Understanding Pigmentary Atrophy: Causes, Symptoms, and Treatment Options
Pigmentary atrophy Hello, doctor! My question is long and complicated, like an old woman's foot binding, and I hope you can forgive my ignorance! Doctor: My girlfriend (18 years old) has white spots around both of her eyes that extend outward, resembling the black areas of a...
Dr. Jiang Yujiao Reply:
Hello: Generally speaking, pigment abnormalities include hyperpigmentation, hypopigmentation, and uneven pigmentation. Some pigment issues may gradually resolve over time or can be treated with topical medications, while others may require laser therapy or chemical peels for impr...[Read More] Understanding Pigmentary Atrophy: Causes, Symptoms, and Treatment Options
Understanding Chemical Peels: Your Questions Answered
Alpha Hydroxy Acid (AHA) Peeling Treatment Hello Dr. Zheng, today I accidentally underwent a chemical peel with glycolic acid at a qualified private dermatology clinic. The doctor mentioned that I need to return for several sessions to complete the entire treatment. However, I do...
Dr. Zheng Lizhen Reply:
Hello: 1. Chemical peels can improve the issue of enlarged pores, but it is not a necessity; it depends on whether you want to proceed with it. 2. There are generally no significant side effects. 3. Regardless of how many chemical peels you have had, there is no requirement to co...[Read More] Understanding Chemical Peels: Your Questions Answered
Effectiveness of Transamin for Skin Discoloration: What You Need to Know
Transaminases, also known as Thank you for your response. I would like to ask: Is transamin effective for reducing hyperpigmentation? Is it still effective after one month post-laser treatment? What should I be aware of? Are there other methods to enhance the metabolism of melani...
Dr. Jiang Yujiao Reply:
Hello: Transamin is used to assist in the treatment of dark spots and can still be taken one month after laser treatment. However, it should not be used in patients with renal insufficiency. Other topical depigmenting products can be combined for better results. Sincerely, Dr. Ji...[Read More] Effectiveness of Transamin for Skin Discoloration: What You Need to Know
Laser Treatment for Melasma: Transamine vs. B12 – Which is More Effective?
Laser treatment for cheekbone spots? I underwent laser treatment for my cheekbone spots three weeks ago, and they are starting to darken again. The doctor prescribed a medication labeled as transamine, but he mentioned that it is actually B12???? Which one is more effective? Shou...
Dr. Jiang Yujiao Reply:
Hello: Chloasma is a type of very deep pigmentation. After laser treatment, post-inflammatory hyperpigmentation is inevitable. Taking tranexamic acid is one method to reduce post-inflammatory hyperpigmentation. As far as I know, vitamin B12 is not commonly used for this purpose, ...[Read More] Laser Treatment for Melasma: Transamine vs. B12 – Which is More Effective?
Understanding Darkening Armpits During Pregnancy: Causes and Solutions
Darkening of the armpits? Hello Doctor: I am currently 8 months pregnant. Around 5 to 6 months into my pregnancy, I noticed that my underarms have become very dark. I didn't pay much attention to it during the winter, but now it seems to have gotten worse. Could this be rela...
Dr. Zheng Lizhen Reply:
Hello: Pregnancy can cause hyperpigmentation, although there may be other reasons as well. If it is due to pregnancy, it will gradually resolve after childbirth. Sincerely, Dr. Cheng Li-Chen, Dermatologist.[Read More] Understanding Darkening Armpits During Pregnancy: Causes and Solutions
Pregnancy and Skin Changes: Understanding Darkening Underarms
Is it related to pregnancy? Hello Doctor: Recently, I have noticed that my armpits have become very dark. I am currently 8 months pregnant. Could this be due to pregnancy causing melanin deposition, or could there be other reasons? If it is due to pregnancy, will it return to nor...
Dr. Zheng Lizhen Reply:
Hello: Pregnancy can cause hyperpigmentation, although there may be other reasons as well. If it is due to pregnancy, it will gradually return to normal after childbirth. Sincerely, Dr. Cheng Li-Chen, Dermatologist.[Read More] Pregnancy and Skin Changes: Understanding Darkening Underarms
How to Improve Darkening Skin Around the Buttocks?
How can the darkening of the buttocks be improved? Hello, Doctor: I apologize for asking this question, as it doesn't seem to be a disease, but it is still a source of concern for me. I would like to inquire about the situation regarding hyperpigmentation around the groin ar...
