Reading time is 3 mins


Causes such as pregnancy, certain medications used, adrenal gland, thyroid gland and some intestinal diseases, iron metabolism disorders, wrong cosmetics and dermatological diseases can cause skin blemishes. “First of all, it is important to determine the cause of the stain in patients presenting with a stain complaint,” said Associate Professor of Dermatology. Turkey Medicals member and hospital Doctor gave information about the spots.

A blemish is a problem caused by the overwork of melanin cells that give color to our skin. It is more common in female patients, but it is also rarely found in men. The number of melanocytes is higher in people with dark skin color than in people with light skin color. That is why the problem of spots is more pronounced in brunettes.

Skin wounds and dermatological diseases heal with a stain in swarthy people. The healing of dermatological diseases such as acne, eczema and lichen will be in the form of spots, as well as skin areas that are irritated for reasons such as waxing, falling, rubbing, burns and scratching will also heal in the form of darkening of color. For this reason, brunettes should be careful not to damage their skin too much. They should not squeeze their pimples, scratch their eczema, tear off their crusts and have their existing dermatological conditions treated immediately.


Age spots, or what we call liver spots, are oval spots between light brown and dark brown shades that appear in light-skinned people in areas that are exposed to the sun. They appear on the back of the hand, chest, back, shoulders and face. They begin to appear in middle age, and over the years their number increases. By using sunscreen and avoiding the sun, new stain formation is prevented.

Spot treatment is a treatment that requires discipline. Sunscreens are the most important step in treatment. It should be noted that sunscreens protect against both ultraviolet A and ultraviolet B rays, have a long-term effect, are hypoallergenic, resistant to water and sweat. They should be used even in closed environments. People should avoid using products that irritate their skin. If an internal disease that can cause a stain is suspected, its investigation should be carried out. The drug should be discontinued, which is risky in the event that there is an increased likelihood of spots of drug origin.


In the treatment of spots, decolorizing creams, peels, micro-pinning, PRP and laser methods are used. Coloring creams contain substances such as hydroquinone, retinoic acid, azeleic acid, kojic acid, arbutin, tranexamic acid, niacinamide and glycolic acid. Products containing these substances can be used alone, as well as used in combination with each other. The treatment must be under the supervision of a dermatologist in Turkey. The answer to the treatment begins to manifest itself after two months. Patients are followed up with certain periods and medications are also changed according to the response to be taken from the treatment. They must necessarily be used together with sunscreen.

Peeling is another method used to treat stains. Especially for spots that are considered to be deeply located, the peeling method responds better together with the cream treatment to be used at home. The aim is both to ensure that the cells that are stained on the skin are peeled off and discarded, and to suppress the production of color in the color cells of the skin.


Decongestant therapy in Antalya JCI hospital is performed in four to six sessions, two to three weeks apart. It should be noted that the concentration of the acid to be used for the peeling process is not strong. The use of sunscreen should be continued after treatment. After peeling, signs such as redness, light peeling and dandruff may be observed on the skin. These signs are alleviated with moisturizers every few days.

In the PRP process, the growth factor components in the blood are purified by certain methods. Then it is rubbed into the face. Since the application is made with an extract obtained from a person’s own blood, it is extremely safe, has no side effects. It must be repeated certain intervals. The effectiveness on the stain increases when the PRP procedure is applied combination with external treatment applied at home.

Micro needling is the application of sterile, thin and very sharp needles of different lengths ranging from 0.5 – 2.5 mm to the surface of the skin with special devices. With this application, the needles create damage in the form of channels that extend to the lower layer of the skin. These damages activate the skin’s own healing mechanism and trigger the restructuring of the skin. With the opened microchannels, the drugs applied to the skin reach the depth. The decolorizing products used after micro-needling are applied to the skin through the opened channels.

For stubborn, long-term and treatment-resistant stains, laser treatment is resorted to. It is applied in sessions. Undesirable consequences can be encountered when it is not done in safe hands.


Follow me
President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
Follow me
Latest posts by Medically Reviewed by Professor Doctor Alper Demirbaş (see all)