Help is available for facial brown spots

Scott E. Kasden, MD answers: Treatment for facial brown spots?

Over the last 1-2 years, I have developed two brown patches under my eyes, one large patch on my forehead and one on the top of my nose. After being told this may be caused by starting oral contraceptives 2 years ago, I stopped taking them about 6 months ago but not have seen the brown patches fade. I'm 29 and don't get much sun except an annual cruise and I always wear a hat and sunscreen on those trips. I wear an SPF15 sunscreen moisturizer every day. What are these, and is there anything I can do to get rid of them?


Scott E. Kasden, MD
10 months ago

This is likely due to the increase in estrogen along with the sun exposure.  This is melasma and is difficult to treat, but not impossible.

The least invasive way to treat brown spots is with skin bleachers like hydroquinone.  A relatively new modality is Trilumina, which contains additional agents and is more effective. 

Finally, skin peels like the Vi peel, often in conjunction with microdermabrasion, may be effective. You may need to try several different modalities and several treatments.

Keep out of the sun, use the strongest sun blocks you can get, and wear big brim hats (look for clothing that is rated for sun blocking).

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