hyperpigmentation dark skin on side of nose - #17498
I am really frustrated with this hyperpigmentation dark skin on side of nose. Like, it just showed up one day, and I noticed it while looking in the mirror, and it made me self-conscious. I’ve tried different creams but nothing works. I’m not sure what caused it, and it’s not like I'm doing anything different; honestly, I was super careful about sun exposure, and I wear sunscreen regularly. Sometimes I think it’s from my face mask, but the area is so localized. And why on the side of my nose? I read that hyperpigmentation dark skin can happen for various reasons, but I didn't realize it could be this pronounced so quickly. I've heard like lasers and other treatments can be effective, but I’m concerned about that too—does it hurt? Also, will I need to go through multiple sessions to see any real difference? I really want to know if there are better options for hyperpigmentation dark skin specifically since my skin tone is different, and it feels like everything I read is just for lighter skin. Any suggestions or experience with this? I just need some advice; I'm tired of feeling this way.
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Doctors' responses
Hyperpigmentation on the side of your nose can be frustrating, but you’re not alone. It’s important to first consider possible causes like post-inflammatory hyperpigmentation from acne or irritation, sun exposure, or even factors like hormonal changes. While you’re diligent about sunscreen, sometimes UV rays can still affect certain areas, especially if reapplication isn’t frequent enough. The area being localized could support a link to something topical, whether that’s irritation from a face mask or an allergic response to skincare, even if it doesn’t seem likely. Given those possibilities, managing hyperpigmentation, especially for darker skin tones, involves a careful approach due to increased risk of further pigmentary changes. Over-the-counter treatments often contain ingredients like vitamin C, niacinamide, or azelaic acid that can gradually help even out skin tone. You’ve mentioned they haven’t worked, but consistency is key, and it often takes several weeks to see improvement. As for professional treatments, options such as chemical peels or laser therapy can be effective. With lasers, particularly, consulting a dermatologist experienced with darker skin tones is crucial to avoid adverse effects. These treatments can have varying levels of discomfort — some people experience mild stinging or warmth — and yes, multiple sessions are often necessary to achieve optimal results. Each session gradually targets the pigment, so improvement tends to be cumulative. It’s best to schedule a consultation to discuss your concerns, skin needs, and the possibility of combining treatments better tailored for you. Keeping a gentle skincare routine free from irritants and protecting the skin from the sun is essential in complementing any treatment you choose.
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