Hello Sir, My cheeks started hyperpigmentation about three years back. Initially, I did not pay much attention but gradually it the darkened spots started increasing in size. Then I consulted one dermatologist and I got detected with melasma . I applied cream CLEARZ prescribed by deramatologist, but discontinue using dat after getting burning sensation while having applied. I also underwent a test to see LH/ FSH ration which was also with the reference range. I did not consult the doctor furthermore. Now when i noticed hyperpigmented spots growing in size, again went to a doctor. He prescribed the capsules of vitamins and an ointment Cosmellite, which is causing redness with burning sensation on the area applied. I am unmarried and going to marry in a few months. Please guide me what shall i do.
Hi Anika, Thanks for writing in.  You seem to have Plasma. It can occur due sensitivity to sunlight. For plasma as a general rule-Avoid sun exposure. Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements.  You can apply DEFINITE cream at nighttime over the affected area.  You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination.  Few treatments like chemical peeling and dermabrasion can give you good and long-lasting results. Take care.  Chat Doctor.