Skin Discoloration: Causes, Care, and Prevention Tips

Pigmentation

On March 10th, I used a certain face mask and experienced a stinging sensation, but I didn't think much of it and didn't remove the mask.
I continued to use it on March 11th when I went for a facial.
I noticed that when the esthetician applied skincare products, my face hurt significantly.
I mentioned this to her, and she suggested that my skin was dehydrated.
After applying more products, when I got home and took a shower, I felt like my skin was burned, similar to a burn sensation.
After my usual skincare routine of applying toner and lotion, my face became red, but I didn't think much of it.
The next day, I noticed a burning sensation and redness that resembled apple cheeks.
After that, I was afraid to apply anything or even wash my face.
The following day, I noticed that the red areas had developed thick, brown patches.
The areas around my eyes, mouth, and cheeks were also affected, and the spots where the esthetician extracted blackheads appeared dark as well.
Doctor, I would like to ask: 1.
Is this an allergy? 2.
Are the skincare products unsuitable for my skin? 3.
Will this leave scars? 4.
How should I care for my skin? Should I apply lotion? 5.
Do I need to use sunscreen?

Niu Niu, 20~29 year old female. Ask Date: 2018/03/12

Dr. Wu Yuxin reply Dermatology

1.
It's possible, but we won't know until we examine it.

2.
If there is an allergy, it is not suitable.

3.
It should be fine.

4.
Discontinue use and seek medical attention.

5.
Yes.

Reply Date: 2018/03/12

More Info

Understanding skin discoloration and its underlying causes is crucial for effective care and prevention. Based on your experience, it seems you have encountered a significant reaction to a facial mask and subsequent skin treatments. Let's break down your concerns and provide guidance on how to manage your skin condition.

1. Is this an allergy?
It is possible that your skin reaction is an allergic response, particularly if you experienced stinging, burning sensations, and redness after using the mask and other products. Allergic reactions can manifest as redness, swelling, and discomfort. However, it could also be a case of irritant contact dermatitis, which occurs when the skin reacts to a substance that causes irritation rather than an allergy. Given the symptoms you described, it would be prudent to consult a dermatologist for a proper evaluation and possibly patch testing to identify specific allergens.

2. Are the skincare products unsuitable for my skin?
The discomfort you felt when applying the skincare products suggests that they may not be suitable for your skin, especially if your skin barrier is compromised. Products containing harsh ingredients, fragrances, or alcohol can exacerbate irritation. It is essential to use gentle, hydrating products that are free from potential irritants. Look for products labeled as hypoallergenic or formulated for sensitive skin. Ingredients like ceramides, hyaluronic acid, and glycerin can help restore moisture and support the skin barrier.

3. Will this leave scars?
The potential for scarring depends on the severity of the skin reaction and how you care for your skin moving forward. If the skin is inflamed and you are experiencing peeling or discoloration, there is a risk of post-inflammatory hyperpigmentation (PIH), especially in individuals with darker skin tones. To minimize this risk, avoid picking at the affected areas, keep the skin moisturized, and protect it from sun exposure.

4. How should I care for my skin?
For now, it is crucial to simplify your skincare routine. Avoid using any active ingredients like retinoids, acids, or exfoliants until your skin has healed. Focus on gentle cleansing with a mild, non-foaming cleanser, followed by a soothing moisturizer. If your skin feels tight or dry, consider using a thicker cream or ointment. If you experience significant discomfort, over-the-counter hydrocortisone cream may help reduce inflammation, but use it sparingly and consult a healthcare professional if symptoms persist.

5. Should I use sunscreen?
Yes, applying sunscreen is essential, especially after experiencing skin irritation. Sun exposure can worsen redness and lead to further pigmentation issues. Choose a broad-spectrum sunscreen with an SPF of at least 30, and consider physical (mineral) sunscreens containing zinc oxide or titanium dioxide, as they are often better tolerated by sensitive skin. Apply sunscreen daily, even if you are indoors, as UV rays can penetrate windows.

In summary, your skin's reaction may be due to an allergy or irritation from the products used. It is vital to consult a dermatologist for a thorough assessment and personalized treatment plan. In the meantime, focus on gentle care, hydration, and sun protection to support your skin's recovery. Remember, patience is key, as healing can take time, and avoiding further irritation will help your skin return to its natural state.

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