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Acne treatment and hyper pigmentation

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Hi Doctor ! My skin on neck, arms,underarms, and under stomach got hyperpigmented due to sun and my overweight. Now I have reduced weight. My weight was 80 Kg which is no 67 Kg.Also there are many acne on my back. There are many strech marks on arms,underarms, stomach.There are pimples and acne on face too. Nose is too oily. I consulted a skin specialist. He given me hydroquone cream to apply on hands, benzoyl peroxide gel for back and face, tretinoin capsuls, trtin cream for back. I cured my acne on back. Reduced pimples and acne on face. But yet not totally cured. Still my face is too oily. Espicially nose. It is very oily and full of acne. Hydroqunone lighten my hands but later they got darken again. Neck is still dark. Also strech marks are still there. Now what should I do to remove acne from face, make face and nose oil free, reduce strech marks, fair up neck and hands ? Also which sunscreen to use.Is there anyway make skin itself sun resistance ? Please reply soon.

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replied April 20th, 2009
Skin Answer A6378

The increased production of the sebaceous gland is due to the hormonal changes expected at your age. Nothing can be done to decrease the production. Instead, you might want to keep your face clean with lukewarm water and neutral soap in order to prevent formation of acne. The acne on the nose might need dermatological treatment or at least a visit to cosmetologist center.

The hyper pigmentation is usually treated with tretionin, or hydroquinone, but it often comes back because the basic problem is the increased production of pigment in the skin cells. With the used products you only remove the older pigmented cells, but the new ones have the same ability to produce pigment and will produce it once they are exposed to sunlight.

Using creams that prevent the ultraviolet rays (needed for production of the pigment) to reach the skin or at least decrease their quantity would slow the process of hyper pigmentation.

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