Hypothyroidism is one of the most common hormonal problems which is being experienced by our young population, be it women or men. Though it is more common in women, even men are having more and more Hypothyroidism that is being detected early. Thyroid is an organ which is going to regulate the absorption of vitamins, it is regulating the functioning of their organs including the skin. So in a person with thyroid disease, the skin appears very dull and appears very dehydrated, and we can usually see some dark circles around the eye. They also experience shedding of hair and shedding of eyebrows and darker lips. These are the most common things associated with thyroid disease itself. In fact thyroid can make you predisposed to obesity. So weight gain, can cause more facial pigmentation and pigmentation over the neck areas. So when you are having thyroid problem and the skin pigmentation secondary to thyroid problems, it is important to see a doctor who can differentiate when the problem occurs primarily due to thyroid or primarily due to weight gain because the treatment is different. The treatment is metabolic and you need to take thyroid supplementation and whatever outside treatment in the form of cosmetic creams, exfoliating treatments such as chemical peels or microdermabarasion can only supplement whatever medical treatments may do.