Hi I am 35 married female suffering from hyperpigmentation on cheeks and uneven spots all over face . Have tried every treatement except laser and the problem doesnt go. I am not on contraceptives either. Please help You answer doesnt help since diagnosis might be wrong. Please note I dont have a baby yet nor I am on contraceptive... nope nothing wrong with me in this area, its just that I just got married
Hi!, Welcome to Chat Doctor forum, According to your history, it seems that you have PLASMA, since you quoted that you are not on oral contraceptive pills, and you have not had any issues either. These questions you would have faced by many doctors. It is true that such pigmentation is often seen after pregnancy or one who is on OCS. But we have been seeing such pigmentation on those who have not had such a history either. So, even if you never had a baby, one can have such pigmentation problem, just because of slight shift in the hormones in the body. It is the estrogen level in the blood which is more responsible for such pigmentation. If this is plasma, we are dealing with a very chronic problem. It can wax and vain also. Sunlight & stress also has a big role to play. The best advise here would be to use a triple combination cream to begin with, and then gradually taper it off.Don't use it for more than 2 weeks. As you taper it gradually starts using HY Chat Doctor. Along with this also start using comic acid & it c based creams in day and evening. But please don't forget to use a good SPF sunscreen daily thrice. Sunscreen is mandatory. You can even undergo chemical peeling from an experienced dermatologist. Results of this all might vary from patient to patient. Now being a laser expert I've myself done the number of cases with lasers too. The best of the laser for this is Q-switched Nd