Dark spots, facial hyperpigmentation, scars, and proper face washing routine - #18272
Hello Doctor, I am seeking advice regarding a skin problem affecting my face. I have been experiencing darkening of the facial skin, including dark spots, uneven skin tone, and marks left from pimples or minor wounds. Some areas of my face appear dull and darker than others, and I am not sure if this is due to sun exposure, improper skin care, or other causes. I would like professional advice on how to improve my facial skin condition safely. I am especially interested in understanding the correct way to wash my face, how often it should be washed, and which habits might be worsening the dark spots and scars. My questions are: 1. What are the common causes of facial dark spots, hyperpigmentation, and acne scars? 2. What is the proper daily face-washing routine to improve skin tone? 3. Are there safe treatments or natural remedies that can help reduce dark spots and scars? 4. What lifestyle changes, nutrition, or skincare habits can help restore healthy and clear facial skin? 5. Are there any products or ingredients I should avoid to prevent further skin damage? Thank you for your guidance and advice.
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Doctors’ responses
Hello dear See as per clinical history it seems facial pigmentation with presence of acne See usually they are prominent due to either advent of puberty or due to hormonal alterations Yes there are some products which can bring improvement Iam suggesting some medication and precautions please follow them for atleast a month . Topical Treatments -Benzoyl Peroxide (2.5–5%) twice a day for week Salicylic Acid, Adapalene 0.1% can also be given as additive medications. 2.Clindamycin 1% Clindac A ,Tretinoin ( if already not taken). 3.Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day for max 5 days Niacinamide serum –antiinflammatory in nature twice daily for 1 week Aquaphor moisturizer twice a day for 1 month Besides that In addition use aloevera - tulsi solution to apply topically for 1 month In addition you can take go for non invasive procedures Lasers Photo dynamic therapy Electrcautery Botulinum toxin In case of no improvement consult dermatologist in person for better clarity Regards
Hello dear,
Answers to your questions:
1. Sun exposurewithout sunscreen Picking or squeezing acne Hormonal factors
2/3: Use gentle cleanser- cetaphil/simple facewash You can use - minimalist anti pigmentation kit USE SUNSCREEN MANDATORY
4. Daily use of sunscreen SPF 30+ Drink enough water Eat fruits and vegetables (Vitamin C & E) Get 7–8 hours of sleep Reduce stress Avoid touching or picking the face
5. Fairness or bleaching creams Steroid creams without prescription Alcohol-based toners Frequent harsh scrubs or peels Lemon/toothpaste/baking soda on face
I trust this helps Thank you
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