It is very important to understand that pigmentation in the underarms is function of multiple factors. So one, if a patent is overweight or obese, the increase in the insulin levels of the body make the underarms and other folds of the body very very dark. So many times the dark underarms means that the patient is prediabetes or suffering from a condition where there is increased insulin production in the body. Any kind of dark underarms in an overweight patient can improve more with weight loss than with any of the recommended treatments. The second common cause of dark underarms is repeated hair removal techniques like waxing shaving or using depilatory creams. Due to repeated friction and irritation of the hair follies, the skin can respond by getting darker in the underarms areas. So a skin lightening can be achieved with laser hair removal. laser hair removal doesn’t lighten the skin but the patient does to need any hair removal technique. Any hair removal techniques like waxing and we do see little bit of lightening of underarms. Anny of these procedures can be done by a dermatologist to lighten the dark underarms starting from lightening chemical peels to using Q switched laser to improve the color and appearance, there are patients who also suffer from roughness s of underarms making them feel conscious and embarrassed. Please consult the dermatologists to find the right measures not only treatment wise, but also lifestyle changes. But many of the dermatologist led procedures like chemical peels and sometimes even using Q switched laser for toning the underarms skin can give a long way in giving remedy for underarms which are dark.
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