how to reduce dark spots or hyperpigmentation - #22725
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.
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Doctors’ responses
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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