Seeking Ayurvedic Advice for Skin Hyperpigmentation Post-Surgery - #51885

Hello Doctors, I am a 60-year-old male living in California. I worked as a truck driver, and five years ago I had a sunburn on my nose, which caused the skin on my nose and parts of my cheeks to turn dark, like blemishes. Upon consulting a dermatologist, he diagnosed it as hyperpigmentation and melasma. In 2021, I received a couple of chemical peels and skin care products, which helped reduce and eliminate my pigmentation. I was advised to use several creams and to apply sunscreen regularly, which I gradually stopped. Since last summer, my nose has been experiencing hyperpigmentation again, and it is gradually worsening. On December 15, 2025, about three months ago, I underwent bariatric surgery and lost 15 kilos. Now, my face has dark patches resembling blemishes and hyperpigmentation on my nose and cheeks. I believe that rapid weight loss may have affected my liver and gut, potentially accelerating the pigmentation process. It might be related to some gut issues. Although I eat well and have no other health problems, my blood tests two weeks ago showed that my protein levels — including vitamin D, iron, vitamin C, B vitamins, etc. — as well as my liver function, were all within normal ranges with no concerns. I have decided to try Ayurvedic treatment this time. For the past 10 days, I have been using aloe vera gel, washing my face with yogurt, applying sunscreen, and using Kumkumadi Oil (Kesar) from Kerala Ayurveda, which my friend gave me. Additionally, every third day, I apply a mask made of curd, Mulethi, and Alum (Fitkari) white powder in a 4:1 ratio for 20 minutes. After further online research, I plan to order the following as part of my treatment. - MAHARISHI AURVEDA KUMKUMADI TAILAM — 2 bottles - BIOMUNI HARD WATER FACEWASH - 2 tubes - Ayurveda MAHMANJISHTHADI KWATH (PRAVAHI) - 2 bottles - Kerala Ayurveda KHADIRARISHTA - 2 bottles - Himalaya Neem Tablets - 2 bottles of 60 tablets each - Himalaya Triphala Tablets - 2 bottles of 60 tablets each - I already have a sunscreen, "ELTA MD (SKINCARE) UV CLEAR." Please provide a recommendation. I would appreciate it if you could review the above plan and share your expert & professional opinion. Specifically, I am concerned and would be grateful if you could inform me: • Whether the proposed medications and remedies are appropriate • If any of them may be too strong or ineffective or unnecessary • The recommended dosage for internal medications • The correct way to apply the external treatments Please advise on the most suitable treatment options for my condition. Thank you for your time and guidance. Best Regards, Pawan Joshi