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  5. I have a dark patch on my cheek. I consulted a dermatologist who prescribed Triluma RD Cream, but the patch returned after it improved. Is there another possible solution?

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I have a dark patch on my cheek. I consulted a dermatologist who prescribed Triluma RD Cream, but the patch returned after it improved. Is there another possible solution?

Asked by Female, 35 · 1 month ago

You should consult your dermatologist to discuss alternative treatments such as chemical peels, laser therapy, or topical agents like azelaic acid, as dark patches often recur if the underlying cause is not addressed. It is essential to use a broad-spectrum sunscreen daily, as even brief sun exposure may trigger pigment overproduction and cause the patch to reappear.
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Dark patches on the cheek, often due to melasma or hyperpigmentation, can improve with treatment but may return after stopping medication like Triluma RD Cream. This cream combines hydroquinone, tretinoin, and fluocinolone to lighten pigmentation by reducing melanin production and inflammation.

  1. Understanding the Dark Patch (Melasma or Hyperpigmentation)

    • Common causes include sun exposure, hormonal changes, or skin inflammation leading to increased pigment.
    • These patches can be persistent and may recur after treatment stops.
  2. Initial Treatment with Triluma RD Cream

    • Hydroquinone lightens skin pigment, tretinoin promotes skin cell turnover, and fluocinolone reduces inflammation.
    • Pigmentation often returns after discontinuing treatment because this cream does not provide a permanent cure.
  3. Additional or Alternative Treatment Options

    • Maintenance therapy with topical agents like azelaic acid or kojic acid may help sustain results under dermatologist guidance.
    • Procedures such as chemical peels, laser therapy, or microdermabrasion can be considered for more lasting improvement.
  4. Preventive Measures

    • Daily use of broad-spectrum sunscreen is crucial to prevent worsening or recurrence.
    • Avoiding excessive sun exposure and managing hormonal triggers can reduce flare-ups.
  5. When to Follow Up with a Dermatologist

    • Regular follow-up is important to monitor treatment response and adjust therapy as needed.
    • If pigmentation worsens or diagnosis is unclear, a skin biopsy might be recommended.
  6. Supportive Care and Lifestyle Tips

    • Use gentle skincare products to avoid irritation that can worsen pigmentation.
    • Be patient, as treatment effects may take weeks to months and require ongoing care.

Consult a dermatologist to tailor a long-term management plan and explore additional treatments suitable for your skin type and condition.

Answered 1 month ago