+ What is the best treatment for psoriasis and is it permanent?

+ Can the skin on my face be returned to an even color?

Q) I have developed an uneven complexion at age 27. Some areas of my face have skin lesions and dark spots. I live in Manhattan, am male and work outdoors as a landscaper in the summer and shoveling snow in the winter. Can the skin on my face be returned to an even color?

A) It’s fairly common to develop dark spots on your face when working outdoors a lot, and it is possible to improve the spots. They may be caused by several factors including marks left over from acne blemishes, sun spots known as lentigoes, or a type of dark pigmentation called melasma. Each of these has different treatment options, and some are easier to manage than others. In addition to starting to wear sunscreen with SPF 30 or higher every single day, even in the winter, I recommend you might investigate some prescription creams or possibly a treatment called IPL, which is also called a photofacial.

Dr. Krant Q&As from Fab Over Fifty

Dr. Krant Q&As from RealSelf