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Skin & Hair Concerns
Question #19723
60 days ago
99

face darkening - #19723

Ayaan

I am worried about my face darkening. Like for the past few months, I've noticed that my skin around my face has been getting noticeably darker, and I don’t know why. At first, I thought it was just a tan from being outside too much, which I didn’t mind—summer vibes, right?—but this is different. I mean, it’s not like I’m lying out in the sun all day anymore! I have no idea what’s causing it. I started using sunblock regularly but the face darkening keeps happening and is now really noticeable, even under makeup. A friend suggested it might be hormonal changes since I’m in my mid-30s. I did have some blood tests done, and my doc said everything was normal, but this face darkening is driving me nuts! Has anyone experienced something similar? I keep thinking it’ll just go away, but it’s been months. Could it be something more serious? What should I try or who should I see for help? Should I just wait it out or start looking into creams or treatments specifically for this face darkening? Advice would be super helpful!

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Doctors' responses

Face darkening, particularly when it progresses over months, can be frustrating and might stem from various causes. Since you’re noticing this change despite using sunblock and not being exposed to the sun extensively, it could potentially signal a few underlying issues or conditions. One common cause is melasma, often linked to hormonal changes (such as those in your mid-30s), and tends to result in symmetrical dark patches on the face. Some medications, such as oral contraceptives or certain hormone therapies, might contribute to this condition. If topical sunblock is not providing results, it’s worth considering whether your skincare routine or lifestyle factors could be affecting your skin. Stress, diet, and skincare products that might irritate or sensitize your skin can contribute to hyperpigmentation. Conditions like Addison’s disease, a rare hormonal disorder, or a post-inflammatory hyperpigmentation (PIH) following acne or other skin traumas, might also be possibilities. Given your normal blood test results and ongoing concerns, it might be valuable to consult with a dermatologist to explore further. They can offer specific diagnostic insights, such as examining your skin under a Wood’s lamp, and recommend treatments like topical prescription creams (e.g. hydroquinone, retinoids). Laser treatments or chemical peels might be options, although those are typically explored when standard topical treatments don’t yield satisfactory results. Don’t wait it out too long if it’s a concern; getting a professional evaluation will allow you to address any potential underlying causes and determine a treatment plan that best fits your situation’s unique aspects.

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