advertisement
Question
Posted by: Kendri | 2012/02/22

Pigmentation

Good day Doc

I went to a well known Dermatologist in Pretoria for pigmentation on my upper lig. I am 26 and very light skin so the pigmentation is more noticable. He gave me a white tube bleach cream and used it 2 times a day for 6 months. For my followup he said that he couldnt see it anymore but i could and still can! I still apply it 3 times a week but there is no difference. What can i do or use?

Not what you were looking for? Try searching again, or ask your own question
Our expert says:
Expert ImageAnti-ageing expert

Hi Kendri, thank you for the question.

This is a difficult question to answer over the net as one would like to examine the skin before deciding on the best treatment approach.

From your description it seems that you suffer from Melasma and that you received a hydroquinone based topical product (there are various concentrations used).

Melasma is a typically associated with hormonal changes and sun exposure so your best options would be to use a good SPF (50 or higher) that contains zinc oxide and/or titanium dioxide applied several times daily especially during the hotter months; I would also recommend sun avoidance (as much as possible) such as hats, umbrellas, shade, etc. and that you visit your gynaecologist who can make sure that there are no hormonal abnormalities and run through the different low hormone contraceptive options with you.

Melasma is difficult to treat and complete ‘cure’ may be impossible; chances are that with each sun exposure in the summer months the pigmentation will return to some degree.
My typical approach with ‘resistant’ pigmentation is as follows:
1. Topical: SPF (see above), low dose (2%) hydroquinone combined with depigmenting creams such as NeoStrata’s Depigmenting Gel and Pigment Lightening Gel (please note that other manufacturer such as Environ, Nimue, etc. also have depigmenting creams in their ranges), and light glycolic acid peels combined with depigmenting spot peels (such as DermaCeutic’s peel system but other systems are also available)
2. Fractional skin resurfacing: this should only be performed during the winter months
3. Other options: combination of Omnilux and ALA (ALA is absorbed into the pigment cells which are destroyed once the LED light from the Omnilux is used)

I hope the above has helped but ultimately you may need to consider a second opinion.

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 advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

2
Our users say:
Posted by: Kash | 2012/05/05

I simply waetnd to post a remark in order to express gratitude to you for those remarkable tips and tricks you are giving on this website. My time consuming internet search has now been honored with excellent facts and strategies to talk about with my friends and family. I d tell you that most of us site visitors are really blessed to exist in a fabulous community with very many brilliant people with helpful ideas. I feel somewhat grateful to have discovered your web page and look forward to really more amazing times reading here. Thanks a lot again for a lot of things.

Reply to Kash
Posted by: anti-ageing expert | 2012/02/25

Hi Kendri, thank you for the question.

This is a difficult question to answer over the net as one would like to examine the skin before deciding on the best treatment approach.

From your description it seems that you suffer from Melasma and that you received a hydroquinone based topical product (there are various concentrations used).

Melasma is a typically associated with hormonal changes and sun exposure so your best options would be to use a good SPF (50 or higher) that contains zinc oxide and/or titanium dioxide applied several times daily especially during the hotter months; I would also recommend sun avoidance (as much as possible) such as hats, umbrellas, shade, etc. and that you visit your gynaecologist who can make sure that there are no hormonal abnormalities and run through the different low hormone contraceptive options with you.

Melasma is difficult to treat and complete ‘cure’ may be impossible; chances are that with each sun exposure in the summer months the pigmentation will return to some degree.
My typical approach with ‘resistant’ pigmentation is as follows:
1. Topical: SPF (see above), low dose (2%) hydroquinone combined with depigmenting creams such as NeoStrata’s Depigmenting Gel and Pigment Lightening Gel (please note that other manufacturer such as Environ, Nimue, etc. also have depigmenting creams in their ranges), and light glycolic acid peels combined with depigmenting spot peels (such as DermaCeutic’s peel system but other systems are also available)
2. Fractional skin resurfacing: this should only be performed during the winter months
3. Other options: combination of Omnilux and ALA (ALA is absorbed into the pigment cells which are destroyed once the LED light from the Omnilux is used)

I hope the above has helped but ultimately you may need to consider a second opinion.

Reply to anti-ageing expert

Have your say

Thanks for commenting! Your comment will appear on the site shortly.
Thanks for commenting! Your comment will appear on the site shortly.
advertisement