatments, though still emerging, are being explored for their potential to reduce hyperpigmentation, but studies on this are less conclusive. Additionally, some formulations like kojic acid, arbutin, or niacinamide might help in certain cases, providing a gentler alternative to stronger agents. Patience is vital, as most topical treatments take weeks to months to show noticeable results and consistent application is key. Be cautious with homemade or unverified remedies, which can irritate the skin or worsen pigmentation. If uncertain about any treatment course or if the pigmentation changes in aspects like color or texture, seek medical evaluation to rule out any underlying skin conditions.

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