Q.I am a black female, and have a huge birthmark on my leg. Its been there all of my life, so I'm assuming its a birthmark. I have dark skin, and the birthmark is lighter than the rest of my skin. Are there any hypopigment creams or treatments that can be done to darken this area to the rest of my body?

A.Lighter marks on darker skin are easier to hide than darker spots on lighter skin. The easiest method would be to try a tanning lotion. I suspect that the area would darken but may not darken to your satisfaction. Another option is corrective cosmetics. This involves make-up creams that hide skin imperfections. We use this extensively on birthmarks and surgical procedures where there is discoloration of the skin. In our community, these products are available in the major department stores.



Q.I am just 24 years old but I want to start preventing wrinkles and future signs of aging. Other than daily sunblock, what else do you recommend as a must in my skin regimen?

A.Your New Year's resolution should be daily skin care. The literature is overwhelming supporting antioxidants, retinoids and exfoliating agents. Use of these products on a daily basis will help reverse some of the deleterious effects of photoaging. Sunscreen/block (SPF 15 or above) twice daily is essential.



Q.My son has suffered from AQUAGENIC URTICARIA for fifteen years since his teens. It is a tormenting disease and antihistamines seem to help little. Is there a cure, or best, is there a cause so we can rid him of this horrible problem?

A.Aquagenic urticaria is hives from water exposure. There is a histamine release in the skin from water of any temperature. This type of urticaria is thought to have an immunological basis. The cause is unclear and the treatment varies from person to person. When antihistamines are ineffective, other medications such as calcium channel blockers or immunosuppressants can be used. This is a rare condition and you need to find a physician in your area that will work with you and try different medications as needed.