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Overview Dark skin on the neck is usually a result of something known as acanthosis nigricans. It's characterized by the National Institutes of Health as a skin condition that causes hyperpigmentation along the folds and creases of your body.
It's important to properly diagnose the cause of the darkened neck skin, so make an appointment with your doctor as soon as possible. Until a cause is found, you can lighten your darkened neck skin with creams containing hydroquinone, a skin bleaching agent. If the acanthosis nigricans is caused by obesity, dropping the excess pounds can help regulate insulin levels, and thereby cause the dark skin around the neck to fade.

If the acanthosis nigricans is caused by diabetes, reducing your intake of sugars and starches may help fade hyperpigmentation. Women suffering from polycystic ovary syndrome can regulate their insulin levels with metformin, and consequently cause the darkened neck skin to fade. Sometimes, the darkened and thickened skin can be improved with skin treatments, including dermabrasion and laser therapy.
By diagnosing and subsequently treating the underlying cause of the condition, you can often see an improvement in the hyperpigmentation. Cutting back on your caloric intake while increasing physical exercise can often help you lose weight.

Both cosmetic procedures remove the surface layer of the skin, which promotes the growth of new skin cells closer in color and texture to the rest of your skin. Most people affected by this condition have an increased level of insulin within the body, as would be seen in diabetes, polycystic ovary syndrome and obesity.

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