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The most common skin pigmentation issue, especially among Asians between 30 and 80 years old, is facial pigmentation. While there are many possible causes for facial pigmentation, sun exposure is the most common culprit.
This is simply uneven brown, patchy, dark spots on the face caused by an overproduction of melanin pigment, normally where the skin has been exposed to UV rays, inflammation, or injury.
Melasma is when bilateral patches of brown to grey pigmentation appear, most commonly over the cheeks. This type of skin pigmentation tends to be more frequently seen in women, especially after pregnancy, and can be often be chronic.
Melasma is a particularly complicated and challenging skin problem, and one that I will devote a separate article to in order to discuss fully.
Also known as sunspots, these are small brown spots that often appear in areas which are consistently exposed to the sun, especially between the ages of 25 to 40. They are also more frequent among Caucasian or fair-skinned individuals.
Fortunately, we can remove freckles relatively easily, and results can be transformative, fast and dramatic. As we see in the case below, the freckles are 90% gone after only five visits.
We have many cases of lentigines among our customers – more than 30% suffer from this pigmentary skin condition.
When dealing with facial issues we approach it like going to the gym – one step at a time to get healthy. Often I compare it to cooking “low and slow” rather than grilling. Anyone that claims they can remove lentigines quickly is probably not being honest. A rushed procedure runs the risk of serious downtime due to bleeding and redness. Worse, there is a significant (greater than 20%) chance of hyper-pigmentation. It simply takes time to remove layers of melanin buried under the dermis, while also stabilizing the production of melanin by your body’s melanocytes.
Besides reducing the lentigines, you also get the bonus of Clarity, Radiance, Glow and Clarity (CGRS). The treatment reduces fine lines, tightens skin, and reduces the appearance of pores. Overall , skin clarity and radiance is rapidly enhanced. For example, this customer had just came back from Singapore and was seen again in mid October 2020. After 3-4 months away, her skin looks almost perfect, without the need for foundation, as the lentigines have not come back. Simply maintaining a strong sun block regimen along with periodic QCS, and you should be doing very well.
Progressive Report – after 11 hours and after 25 hours
Customer with Multiple Pigmentations – Comedones, lentigines, freckles, and PIH
This happens frequently with seniors – usually our patients with this condition are more than 60 years old. The cause is not well known but sun exposure is certainly one of the factors. The pigments look waxy, scaly and slightly raised. It tends to run in families; therefore genes may be a cause.
The normal treatment for SK is ablative laser or chemical ablative laser sessions, cryosurgery, electro-surgery or curettage. All of these are aggressive interventions which run the risk of bleeding, hyper-pigmentation, and extensive recovery downtime.
However, we have successfully used lasers to remove this type of lesion without causing excessive pain, allowing minimum downtime for recovery, and no bleeding. Our experienThis is a safe procedure with minimal risk.
Most of the time seborrheic keratosis will not return but it is possible to develop a new one on another part of the skin (it is considered a functional problem).
Inflammation may be caused by insect bites, acne, or other injuries (cuts, burns, etc). This damage overstimulates the body’s melanocytes, which causes them to produce more pigment. In turn, this causes a darkening of the skin during the healing phase of the inflammation.
Often, we encounter cases of PIH caused by Laser Treatments which had been applied on an incorrect setting.
We’re so confident in the beautiful results of our clarifying laser facial
We have a feeling you’ll love it.