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how to reduce dark spots or hyperpigmentation
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Skin & Hair Concerns
Question #22725
46 days ago
111

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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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.
46 days 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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Azelaic Acid 15% can be a beneficial part of your skincare regimen to address hyperpigmentation due to acne marks and sun exposure, especially since you have normal to sensitive skin. It’s known for its ability to lighten hyperpigmentation, reduce inflammation, and even skin tone, making it a suitable option for your age and skin type. To use Azelaic Acid effectively, start by applying a small pea-sized amount to the affected areas once daily, preferably at night, so your skin can gradually get used to it. After a week or two, if your skin tolerates it well, you may increase the frequency to twice daily— morning and evening. Be mindful of any excessive irritation; if that occurs, reduce application to every other day.

As you’re concerned about maintaining the integrity of your skin barrier, incorporating a gentle, hydrating moisturizer can be very helpful. Look for one that is fragrance-free and designed for sensitive skin to ensure it doesn’t cause any irritation or breakouts. Apply moisturizer after the Azelaic Acid has been fully absorbed to lock in moisture without disrupting the treatment’s effectiveness.

Sunscreen is crucial when addressing hyperpigmentation. UV exposure can worsen dark spots, making them take longer to fade. Use a broad-spectrum sunscreen with at least SPF 30 every morning, and reapply every 2 hours if you’re outdoors. Look for physical blockers like zinc oxide or titanium dioxide, as these are often more suitable for sensitive skin. Consistently using sunscreen can improve overall skin tone and prevent further hyperpigmentation.

In addition to these measures, keeping a regular skincare routine that includes gentle cleansing and avoiding harsh exfoliants is important. Also, continue monitoring how your skin responds, and if you notice increased irritation or little improvement after a few weeks, consider consulting a dermatologist. They can provide personalized advice and potentially suggest additional treatments like vitamin C serum or a retinoid, which could be effective for your concerns. Be cautious not to use too many active ingredients at once, as this could lead to further skin sensitivity. Make sure any new product is patch-tested on a small area behind your ear or on your wrist to check for adverse reactions before applying it to your face.

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