Hello I have some skin prob like arms have some dark patches and neck also I applied aloe Vera it don't work please help because it's too bad I want to wear sleeveless please suggest some cream or treatment for it.

Dr. Pavan MurdeshwarCosmetic/Plastic Surgeon4yrs exp

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Hello. The darkening of the skin in the axilla and the private parts relate to many causes. Few a times it can be due to long standing infections, either fungal or bacterial, which will mild, asymptomatic, yet causing pigmentations. These can be treated effectively by some topical creams and antibiotics. Few other times the pigmentation may be due to the tanning. These can be treated with the laser treatment. It's better if you can get yourself examined for the same and treated accordingly. You can contact me as well.  

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Dr. Tanmay PalsuleHomeopath11yrs exp

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It typically occurs in individuals younger than age 40, may be genetically inherited, and is associated with obesity or endocrinopathies, such as hypothyroidism, acromegaly, polycystic ovary disease, insulin-resistant diabetes, or Cushing's disease You should be screened for diabetes and, although rare, cancer. Controlling blood glucose levels through exercise and diet often improves symptoms. It is likely to improve in circumstances where a known cause is removed. For example, obesity-related pigmentation will improve with weight loss, and drug-induced is likely to resolve when the drug is ceased. Hereditary variants may or may not fade with age, and malignancy-associated variants may, after a malignancy is removed, fade For medication consult online in private. 

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Dr. Abhishek VijayakumarCosmetic/Plastic Surgeon4yrs exp

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Hello, the pigmentation are of two types superficial and deep. The superficial pigmentation respond to creams. The deeper ones need chemical peels and lasers and additional depigmentation creams. You can start initially on milder depigmentation creams which contain kojic acid, arbutin, niacinamide like Melaglow at night and use sunscreen (SPF 35 and above) three times a day. 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. And depending on type of skin whether oily or dry you can choose a face wash. It need examination and personalised plan. You can consult in private with photographs.  

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