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how to reduce dark spots or hyperpigmentation
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Skin & Hair Concerns
Question #22725
1 hour ago
9

how to reduce dark spots or hyperpigmentation - #22725

Saksham Sharma

I am a 15-year-old with normal to sensitive skin, and I am dealing with hyperpigmentation on my face, mainly dark spots and uneven skin tone. The pigmentation developed gradually, likely due to acne marks and sun exposure. My skin looks dull and the marks take a long time to fade, which affects my confidence. I do not have any major medical conditions and I am not on any oral medication. Occasionally, I experience mild acne, but my main concern is post-acne marks and pigmentation, not active pimples. There is no itching, pus, or severe irritation. I want a safe and effective treatment to reduce hyperpigmentation and even out my skin tone. I have read that Azelaic Acid 15% can help with pigmentation, acne marks, and overall skin texture. I want to know if using Azelaic Acid 15% is suitable for a 15-year-old with my skin type and how to use it correctly (frequency, duration, and precautions). I am looking for a treatment that is gentle, does not damage my skin barrier, and can be used long-term if needed. Please guide me with the correct medication, usage instructions, and any additional skincare advice such as sunscreen or moisturizer if required.

Age: 15
Chronic illnesses: hyperpigmentation
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 minutes ago
5

Hello dear See pigmentation requires topical application. In case of no result are achieved then specialized procedure are performed 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. Topical application 4. Oral Medications -tablet Doxycycline 1 month twice a day for max 5 days In addition use aloevera - tulsi solution to apply topically for 1 month

In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification . There may be requirement of Laser Photodynamic therapy Electrocautery Plasma membrane application or botulinum toxin . hopefully you recover soon Regards

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