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Dr. David
Dr. David, Board Certified Physician
Category: Dermatology
Satisfied Customers: 42838
Experience:  Experienced Physician trained in New York City. I'm ready to help.
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Help to removed dark spots on my face- hyperpigmentstion

Customer Question

Help to removed dark spots on my face- hyperpigmentstion
Submitted: 1 year ago.
Category: Dermatology
Expert:  Dr. David replied 1 year ago.
This is Dr. David
these cold be age spots
or liver spots
you might need laser therapy from your dermatologist to do this
can you upload a clear jpg photo of the area so I can better assess the skin?
here are instructions
type a word in the textbox and highlight it
then select the "chain" icon above the textbox or the paper clip icon to upload a jpg
this opens a window where you can click next to the text box to select the jpg or pdf file on your computer to upload into JustAnswer
http://ww2.justanswer.com/how-do-i-send-photo-or-file-expert
Customer: replied 1 year ago.
Two pictures attached
Expert:  Dr. David replied 1 year ago.
that looks like vitiligo on your face
here is good information
http://www.mayoclinic.org/diseases-conditions/vitiligo/basics/treatment/con-20032007
you should see a dermatologist about this
you might benefit from steroid creams
ointments containing tacrolimus or pimecrolimus that affect the immune system could help
skin light therapy or laser therapy could help
have you seen a skin doctor about this yet?
Customer: replied 1 year ago.
Yes she prescribed me hydroquinone 5 percent kojic acid 5 percent sunscreen cream. I applied 2 yrs plus already but it expand more and darker,
Expert:  Dr. David replied 1 year ago.
you should see your skin doctor again and try other options like steroid creams or tacrolimus or pimecrolimus or try light therapy or laser therapy for your skin.
Customer: replied 1 year ago.
Can I suggest these to my doctor or
Can i show your
Messages to her so at least can
She will prescribed to me because she is general doctor maybe not a dermatologist. Will bad to asked direct from her to prescribed all your suggested medications/cream?
Expert:  Dr. David replied 1 year ago.
no, it won't be bad,
you can show her this chat
also show her this website
http://www.mayoclinic.org/diseases-conditions/vitiligo/basics/treatment/con-20032007
ask to be referred to a dermatologist as well if you can.
let me know if you have other questions.
if done for now, please leave positive rating below the chat box so I can get credit for helping you today
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http://www.justanswer.com/medical/expert-dr-david/
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Customer: replied 1 year ago.
Thanks a lot Dr. And God Bless
Customer: replied 1 year ago.
You help me a lot and in excellent manner! God bless to you and everyone over there!
Expert:  Dr. David replied 1 year ago.
thanks for that
but you have to leave positive feedback below the chat box
you might have to scroll down to see the ratings area
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