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Pigmentation Reduction

Skin Pigmentation

 

Melanin is the pigment that produces the various shades and colours of human skin, hair, and eyes. Colouration (pigmentation) is determined by the amount of melanin within our skin. Without melanin, our skin would be pale white with shades of pink caused by blood flow through the skin. Fair-skinned people produce very little melanin, whilst darker-skinned people produce moderate amounts, and very dark-skinned people produce the most melanin.

 

People with albinism have little or no melanin hence their skin appears white or pale pink. Usually, melanin is fairly evenly distributed within our skin, but sometimes individuals may  have spots or patches of skin with more melanin.

 

Melanin is produced by specialised cells that are called melanocytes. Melanocytes are scattered amongst other cells in the deepest layer of the outer layer of the skin (epidermis) called the basal layer. After melanin is produced, it spreads into other nearby skin cells.

Pigmentation problems occur when there’s abnormal production and deposition of melanin in the skin. Factors like genetics, sun exposure, hormonal imbalances, and inflammation contribute to pigmentation issues.

Types of Pigmentation:

Pigmentation can occur in different layers of the skin:

  • Epidermal pigmentation (shallow): Freckles (pigmented lesion) solar lentigines “age spots” “liver spots” (sun spots) a brown, sharply circumscribed spot caused by an increased number of melanocytes. Actinic (solar) lentigines arise in middle age and are numberous in sun exposed skin. 
  • Dermal pigmentation (deep): Naevus of ota. 
  • Mixed pigmentation lesions: Post-inflammatory hyperpigmentation (PIH) is darkening of the skin following inflammation or injury. (acne scars). Melasma is a patchy light to dark brown hyperpigmentation of the cheeks and occasionally the forehead and upper lip that can result from sun-exposure and is associated with oestrogens.

Birthmarks are a benign irregularity in the skin which normally occurs at birth or appears shortly after birth, they can occur anywhere on the skin. Birthmarks are caused by an overgrowth of blood vessels, melanocytes, smooth muscle, fat, fibroblasts, or keratinocytes.

How Laser Treatment Works for Pigmentation:

  • Lasers target melanin pigments in the skin. Melanin absorbs light in the range of 630 – 1100nm.

 

Selective Absorption: The laser emits a specific wavelength of light that is focused on the pigmented lesion without damaging the surrounding skin.

 

Shattering Pigment: The laser heats up and shatters the pigment, breaking it down.

 

Surface Removal: The fragmented pigment is drawn to the skin’s surface and eliminated without harming the surrounding tissue.

 

Even Tone and Complexion: As the treated area heals, the pigmented lesions fade or flake off, leaving the skin with a more even tone and complexion.

How many laser treatments will I need?

 

Type of pigmentation: 

 

Specific types of pigmentation differ:

  • Age spots: Most patients can expect at least 3 treatments, spaced 4 to 6 weeks apart.
  • Sun-exposed areas: Up to 10 low-intensity treatments may be needed.

 

Severity and depth:

    • The depth of pigmentation and its severity influence the treatment plan.
    • Generally, a series of up to 6 sessions is recommended for optimal results.

Location: the location of the pigmentation matters:

  • Facehands, and body may require different treatment approaches.
  • Partial removal: Typically 1-2 treatments.
  • Complete removal: Usually 3-5 treatments.

Preparation: 

 

Consultation: 

  • Before starting any laser treatment, book a consultation with a qualified practitioner.
  • This personalised session will address your concerns, provide insights, and prepare you for the treatment ahead.
  • Some treatments may require a test patch prior to the procedure. 

Before treatment advice:

  • Avoid direct sun exposure for at least 4 weeks prior to treatment.
  • Use sunscreen (SPF 50+).
  • Refrain from laser, IPL, and skin needling/cosmetic grade peels.
  • Avoid facial waxing, depilatory use, and tanning drugs
  • Remove all make-up, lotions and creams in the treatment area

Aftercare:

 

After laser treatment, it’s crucial that you follow proper care to ensure optimal healing and minimise any discomfort. 

  • Apply a cold compress to the treatment area if it feels hot or uncomfortable
  • Apply aloe vera to relieve and sunburn feeling or itching.
  • Use high-factor sunblock to protect the treated area.
  • Avoid creams containing salicylic acid or gylcolic acid.
  • Avoid swmming, saunas, hot baths/tubs or hot showers for a few days.
  • Don not use self tanning products for 7 days
  • Do not pick or scratch the area.

 

Individual outcomes differ multiple sessions ( 4 to 6)  are usually recommended in order yield optimal results.

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