Question about Melasma: i am woman of indian origin with fair skin and q2202

Article medically reviewed by Dr. Gavin Chan (MBBS, cosmetic physician, liposuctionist)

Dr. Gavin Chan

Templestowe Lower and Berwick Clinics

Dr. Gavin Chan has a background in intensive care, anaesthesia, and emergency medicine. Since 2004, Dr. Chan has provided cosmetic procedures, including anti-wrinkle injections, dermal fillers, liposuction, fat transfer, skin needling, and laser treatments. He is a doctor trainer for various dermal fillers and anti-wrinkle injections.
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I am woman of indian origin with fair skin and 24 years old.I have used Melalite which has 4% hydroquinine and it soiled my face. now I have brown spots on both cheeks and oval shape spot on face its very embarrassing situation for me .Doctor has given me 5 sittings of chemical peeling but no result .please suggest me some cream to remove spot please help me…


You most likely have what is called post-inflammatory hyper-pigmentation (PIH) – a brown mark left on the skin
after treatment or trauma, and is usually most common in olive-darker skins or backgrounds.
Even though you have pale skin, your background being of Indian origin can put you at higher risk of PIH.
When treating Post inflammatory hyper-pigmentation, it is important to not cause any further trauma to the skin, as it may infact worsen the condition. Chemical peels, even weaker ones, are not a suitable treatment, as it causes trauma to the skin and will most likely not improve the PIH, and could possibly make it worse.
PIH usually takes some months to fade, and needs the assistance of a lightening agent such as Kligmans formula to do so. Kligmans has a combination of ingredients and contains Vitamin A which is able to achieve results while lowering the chance of side
effects for those with pigment prone or darker skins.
Kligmans is a doctor prescribed formula and can be purchased from ourselves, or the chemist.

I would not undergo any further facial or laser treatment at this time, as any further damage, stimulation or trauma to the skin, could make the pigmentation worse.

Please ensure that you are wearing a protective sunscreen at all times. La Rouche Anthelios has both UVA and UVB broad spectrum protection, but also has a pigment protection factor not yet recognised in Australia. This will ensure that the PIH will not darken with UV exposure. Be sure to wear a hat and stay out of the sun as much as possible, and wear sunscreen everyday. Reapply during the day where possible.

Dr. Gavin Chan
Dr. Gavin Chan

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