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

### input:
HI DR M FROM INDIA BANGLORE MY SKIN COLOUR IN BROWN NOT EVN SO DARK BUT MYREST OF BODY IS FAIR IAM 23 YRS I HAVE BEEN TRIED MELAGLOW , KOJIC ,BUT I DIDNT FIND ANY DIFFRENCE IN MY SKIN COLOR I DONT HAVE ANY ACNE PROBLEM R ANY DARK SPOTS OR ANY SUCH PROBLEMS CAN U GUIDE ME THE RITE CREAM SO DAT IT CAN GVE ME FLAWLESS FAIR SKIN

### output:

Hello, Welcome to Chat Doctor. Your skin tone is determined at the time of your birth itself, and it is decided by the concentration of melanocytes and circulation. Therefore, any treatment or procedures can never make you fairer than what you were at the time of birth. But most of the people will acquire more pigmentation as age increases, we call it facultative pigmentation. Lot of factors determine it, most important being sunlight, others include dust, pollution, smoking, less HY Chat Doctor. Treatments should be to bring your pigmented skin back to your normal skin tone and make the skin tone even all over the face. I would recommend you to use a face wash twice a day ideally a one containing glycolic acid as it helps in exfoliation and to even out the skin tone. The most important product will be a sunscreen. Half an hour before going out apply a sunscreen and reapply it every three to four hours. At night, you may apply a lightening cream containing comic acid over the face before going to sleep. You may consult a dermatologist practicing cosmetology for few sittings of chemical peels for faster improvement. Hope this helps. Take care.