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black patches on sides of nose
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General Health
Question #18852
141 days ago
233

black patches on sides of nose - #18852

Nisha

I am really worried about these black patches on the sides of my nose that just appeared outta nowhere! Like, I noticed them a few weeks ago and at first, I thought maybe I just needed to clean my skin better, but it's getting worse. They're kinda dark, almost like little spots or freckles, but definitely not cute. I've tried scrubbing my face with different cleansers, but it seems like they got darker. I don't remember doing anything unusual, like using new makeup or skincare, and I don’t have a history of skin problems other than the occasional pimple. The weird thing is that I've heard it could be sun damage, but I always wear sunscreen when outside. I’m worried it could be something more serious or something that might not go away on its own. Have anyone dealt with black patches on sides of nose like this? Do you think it could be related to anything, like allergies or a reaction? I mean, I don't wanna freak out, but I also don't wanna just ignore it. What would you suggest I do next? Should I see a dermatologist or just try more home remedies? Any advice would really help!

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Doctors' responses

The black patches you’re noticing on the sides of your nose may have a few different underlying causes. It’s important first to note the potential role of sun exposure—even if you’re diligent about wearing sunscreen, certain conditions can cause pigmentation changes. One common possibility is melasma, which can appear as dark patches on sun-exposed areas due to sun exposure, hormonal changes, or even certain medications. Alternatively, these patches might represent post-inflammatory hyperpigmentation, often triggered by a previous skin irritation or inflammation. Given that you insist on a good skincare routine and haven’t introduced new products, we can’t entirely rule out other causes like allergic contact dermatitis or even non-pigment-related entities like seborrheic keratoses or lentigines. In some cases, hyperpigmentation can be influenced by hormonal factors too. While home remedies might seem tempting, it’s generally wiser to proceed with caution here. Abrasive cleansers or scrubbing can sometimes exacerbate the problem by causing further irritation. A better plan would be to opt for mild, non-comedogenic cleansers. When over-the-counter options don’t resolve the issue effectively, it’s worth consulting a dermatologist. They can perform a professional evaluation, possibly using tools like a dermatoscope, to better differentiate between different potential conditions. Based on their assessment, they might suggest treatments like topical lightening agents, chemical peels, or laser therapy depending on what they determine is the cause. If there’s any sudden change in the size, shape, or color of these patches, or if they’re associated with symptoms like bleeding or itching, it’s more urgent to see a healthcare professional to rule out more serious conditions. Keep an eye also on your habits—ensure you’re applying broad-spectrum sunscreen every few hours if outdoors or exposed to sunlight through windows. Remember, effective skincare and early intervention are key to managing pigmentation issues sensibly.

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