Scottish Daily Mail

Nip & Tuck

What’s the best way to get rid of my sun spots?

- Dr Tracy Mountford

QIN my 20s and 30s, I was a total sun worshipper, and now I have bands of dark skin across my forehead and uneven skin pigmentati­on on my cheeks. How can I even out my skin tone? A PaTchy pigmentati­on from sun exposure, known as melasma or chloasma, is common and can affect women of all ages — particular­ly if they have taken oral contracept­ive pills or after pregnancy due to the hormonal changes. The best way to prevent it is to avoid sun exposure or wear high-factor sunscreen.

Melasma can be difficult to treat. certain products reduce the activity of pigment-producing cells in the skin — hydroquino­ne is the most common, but it can only be prescribed by a doctor, as it can irritate the skin. azelaic, kojic and retinol-based products can help improve melasma, too, by lightening the affected skin.

chemical peels can also be used to strip away the outer layer of cells in the skin that contain the excess pigment. results depend on the depth of the pigment. There are other considerat­ions, too, with certain skin types and ethnicitie­s.

Some types of laser can be an option. These target the pigment cells to improve skin tone. They can be used alone, but are often combined with skin-lightening products to give the best effect.

The potential side-effects are similar to those of peels.

Do consult a dermatolog­ist or a cosmetic doctor specialisi­ng in pigmentati­on problems.

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