Our expert says:
Hello Mom 2, thank you for the question.
This is a difficult question to answer accurately over the internet and your best option would be to consult with a dermatologist who can examine the areas of concern and advise you on the appropriate treatment options.
From your description the brown blemishes are most probably hyperpigmented marks and one should differentiate weather the marks are purely from sun exposure or due to hormonal changes resulting in Melasma.
Pigmentation marks can be treated and you have various options:
Topical regime (improvement should be seen over a 6 to 12 month period):
Glycolic acid peels
SPF 30 or higher containing zinc oxide and/or titanium dioxide
Pigment lightening creams (NeoStrata Brightening Cream SPF 15, NeoStrata Pigment Cream, one may add hydroquinone to these creams)
Before technology is considered one needs to differentiate between sun induced pigmentation and Melasma, if the marks are due o Melasma one needs to further differentiate between epidermal and dermal pigmentation.
IPL & Bi-Polar Radiofrequency (Syneron eMax, eLight)
Laser (Fraxel, Ultrapulse FX, Palomar Starlux, etc.)
One can use combinations of the above approaches however, whatever treatment option you choose, sun avoidance (use a hat, umbrella, etc) and a good SPF 30 or higher are important.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
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