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skin pigmentation on face
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Skin & Hair Concerns
Question #19481
62 days ago
99

skin pigmentation on face - #19481

Ranveer

I am really worried about this skin pigmentation on face that I've noticed for the past few months. At first, I thought it was just a tan from summer, but it hasn't gone away even though I'm being careful about sun exposure. The pigmentation on my cheeks, especially, seems darker than the rest of my face. I’ve tried different creams, but nothing’s worked at all. I’m a little clueless about what could be causing this skin pigmentation on my face. My mom says it could be from stress, but I don't feel particularly stressed... well, maybe a bit. Anyway, I also read online about hormonal changes affecting skin pigmentation on face, which kinda freaked me out because I was on birth control for a couple of years and just went off it. Do you think that could be linked? Could this skin pigmentation on my face get worse or is there a chance it'll fade on its own? I just want to stop feeling self-conscious about it! Any advice on treatments or what might be going on would really help. Appreciate any input on this skin pigmentation on face issue!

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Doctors' responses

The skin pigmentation you’re noticing could be due to a condition called melasma, which is quite common and often related to hormonal changes. It’s not unusual for melasma to appear or worsen when you’re exposed to estrogen or progesterone, such as from birth control pills. The pigmentation tends to be more pronounced on sun-exposed areas like the cheeks, which aligns with what you’re experiencing. While stress isn’t typically a direct cause, it can sometimes play a role indirectly by influencing hormonal balance. Since you’ve already stopped taking the birth control, you might notice some changes, but the pigmentation doesn’t always fade on its own. To help manage it, start with a broad-spectrum sunscreen with SPF 30 or higher, even if you’re indoors, since UV rays can penetrate windows. This is one of the most crucial steps. Topical treatments containing ingredients like hydroquinone, azelaic acid, or retinoids might help lighten the pigmentation. However, these should be used cautiously and ideally under the guidance of a dermatologist, as they can sometimes irritate the skin or be unsuitable depending on your skin type. Additionally, chemical peels and laser treatments are options for more persistent melasma, although these should be assessed personally by a specialist considering potential risks. Watch for any rapid changes in the patches’ appearance, and consult a dermatologist to rule out other conditions. It’s always best to get a professional evaluation, especially if you’re uncertain about what’s causing the pigmentation.

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