I have some dark spots and freckles on my cheeks. Can you recommend me some skin products to help get rid of them? (Photo)
Doctor Answers 7
Dark spots on the face and Melarase
Dark spots and freckles on my cheeks
The first step is probably a good medical grade skin care program such as Obagi, which is a hydroquinone based program.
A Halo laser treatment may also be possible but only if performed by and experienced and expert physician.
Consult with 3 experienced and expert board certified physicians to understand your options.
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Getting Rid of Dark Spots and Freckles
This pigment resides in deeper layers beneath the surface. With topical skin products, how deeply the chemicals will penetrate is often unpredictable.
A common ingredient used to fade dark spots is hydroquinone. Due to its toxicity, the U.S., the FDA has imposed a 3 month limit on prescription strengths. The fading process tends to be very slow and may require much more time
Specialized lasers like Fraxel Dual are far safer, more effective and quicker. Laser energy is capable of reaching deeper skin layers in a controlled fashion. And it is able to be absorbed by melanin in order to break the pigment so that the body can clear it away.
Age spot improvement
Next, the treatment I recommend is BBL (Broad band light therapy). This is 300 x the strength of IPL. I start dark skinned patients on hydroquinine to down-regulate their natural pigmentation so there is less risk of PIH (post inflammatory hyperpigmentation). Then the BBL can be used on lighter, less aggressive settings to help with "age spots". It will take a few treatments.
Melasma in type 3/4 skin
1. Hats, SPF 50+++
2. HQ - 5-8%
4. retinioic acid, azelaic acid, kojic acid. Glycolic acid peels
5. see a dermatologist who does ethinc skin treatments- 1.0-1.2 j 6 mm spot 1064 QSL, gentle treatments, 10 sessions over 20 weeks.
6. IF all else fails tranexemic acid- once again see a Dermatologist for this.
Dr Davin Lim
Treatment of Skin Discoloration
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