PIGMENTS. Skin Facial Pigmentation Singapore Review 2024

FACELIFT

Facial Pigmentation in Singapore

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1) Facial Pigmentation

2) Dark eye circles

3) Red, sensitive skin 

Under Facial Pigmentation, I will discuss the common pigmentary woes affecting Asian skin. Key is the use of creams, peels and lasers for this type of condition. There are many lasers. And choosing the right laser will form the cornerstone in the treatment.

TOP 10 Facial pigmentation concerns in Asian Skin 

  1. Freckles

  2. Melasma

  3. Sunspots

  4. Hori’s Nevus

  5. Nevus of Ota

  6. Becker’s Nevus

  7. Tattoos

  8. Underarm pigmentation

  9. PIH (Post inflammatory Hyperpigmentation)

  10. Acanthosis Nigricans

How can we prevent skin facial pigmentation?

Lifestyle changes – 3 Ss

  1. Sunblock, Q 4 hours
  2. Shade, stay away from the sun. Stay cool, in the shade.
  3. Shield, sun glasses and wide brim hat, UV coated umbrellas when you head out for lunch especially

Facial Pigmentation in the Asian Skin:

What does skin facial pigmentation look like? 

We will share some clinical photos for educational purposes below. 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 Laser WORK for skin facial pigmentation?

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laser for pigmentation

How can we get rid of skin pigmentation?

Pigmentation Solution

1. Treatment: Laser/ light/ peels
2. Cosmeceuticals: Sunblock + Lightening agents – ORAL and topical
3. Skin renewal: Boost hydration and repair
Cosmetologist applying permanent make up on lips
MEDICAL PEEL
Carbon peeling. Laser pulses.
LASER FACIAL, LIGHT TREATMENT
SKINBOOSTERS
SKINBOOSTERS

After laser, what can I expect?

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solar lentigo
Lasers and pigments
Here is a schematic cartoon showing how laser breaks down pigments into granules, which are subsequently engulfed by macrophages.

FRECKLES

What are freckles?

– Freckles are spots which commonly appear with sun exposure and are found on the cheeks and nose.
– They  darken with sun exposure.
– They show up in the teenage years, increasing with age.
– They lighten with sun protection and a combination of therapies.

How can we treat freckles? 

– In my opinion, treatment includes strictly avoiding the sun and using sun protection, using skin lightening agents and laser + light therapy.
– Here are examples of freckles.
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freckles
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freckles
FRECKLES

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MELASMA

So what causes Melasma?

– Melasma is very common with the Asian skin. It is multifactorial, with a strong genetic and hormonal component.

– It is worsened with sun exposure, OCPs and pregnancy.

– It tends to be distributed either over the cheeks or a central distribution from the forehead down to the chin.

How can we treat Melasma? 

– There are many treatment regimens for melasma.
– Melasma is a condition that can be controlled and not cured. 
– It is a spectrum, and there is no one size fits all regime.
– A carefully personalised programme works best as every melasma is different.
– Personally, I would suggest an advanced treatment which consists of priming the skin with lightening agents for a month, +/- oral medication followed by careful chemical peels and lasers.
1. Use good sunscreen, apply it 15min before going out. And reapply it every 2 hours.
2. Use gentle lightening agents
3. Laser light +/- Cosmelan
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melasma
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melasma
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melasma
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melasma
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melasma
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melasma
MELASMA

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Solar Lentigines/ Age spots

What are sun spots, age spots?

– These are discrete lesions which progress with age. Prevention is the key with sun protection and sun avoidance.
– They  first appear in your 30s and can get increase in number with age.  
– Some age spots thicken and darken with time.

How can we treat sunspots age spots?

 – They may be lightened with sun protection, lightening agents and lasers light. (sunspots, solar lentigo)
SOLAR LENTIGO/ SUN SPOTS / AGE SPOTS 
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Hori’s Nevus

What are Hori’s Nevus?

– This is a pigmentary condition characterized by multiple dark blue gray spots, commonly found bilaterally in the cheeks.
– They darken with sun exposure and childbirth.

How can we treat Hori’s Nevus?

– They can be lightened with a careful combination of sun avoidance, lightening agent and lasers.
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Hori’s nevus
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hori’s nevus
HORI’S NEVUS
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NEVUS OF OTA

What is 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.

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Nevus of Ota
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Nevus of Ota
NEVUS OF OTA
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BECKER NEVUS

– birthmark commonly found in males
– one sided 
– epidermal nevus
– associated with hair growth 
becker’s nevus
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CAFE AU LAIT SPOTS

What are cafe au lait spots? 

– These are light brown macules that can be found over jawline, neck, face. 
– Effectively treated with sunblock, lightening agents and pigment lasers, but can recur.

 

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CAFE AU LAIT
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Cafe au lait
It is vital to distinguish this from a melonocytic nevus – which can turn malignant, meaning cancerous.
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CAFE AU LAIT SPOTS
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TATTOOS 

How can we treat tattoos? 

– Q Switched lasers are good for black, blue, brown tattoos.
– No. of sessions depends on the location, size, age, colour of tattoo and whether it was performed by a professional or amateur tattoo artist.
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UNDERARM PIGMENTATION

What causes underarm pigmentation? 

Causes:

  1. Contact Allergy: From DEODORANTS commonly
  2. PIH from shavingTiny hair stubbles can also add to the darkening
  3. InfectionYou might have a skin infection that causes darkening
  4. Acanthosis Nigricans. A skin condition that causes hyperpigmentation
  5. Hormones/Pregnancy. Changes in your body may cause discoloration
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PIH
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POST INFLAMMATORY HYPERPIGMENTATION:

What causes hyperpigmentation? 

  1. – As the name suggests, these are pigmentation that form after an injury, be it picking a pimple, derma-roller performed on a skin, injury to the face etc…
  2. – It can happen anywhere.
  3. – Treatment entails careful use of laser toning with lightening agents and strict sun protection.
  4. – They take 3 months to improve. 

POST inflammatory pigmentation or PIH can happen anywhere on the body

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PIH
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ACNE PIH

PIH ( Post inflammatory hyperpigmentation)

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PIH

What is hyperpigmentation?

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.

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PIH Post inflammatory hyperpigmentation

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 facial pigmentation?

  1. Sun block
  2. Laser light
  3. Antioxidant and lightening agents

What are the causes of facial pigmentation?

  1. Sun
  2. Injury. This can be as a result of over zealous chemical peel, laser, or other energy based devices.
  3. Heat

ACANTHOSIS NIGRICANS

What are the causes of acanthosis Nigricans? 

Hereditary vs acquired

Common acquired causes

  1. DM
  2. Obesity
  3. Drug induced

Common in skin folds,neck,axilla and groin.

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ACANTHOSIS NIGRICANS

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Here are treatment videos of using LASERS for your pigmentation woes.

What is pigmentation laser treatment? 

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.

Is laser effective for skin pigmentation? 

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.

4 Comments

  1. Dr. Daniel, your posts are really educational and I love how you explain things. It’s very easy to understand and can be easily applied as well. Your Lifestyle changes is worth remembering. I’ll do it for the love of my skin. Thanks so much. I’ll share this post with my social friends. I hope you don’t mind

  2. I’d like to thank you for the efforts you have put in writing this website. I really hope to check out the same high-grade content from you in the future as well. In fact, your creative writing abilities has inspired me to get my own website now 😉

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