2) Dark eye circles
3) Red, sensitive skin
TOP 10 pigmentation concerns
Nevus of Ota
PIH (Post inflammatory hyperpigmentation)
Lifestyle changes – 3 Ss
- Sunblock, Q 4 hours
- Shade, stay away from the sun. Stay cool, in the shade.
- Shield, sun glasses and wide brim hat, UV coated umbrellas when you head out for lunch especially
Pigments in the Asian Skin:
Dark spots, red spots, brown spots, blue spots, gray spots, what are they? I have had many patients asking me about those spots on their faces. So to help you learn more about your skin, and understand those spots you see when you look into the mirror, I have decided to walk you through some of the common pigmentary conditions.Allow me to first start with freckles, those brown spots that you get for working out in the sun since your schooldays.
HOW DOES IT WORK?
Pigmentation Solution: My 3 step FORMULA
POST LASER WHAT TO EXPECT?
NEVUS OF OTA
– Present at birth
– A blue grey pigmentation deep in the dermis
– They darken with sun exposure
– Can be lightened with sun protection, lightening agents and lasers.
CAFE AU LAIT SPOTS
What are they?
(courtesy of skinperfectbrothers.com)
POST inflammatory pigmentation or PIH can happen anywhere on the body
PIH ( Post inflammatory hyperpigmentation)
What is it?
It is an area of localised hyperpigmentation (excess melanin), as a result of damage to the skin from inflammatory process. It can range from light brown to black. It is temporary.
Distinguish PIH from PIE, which is post inflammatory erythema. This consists of superficial blood vessels that grow during the wound healing stage and is common after inflammtory acne, especially in lighter skin people. Darker skin folks would end up with Post inflammatory hyperpigmentation.
How can we treat it?
- Sun block
- Laser light
- Antioxidant and lightening agents
What are the causes?
- Injury. This can be as a result of over zealous chemical peel, laser, or other energy based devices.
Hereditary vs acquired
Common acquired causes
- Drug induced
Common in skin folds,neck,axilla and groin.
Here are treatment videos of laser, IPL for your pigmentation woes.
Pigment laser treatments involve a light laser that generates heat and penetrates into the deep layers of your skin to stimulate collagen production without damaging the dermis. 1064 laser is a highly advanced laser that can deliver highly controlled energy into the skin. It is able to combine high peak power and short pulse width, to target and get rid of pigments without allowing the heat produced to damage the surrounding tissue.
It is an effective treatment for skin conditions such as pigmented lesions, freckles, solar lentigo, age spots, sun spots, hori’s nevus, nevus of ota, cafe au lait, melasma, post inflammatory hyperpigmentation, skin redness, scars, tattoo removal, with minimal downtime.
So I hope this mini segment on pigmentary woes in the Asian skin has been useful. Remember, stay bold and beautiful. Dr Daniel Chang