DERMATOLOGY COMMUNITY
Dark patches

Dark patches

Hi,

I have had a rhinoplasty and one year after the surgery, out of the sun I went to the beach and am left with dark patches around and on the bridge of my nose and cheeks. Is there anything I can do to even my skin tone? I have olive skin, haven't gone out in the sun since then - two years ago - and live in London (so not too much sun!).


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Hi,
Most of the time discoloration is superficial. In a few cases, the discoloration lies deep in the dermis. If the pigment is in the epidermis, it can be helped with skin-lightening products. If the pigment is deeper, laser treatments are a consideration. For topical treatments, Topical hydroquinone 2 to 4% alone or in combination with tretinoin 0.05 to 0.1% is an established treatment.
Kojic acid, alone or in combination with glycolic acid or hydroquinone, has shown good
results, due to its inhibitory action on tyrosinase.
Despite its remarkable overall safety, the physician ought to bear in mind the potential adverse effects. Contact dermatitis occurs in a small number of patients and responds promptly to topical steroids.
ref:http://answers.google.com/answers/threadview?id=737014
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