A: The quick answer is that there are peels designed for safe use off the face. There are factors that must be considered, so be sure you see a board certified dermatologist who really knows and performs peels regularly. But there might be more important issues at play. Darkening of the skin on the back of the neck is usually acanthosis nigricans. This is not in and of itself dangerous, but it is a marker for diabetes mellitus. I always ask people who present with acanthosis nigricans if they have a family history of diabetes, and I check their weight and look them over for other signs of metabolic disease (is there facial hair?) and I get a history on the menstrual cycle (irregular or heavy flow?). I often even check their hemoglobin A1C to detect previously undiagnosed diabetes or metabolic syndrome. Remember, the skin is often a window into your health, so please make sure you see a good dermatologist.
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