Dr. Hong Zhengsheng Reply:
Hello Kiki: There are many different types and causes of skin pigmentation. Based on your written description, it is currently difficult to determine your specific condition. The most significant characteristic of skin diseases is that "seeing is believing, and texture can b...[Read More] How to Improve Darkening Skin Around the Buttocks?
Do Spot Removal Creams Work for Freckles? Key Ingredients Explained
Depigmentation cream Is freckle removal cream effective? What are the ingredients in the cream? What are their respective proportions? I have undergone laser treatment without success and would like to use a cream to improve my condition!
Dr. Huang Ruiyun Reply:
In terms of freckles, the effectiveness of depigmentation creams is significantly less than that of laser treatments. If there is post-inflammatory hyperpigmentation after laser treatment, then a depigmentation cream may be used. If the laser treatment was ineffective, it is advi...[Read More] Do Spot Removal Creams Work for Freckles? Key Ingredients Explained
Effective Treatments and Prevention Strategies for Post-Laser Spotting
Laser spot removal Hello! I would like to ask what additional treatments can be done if mild localized spots reappear after laser spot removal? Or how can I prevent post-inflammatory hyperpigmentation to be more effective than treatment? Thank you!
Dr. Hong Zhengsheng Reply:
Hello Ting: After undergoing laser spot removal, post-operative sun protection and skincare are very important. I recommend that you return to the physician who performed the laser treatment to consult with them on the best post-operative care for your current skin condition. Tha...[Read More] Effective Treatments and Prevention Strategies for Post-Laser Spotting
Can Post-Pityriasis Rosea Pigmentation Be Fully Treated?
Is the pigmentation from pityriasis rosea unable to resolve? Hello Dr. Jiang, I was diagnosed with pityriasis rosea in August of this year. Although the rash cleared up by the end of September, I still have many round spots (hyperpigmentation) on my skin. Initially, I thought the...
Dr. Jiang Zheen Reply:
The pigmentation on your skin is classified as post-inflammatory hyperpigmentation, which can sometimes take several months or even over half a year to gradually fade. To accelerate its resolution, you can consider other methods, such as the introduction of L-ascorbic acid (Vitam...[Read More] Can Post-Pityriasis Rosea Pigmentation Be Fully Treated?
Will Pityriasis Rosea Leave Lasting Skin Discoloration?
Pigmentation in Pityriasis Rosea I completed my postpartum confinement in mid-July, and about 15 days later, at the beginning of August, I started developing pityriasis rosea. The process has been incredibly painful. I have rashes on my hands, feet, chest, back, inner and outer t...
Dr. Jiang Zheen Reply:
Most cases of pityriasis rosea do not leave any marks, and only a few may result in hyperpigmentation. Once healed, you can apply depigmenting agents, so there is no need to worry. Jesus loves you, wishing you peace.[Read More] Will Pityriasis Rosea Leave Lasting Skin Discoloration?
Restoring Skin Elasticity and Tone After Long-Term Steroid Use
Dull and rough skin? Hello Doctor: For over a decade, I have been experiencing recurrent episodes of atopic dermatitis. In addition to taking Zyrtec 10mg once daily to control my allergies, I have also been applying topical corticosteroids to the itchy areas to alleviate the itch...
Dr. Zheng Lizhen Reply:
Hello: If corticosteroid ointments are no longer used, there is a chance for the atrophied skin to regain elasticity. For mild to moderate inflammation, non-steroidal topical medications can be used for control. As for the dull skin tone, it is due to post-inflammatory hyperpigme...[Read More] Restoring Skin Elasticity and Tone After Long-Term Steroid Use
Understanding Folliculitis, Fungal Infections, and Diaper Rash in Children
Folliculitis vs. Fungal Infection vs. Dermatitis vs. Diaper Rash vs. Candidiasis Hello Dr. Zheng, my daughter is six years old and has been suffering from folliculitis on her buttocks for over two months. Previously, she also had infections around the anal area and genital region...
Dr. Zheng Lizhen Reply:
Hello: Under good hygiene conditions, folliculitis does not require prolonged care. Please visit a dermatology specialist for an accurate diagnosis and treatment. Sincerely, Dr. Cheng Li-Chen, Dermatology.[Read More] Understanding Folliculitis, Fungal Infections, and Diaper Rash in Children
Understanding Eczema vs. Acne: Skin Issues on Thighs and Buttocks
Unsure if it's eczema or acne? For a long time, I have had small, pimple-like bumps on my buttocks and inner thighs. They cause stinging and itching, which leads me to scratch them, resulting in extensive scarring and hyperpigmentation that looks unsightly. It feels similar ...
