Hi doctor .my skill is to much dull from last 2 and 3 years .it's too much dark day by day and also it effects my lips .lips are also black form last 3 years .give me any solution plss.

Dr. Abhishek VijayakumarCosmetic/Plastic Surgeon4yrs exp

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Hello, There are various treatment for pigmentation. From creams containing hydroquinone to milder ones of Kojic acid, niacinamide, arbutin. There is options of glutathione injections to oral tablets with vitamin C, also laser toning also gives good results. Laser toning using Q switch Nd Yag laser is an option but results variable. You may need 6-8 sessions at 3 weeks gap. Dark lips are due to various factors main being dryness and sun damage. You can use a mild depigmentation cream like Glomax lip gel during night and a moisturizing lip balm with sunscreen during day. For more resistant pigmentation you can undergo mandelic acid peel or laser. Consult a dermatologist.  

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