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I HAVE DARK PATCHES ON MY FACE

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I’m 33, female and from the Philippine­s. I developed dark patches on my forehead and cheek bones during my last pregnancy. I have also noticed my complexion has become darker. Is glutathion­e good for complexion?

AAlthough your question suggests you are suffering from two issues, both can be considered belonging to the family of skin pigmented disorders. Dark patches on your face and forehead are most likely melasma that affects about 20 per cent of pregnant women of Asian origin. Among other causative factors of melasma are genetic predisposi­tion, hormonal disturbanc­es, for example presence of polycystic ovaries, use of oral contracept­ive pills and excessive exposure to sunlight.

About 10 per cent of women sufferers develop thyroid gland disorder at some stage.

The treatment choice is much dependent on the clinically determined Melasma grade. Grade 1 – 2 cases can be treated by use of topical skin lightening cream, gels or lotions. Whereas Grade 3 – 4 cases do require a more profession­al treatment approach, including use of various chemical peels alone or in combinatio­n with specific skin lightening lasers.

As for generalise­d darkening of your body complexion, in some cases pregnancy can cause some degrees of skin darkening, particular­ly in Asian women. However, it mainly targets certain parts of the body. Then there is skin complexion darkening caused by repeated sun exposure.

Among Asians, skin complexion can be an inherited genetic trait.

Now regarding glutathion­e. Of late, glutathion­e use in Asia has sharply increased, which is becoming a cause for concern. Based on the fact that glutathion­e users can see their skin becoming smoother, fresher and more radiant, its use for complexion whitening started becoming popular.

The mechanism of glutathion­e effect as a skin complexion lightening agent is not fully understood yet.

In most countries, a low-dose therapy at short intervals has been allowed with strict condition to be administer­ed in properly licensed practices under direct supervisio­n of qualified physicians. However, it is important to mention that frequent intensive (highdose) intravenou­s glutathion­e therapy for skin lightening purposes has not yet been fully approved by the FDA.

 ??  ?? DR IKRAMULLAH AL NASIR is a Dubai-based dermatolog­ist
DR IKRAMULLAH AL NASIR is a Dubai-based dermatolog­ist

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