black colour speciality - #17949
I am kinda freaking out about my skin lately. I’m a 32-year-old woman, always loved my olive skin tone, but recently I’ve been noticing these dark patches, mainly on my cheeks and forehead! At first, I thought it was just a little sun damage or something like that, but it’s started to get worse. I went to a dermatologist last week, and she said it could be hyperpigmentation, which sounds serious. I remember her mentioning something about "black colour speciality" in relation to my condition, but honestly, I didn't quite get it. Is that even a thing? Like, can you really have a speciality in black colour, or is it just a fancy way of saying there’s a strategy to treat darker skin tones? I'm really worried because I’ve tried a bunch of over-the-counter creams, and nothing seems to work. I wanna know if there are certain treatments specifically for people with this "black colour speciality" thing. Anyone here dealt with similar issues? Does sunscreen help, or should I be looking into laser treatments? I feel like I'm running out of options and just want my old skin back!
100% Anonymously
No sign-up needed.

Doctors' responses
Hyperpigmentation, especially on areas like the cheeks and forehead, can definitely be frustrating. It sounds like your dermatologist might have been referring to the specialized treatments tailored for different skin tones, often discussed under the broader umbrella of dermatology that takes into account how different pigments in the skin respond to various treatments. Skin pigmentation concerns, such as melasma or post-inflammatory hyperpigmentation, can indeed be more complex in individuals with darker or olive skin tones, as they may be more prone to pigmentation-related issues.
Sunscreen is actually a fundamental part of managing and preventing further hyperpigmentation. Look for a broad-spectrum SPF 30 or higher that protects against both UVA and UVB rays. Regular use helps prevent further darkening of the spots and protects the surrounding skin. If over-the-counter products haven’t been effective, you might need treatments that are more specialized. Some topical treatments that could be considered include hydroquinone, tretinoin, corticosteroids, or azelaic acid. These can lighten dark patches over time, but they generally require a prescription and should be used under guidance from a healthcare professional.
Laser treatments or chemical peels are options but come with considerations that are particularly pertinent for those with darker skin tones. They can sometimes risk worsening pigmentation if not done correctly, therefore it’s crucial to work with a dermatologist experienced in treating hyperpigmentation in a variety of skin tones. Additionally, glycolic or salicylic acid peels might be suggested, though they should be done under strict guidance to ensure they’re suitable for your skin. Ultimately, following up with your dermatologist to discuss these possibilities and tailoring a treatment strategy that takes your specific skin characteristics into account will be essential.
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.