#asktheexpert My daughter has fair skin when she was born, had two days light therapy for jaundice, her skin got darker, but by now she should be back to her original fair skin. Her face is now fair but rest of the body is dark, especially inner thighs, neck folds.
Her dad originally is fair but has dark skin, he thinks it's tan but I think it's a skin condition but not sure what it is. Does my baby have it too

Question

#asktheexpert  My daughter has fair skin when she was born, had two days light therapy for jaundice, her skin got darker, but by now she should be back to her original fair skin. Her face is now fair but rest of the body is dark, especially inner thighs, neck folds. 
Her dad originally is fair but has dark skin, he thinks it's tan but I think it's a skin condition but not sure what it is. Does my baby have it too

Accepted Answer

It’s not uncommon for a baby’s skin color to change after birth and during early development. Here’s a guide to understanding and addressing changes in skin color:

### **1. **Normal Skin Changes**
   - **Jaundice Effects**: Newborn jaundice and its treatment can sometimes cause temporary changes in skin color. The skin may appear darker or have a different tone after jaundice resolves.
   - **Pigmentation Variations**: Babies’ skin can change as they grow, and pigmentation may vary in different areas of the body. This is often normal and can be influenced by genetics and environmental factors.

### **2. **Possible Causes for Skin Darkening**
   - **Genetics**: Skin color variations can be influenced by parental genetics. Your baby may inherit characteristics from both parents.
   - **Sun Exposure**: Prolonged exposure to sunlight can lead to tanning. Ensure your baby is protected from direct sun exposure.
   - **Skin Conditions**: Some skin conditions can cause uneven pigmentation, but these are less common.

### **3. **Care and Treatment**
   - **Moisturization**: Use a gentle, hypoallergenic moisturizer to keep the skin hydrated and healthy.
   - **Sun Protection**: Protect your baby’s skin from the sun with appropriate clothing and hats, and use baby-safe sunscreen if recommended by your pediatrician.
   - **Gentle Cleansing**: Use mild, fragrance-free soaps and shampoos to avoid irritation.

### **4. **When to Consult a Pediatrician**
   - **Persistent Changes**: If the skin color changes persist, worsen, or are accompanied by other symptoms (e.g., rash, itching), consult a pediatrician.
   - **Skin Conditions**: If you suspect a skin condition, professional evaluation is important for accurate diagnosis and appropriate treatment.

### **5. **Avoid Harsh Products**
   - **Avoid Over-the-Counter Creams**: Do not apply over-the-counter creams or treatments without consulting a healthcare provider, as some products may be unsuitable for babies.

### **6. **Patience and Monitoring**
   - **Natural Changes**: Sometimes, skin color changes naturally as the baby grows. Monitor the skin condition and give it time to see if it evens out.

Consulting with your pediatrician will provide you with specific guidance based on your baby’s individual condition and needs.