### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
gm ! well, i got my hyper pigmentation marks on both the cheeks while expecting in 2009 . i thought its coz pf pregnancy n shall vanish with time . bu they hvnt n it looks really bad on the face . its been more than 3 years now, what should i do? i ve noticed one thing - whenever i m stressed out or hv periods, they get even darker !! pls suggest remedy - i wanna get rid of them

### output:

Hello Tina, Welcome to the forum. Yes, during pregnancy many women get these dark spots on their face. These are called plasma or plasma which are really stubborn. Since it is almost three years since you have them it may take time to go away. These marks are also caused due to oral-contraceptive pills that most women use to plan their family. (it is a side effect that effects some women not all)I will suggest you not to take these pills and use barrier methods to avoid pregnancy. You should take plenty of water, juice and soups to keep yourself well HY Chat Doctor.  Include dietary supplements or take food and fruits rich in vitamin B, C, E. Reduce the tea and coffee intake. You can apply natural papaya (yellow) pulp as a face mask for 20 minutes regularly, it is very effective. You can also apply lemon juice which is a bleaching agent. Do not use strong cosmetics. Laser therapy shows very good results. You can consult a dermatologist who is an expert in giving laser therapy. First check whether your sensitive skin can take the therapy. If yes, go for it and you will get the result. It can help you look very fair. Have a good day, take care.