How to became fair and to have even tone skin - #15530

Hello dear See after careful evaluation it seems you are having excess sunlight exposure. Iam suggesting some medication and precautions. Please follow them for atleast a month SPF 30 twice a day for 1 month Aquaphor moisturizer twice a day for 1 month Azelaic m for 2 weeks topical application Avoid direct sun exposure Use tulsi alovera gel topical application for 1 month In case of no improvement go for below non invasive procedures Laser Botulinum toxin if recommended by dermatologist Electrcautery Prp/ plasma therapy Please get these procedures from dermatologist only Hopefully you recover soon Regards

Hello Janani, thank you for sharing your concern. Here is my advise for you-

1. For your white patches, a doctor needs to have a look at them. As they are if different patterns and due to many reasons. So, by looking at them, recognising the pattern and finding out the cause, they can be treated. I advise you to either share a picture or get a physical consultation with a certified Dermatologist or a Family Physician.

2. Skincare routine to improve tone & dryness: -Morning: Apply a gentle moisturizer (Cetaphil / Moisturex / Venusia). Use any if these sunscreens - La Shield Sunscreen Gel SPF 40 PA+++ OR Suncros Soft SPF 50 PA+++. -Night- Apply more amount of moisturizer, dryness makes the patches look worse.

3. Sun Protection (VERY IMPORTANT): Avoid peak sun (11 AM–4 PM). Use an umbrella/cap when outside.This alone improves skin tone significantly within 6–8 weeks.

4. What NOT to do: Don’t use fairness creams containing steroids (like Betnovate/Mometasone mixes). They damage skin and worsen pigmentation. Don’t scrub or peel the dry skin.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

White patches on the skin, especially along with sensitivity to the sun and dry skin, could indicate a condition like vitiligo, eczema, or even a type of photosensitivity. Each of these conditions require different management, so it’s important to get an accurate diagnosis from a dermatologist. If the patches are due to vitiligo, treatment options may include topical corticosteroids or calcineurin inhibitors prescribed by a healthcare professional. For eczema, managing moisture levels with regular application of emollient-rich creams or ointments can help reduce dryness and flakiness. A physical sunscreen containing zinc oxide or titanium dioxide is key, ensuring its SPF is 30 or higher, reapplied every 2 hours when outdoors. Consider wearing protective clothing like long sleeves or hats to further reduce sun exposure. To improve uneven skin tone, using a gentle, non-comedogenic moisturizer daily can prevent dryness. Incorporating a serum with ingredients like niacinamide or vitamin C can help brighten the skin and even out hyperpigmentation, but use them with caution and under the guidance of a dermatologist, especially if your skin is sensitive. Avoid harsh scrubs or exfoliants as they may aggravate the sensitivity. Stay hydrated internally by drinking plenty of water, and consider a diet rich in antioxidants (fruits, vegetables) that support skin health. If your skin sensitivity is severe upon sun exposure or there’s rapid change in the patches, it’s recommendable to consult with a healthcare provider to ensure there’s no underlying condition impacting your overall health.

White patches with sun-sensitivity, dryness, peeling, and uneven skin tone can happen in conditions like pityriasis alba, eczema, or early vitiligo, and sun exposure can make all of these look worse. Very dry skin makes the patches more visible, so you need strict moisturizing, sun protection, and a proper diagnosis to start the right treatment (often mild steroid or tacrolimus creams). Please see a dermatologist soon, because with the correct creams + sunscreen + hydration routine, your skin can become much clearer, brighter, and more even within a few weeks.