Both of my cheeks have brown spots. What can I do now? (Photo)
Doctor Answers 10
Age Spots Treatment
Both of my cheeks have brown spots. What can I do now? = consider Obagi skin treatment #obagi #brownspots #skincare #drmesa
Patients interested in age spot management should make a consultation with a Board Certified Plastic Surgeon specialized in skin care
John Mesa MD
Board Certified Plastic Surgeon
New York City (#NYC) & New Jersey (#NJ)
RealSelf Top 100 Plastic Surgeon
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Melasma to face
As always, wearing SPF45 or higher on a daily basis is very important.
#sunspots. #brownspots. #agespots
How to treat brown spots in the face
Thank you for your questions and photo.
Improving the skin color to blend it and make the skin smoother is definitely possible with a good skin care regime complimented with superficial laser or peel treatments.
Getting a good result does require you to be consistent with the skin care and to use sunblock. It takes some patience. Your skin has a tendency to form dark spots. Small amounts of light and any irritation will also form dark spots. Your treatment needs to concentrate on removing the darker spots and also on preventing the skin from forming new darker areas.
For the skin regimen, I usually recommend hydroquinone and vitamin A (like retinol or retinoid acid). Sometimes we add azelaic acid.
The importance of sunblock can not be underestimated.
An exam in person can better tell you how long it would take or how much improvement you could get.
Hope this helps
Hyperpigmentation of the face
Melasma is one of the more difficult conditions to treat. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours.
I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams. I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams.
In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help.
All the best,
Dr Davin Lim
Laser, surgical and aesthetic dermatologist
Facial age spots: best treatment
If it is diffuse hyperpigmentation (brown spots) then you have multiple options available for you. These options include but not limited to Fraxel, IPL, TCA peel and/or Vampire facial with kojic acid.
If it appears to be hormone induced (melasma) then your safest options are moderately aggressive chemical peels and medical grade serums that suppress hyperpigmentation. Aggressive treatments can aggravate the condition.
I hope this information is helpful and as a reminder, the best way to avoid hyperpigmentation is to apply sunscreen daily.
Jose L. Ruiz, M.D.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.