Dr. Zheng Lizhen Reply:
Hello: Please visit a dermatology specialty clinic for an accurate diagnosis and treatment. Sincerely, Dr. Cheng Li-Chen, Dermatologist.[Read More] Understanding Eczema vs. Acne: Skin Issues on Thighs and Buttocks
Effective Treatments for Acne Scars: Options and Costs Explained
Acne scars When I was a child, I used to get pimples on my buttocks, particularly at the junction between the buttocks and the thighs. However, as I grew older, I rarely experienced this issue, but it left behind unsightly scars, roughly the size of my palm. They are noticeably a...
Dr. Zheng Lizhen Reply:
Hello: Please visit a dermatology specialist for diagnosis and treatment. Sincerely, Dr. Cheng Li-Chen, Dermatology.[Read More] Effective Treatments for Acne Scars: Options and Costs Explained
Understanding Flea Bites: Red Spots and Skin Reactions Explained
After a flea bite, it develops into a red macule? I had over twenty bites on my foot from fleas, which were large, red, and swollen. I visited a dermatologist, took medication, and received an injection. The itching lasted for a week before it gradually subsided. After it healed,...
Dr. Huang Ruiyun Reply:
Insect bites can trigger an immune response, which varies in intensity among individuals. This reaction typically resolves on its own within a few weeks, while hyperpigmentation may take several months to fade. If there is no itching, it can be left alone; however, if appearance ...[Read More] Understanding Flea Bites: Red Spots and Skin Reactions Explained
Effective Ways to Fade Hyperpigmentation Scars on Your Skin
How to lighten scars formed by melanin deposition? Dear Dr. Zheng, I hope this message finds you well. I would like to explain my situation: My skin type is prone to developing post-inflammatory hyperpigmentation, which appears as dark spots after minor scratches or eczema-rel...
Dr. Zheng Lizhen Reply:
Hello: Products containing L-ascorbic acid or sunscreen can accelerate the fading of pigmentation. Please consult a dermatologist for further advice. Sincerely, Dr. Cheng Li-Chen, Dermatologist.[Read More] Effective Ways to Fade Hyperpigmentation Scars on Your Skin
Laser Resurfacing for Acne Scars: Benefits, Risks, and Aftercare
Dermabrasion surgery Hello Dr. Cheng, I have some questions I would like to ask you. 1. Can laser resurfacing improve the appearance of acne scars? 2. Are there any side effects after the procedure? 3. How should I care for my skin after the surgery to prevent future breakouts?...
Dr. Zheng Lizhen Reply:
Hello: 1. Yes. 2. After the wound heals, it may remain red for several months, and some individuals may experience hyperpigmentation. 3. Maintain cleanliness, follow a regular lifestyle, and seek medical treatment if necessary. 4. Each medical facility has different equipment, so...[Read More] Laser Resurfacing for Acne Scars: Benefits, Risks, and Aftercare
Can Steroid Creams Help Treat Acne and Scars?
Is it advisable to apply corticosteroids on acne? Doctor, I apologize: I have a steroid cream called Locoid cream or Betaderm cream. Can I use it to apply on acne? Can steroids help with hyperpigmentation or acne scars?
Dr. Huang Ruiyun Reply:
It is not advisable. Prolonged use of steroids can lead to steroid acne, which means that the number of pimples will increase.[Read More] Can Steroid Creams Help Treat Acne and Scars?
Understanding Neck Acne: Causes, Treatments, and Prevention Tips
Acne on the neck? Hello Dr. Jiang: Two months ago, I had persistent acne on my face, primarily around my nose and chin. I visited a dermatologist who prescribed both oral and topical medications. After about three days of treatment, the acne cleared up, but the affected areas bec...
Dr. Jiang Zheen Reply:
In general, acne treatment typically requires at least 2-3 months, so you need to continue treatment for a longer period to prevent recurrence. It is also possible for acne to occur on the neck, but it rarely causes significant itching. Wishing you well.[Read More] Understanding Neck Acne: Causes, Treatments, and Prevention Tips