Skin plays a bigger role in India.  If you look at a matrimonial web site, many men will ask for a fair skinned women in their description of Ideal Indian/ Pakistani women. 

It is not really known why some patients favor this. Some theories are that it is assumed a fair skinned women comes from a privileged family and has not had to endure the hardships of the sun.  Ironically, in the States many Caucasians seek a women with medium to olive pigmentation in skin, hence the popularity of sun tanning.

Some women actively seek to have lighter skin.  Some will avoid contact with the sun to darken their skin and use sun block.  While total avoidance of the sun is not healthy, less sun is better than more sun.  Skin cancer rates have increased in all races.

Some women will turn to lightening creams.  There are a variety of lightening creams on the market.  Hydroquinone acts by blocking the conversin of dopa to melanin (parts of the skin responsible for pigmenation).  It helps remove pigment from the skin.  Overuse of skin lightening creams can lead to disharmony and an unnatural appearance. Lightening cream, if it is to be used, should be applied with a physician's oversight, and should be used judiciously to prevent a fake overly white appearance.

Other skin lightening creams include azelaic acid and kojic acid.  Azelaic acid is also an effective treatment for acne.  Kojic acid is derived from Aspegillus and Penicillium bacterium.  Ochronosis can occur, in particular with hydroquinone.  Ochronosis is a reticulated, sooty pigmenation of the cheeks, forehead, and periorbital regions.

Indian skin may also be prone to acne and acne scarring. Newer treatment modalities can now allow for safe treatment of Indian skin.

What creams can I use on my face to lighten my skin?

Lightening of skin is a controversial process practiced commonly in India and Pakistan.  Daily use of sunblock (UVA and UVB) is a good place to start.  The use of a lightening cream at night can be helpful.  The key element is use of a reliable product and even application of the product.

How do I get rid of acne scars?

Once a scar is formed it can never be removed.  That being said, in Indian skin, medical roll-cit and cross-tca are the best therapies.

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"The nose should fit the face"
A strong jawline would suggest a stronger nose.