Pigmentation & Dark Patches

Either by overproducing or under-producing the melanin (pigment) can lead to either hyper or hypo pigmentation (darkening/lightening of the skin).This can be caused by Ageing
Overexposure to the sun
Healing of a wound
Dryness of the skin which causes certain parts to look like a different colour from the others.
Dietry deficiencies
Hormonal changes
PIH (post inflammatory hyper or hypo pigmentation ) ex : Post acne pigmentation

Treatment

After complete analysis by your dermatologist , your doctor may start with a prescription. If needed your doctor may put you on some external procedures like
Dermabrasion (skin polish)with electroporation
Dermabrasion with chemical peels
q switched NdYag laser with or without skin polish.

Medication

Salicylic acid can be prescribed by a dermatologist in a higher concentration than that found in over-the-counter products.

Imiquimod is a topical cream that helps the body's immune system fight the wart virus

Cantharidin, found naturally in the bodies of many members of the beetle family Meloidae, causes dermal blistering. It is used either by itself or compounded with podophyllin. Not FDA approved, but available through Canada or select US compounding pharmacies.

Benzoyl peroxide (BPO) is effective in the treatment of flat warts.[medical citation needed]

Procedure

Keratolysis, of dead surface skin cells usually using salicylic acid, blistering agents, immune system modifiers ("immunomodulators"), or formaldehyde, often with mechanical paring of the wart with a pumice stone, blade etc.

Electrodesiccation

Cryosurgery or cryotherapy, which involves freezing the wart (generally with liquid nitrogen), creating a blister between the wart and epidermal layer after which the wart and the surrounding dead skin fall off. An average of 3 to 4 treatments are required for warts on thin skin. Warts on calloused skin like plantar warts might take dozens or more treatments.

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