My skin is pale and will randomly get blotchy and red all over my neck, chest, and upper arms and it has done this for years. I’m 18 and am not allergic to anything. I have noticed that this gets triggered under the sun or when I’m feeling hot, but it also happens randomly (I can be indoors, perfectly cool, etc.). I'm just sick of it because it’s very noticeable and people often comment on it, wondering if I'm okay. Do you have any idea what this could be and what can I do/put on it to make this stop?

You are perhaps suffering from flushing. Flushing is an involuntary, temporary reddening of the skin, usually of the face. Facial flushing may be accompanied by flushing of the neck or chest. In general, flushing results from dilation of the blood vessels beneath the skin surface. In most cases, flushing occurs as a normal body response to physical circumstances, including exercise, hot temperatures, or consumption of spicy foods etc. It may or may not be accompanied by other symptoms. Please see a dermatologist to rule out underlying causes. For now, try to avoid sun as much as possible, use a sunblock whenever you are out in sun, also start using Rosakalm Cream by ACM, it helps in reducing redness.

I’ve had these tiny flesh-coloured bumps around my chin, under my lip, for over three years now. They look more raised in fluorescent lighting. What can they be? They are not painful. I showed them to a dermatologist and they said it’s nothing.

Right now, I can think of two differentials. One, it can be sebaceous hyperplasia or it can be viral warts. In either case can easily be treated with simple procedures like cryotherapy, electro-cautery or laser. Please consult with your nearest dermatologist.

My chin and upper lip area is really dark. At times it looks really bad and it appears as if I have a shadow of French beard. How can I get rid of it permanently?

Wear a sunscreen religiously in the morning, keep your skin moisturised and well hydrated, be gentle with that particular area while waxing and treading also add a vitamin C serum to your skin care regime. Also, sometimes its pigmentation is related with some chemicals present in your toothpaste. You can also think of switching it with some mild one and avoid its contact with your perioral area while brushing your teeth.

I am 32 years old. I actually can't remember when it started. Every single morning I wake up saying the exact same thing "I look so tired.” It's literally painful to look in the mirror. My pores are open, I have new dark spots every few months. Please suggest some non-surgical options for my open pores, dark spots and tired skin.

I need to know more about your lifestyle, diet and some related medical history. Keep a check on your blood levels, rule out vitamin D3, iron, magnesium and vitamin B12 deficiencies and also, if you have any underlying thyroid or hormonal issues. I would also like to know your height and weight. Meanwhile, be good to yourself by avoiding stress and worry as it eats away your skin collagen and you enter in a process of early aging. Your pores are big and visible which means your sebaceous glands are very active. Start using a sunblock and a vitamin C serum. You can start Colazinc Tablet, two tablets to be taken before breakfast only. I would like to see you in person with the lab reports.

I have a pore on the left side of my nose that is enlarged and will not stop bleeding. Even if I let it heal for over a week, when the scab comes off it just starts bleeding again until another scab forms. Is there anything I can do?

Not every time you can treat yourself at home. It’s always good to visit a dermatologist and get it treated properly. What I can make out from your history is, it might be some infected sebaceous cyst or a pyogenic granuloma which is a cluster of blood vessels that bleed easily to touch. Please visit a dermatologist for your proper diagnosis and treatment and get it treated on priority basis as it might leave a permanent scar. •