Hyperpigmentation
Hyperpigmentation Treatments
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Hyperpigmentation on the face can be triggered by various factors, both internal and external. One common cause is overexposure to the sun's harmful UV rays, which stimulates the production of melanin, the pigment responsible for skin color. Hormonal changes, such as those during pregnancy or while taking certain contraceptives, can also lead to hyperpigmentation, often termed as melasma or "pregnancy mask." Skin trauma, like acne lesions or inflammation, can prompt melanocytes to produce excess pigment as part of the healing process, resulting in post-inflammatory hyperpigmentation. Additionally, genetics play a role, as some individuals naturally have a higher predisposition to developing hyperpigmentation.
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Chemical resurfacing
​Chemical resurfacing is a popular procedure used to address hyperpigmentation by promoting skin exfoliation and regeneration. In the case of hyperpigmentation, chemical peels work by affecting the top layer of skin where excess pigment is often concentrated, thus helping to reduce the appearance of dark spots and uneven skin tone. Different types of chemical peels, such as superficial and medium depth peels, offer varying levels of exfoliation and penetration, allowing for customized treatment based on the severity of hyperpigmentation and individual skin type.
Common peels for hyperpigmentation include:
Salicylic acid 10-30%
Jessner
Triple Bright by Glytone
Trichloroacetic Acid (TCA) peel 10-30%
VI Peel/Precision Plus
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Chemical resurfacing treatments are curated to address skin complexion and to promote even skin tone. Treatments are designed to address all types of discoloration from blemishes to brown spots for the sun and Melasma.
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Commonly, 4 - 6 treatments are needed to achieve desired results.
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Microneedling​
Microneedling is a minimally invasive procedure that can effectively address hyperpigmentation by stimulating the skin's natural healing process. During a microneedling session, tiny needles create controlled micro-injuries in the skin's surface triggering the skin's repair mechanism, prompting smoother, firmer, and more evenly toned skin. In the context of hyperpigmentation, microneedling can help break up melanin clusters and encourage their dispersion, leading to a more uniform distribution of pigment. Additionally, microneedling enhances the absorption of topical skincare products, including those targeting hyperpigmentation, thereby maximizing their efficacy. Furthermore, chemical resurfacing, growth factors serums and topical therapies can be combined with microneedling to enhance results.
Most patients will require 3-6 treatments to achieve significant improvement in hyperpigmentation.
Radiofrequency Microneedling​
SylfirmX combines microneedling with radiofrequency energy. This dual-action approach triggers a natural healing response, improves blood flow in the skin and disrupts melanin clusters responsible for hyperpigmentation. SylfirmX offers the advantage of customizable treatment parameters, allowing for tailored solutions to specific hyperpigmentation issues, such as melasma or post-inflammatory hyperpigmentation.
Similar to microneedling, Radiofrequency microneedling can be combined with other treatments.
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Most patients will require 3-4 treatments to achieve significant improvement in hyperpigmentation
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Laser Resurfacing​
Laser resurfacing is a highly effective treatment for many types of hyperpigmentation, offering precise targeting of pigmented areas and stimulating skin renewal for a smoother, more even complexion. During laser resurfacing, concentrated beams of light energy are directed at the skin, effectively targeting excess pigment while also promoting collagen production and skin rejuvenation. The energy from the laser breaks apart melanin clusters responsible for hyperpigmentation, allowing the body's natural processes to eliminate the pigment gradually. Additionally, laser resurfacing encourages the shedding of damaged skin cells, revealing fresher, more evenly toned skin beneath. Depending on the type and severity of hyperpigmentation, different laser modalities, such as fractional lasers or intense pulsed light (IPL), may be used to customize treatment.
Laser resurfacing is a safe and minimally invasive procedure that typically requires minimal downtime, making it a popular choice for individuals seeking to address hyperpigmentation and achieve brighter, more radiant skin. However, multiple treatment sessions may be necessary to achieve optimal results, and proper post-treatment care, including sun protection, is essential to maintain the improvements and prevent future pigmentation issues.
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Sun Protection Guide
Light is everywhere. The average adult gets up to 8 hours of unprotected sun exposure each week from walking to and from buildings, car windows and other glass. This is equivalent to sitting on the beach for 8 hours. It is important to protect yourself EVERYDAY even if you are not planning to have a significant amount of sun exposure.
Sunscreens are essential for preventing hyperpigmentation and redness of the skin. It is important to have a broad spectrum, SPF of 30 or more. Broad Spectrum indicates the sunscreen contains ingredients that protect against UVA and UVB rays. Iron oxides in tinted sunscreens protect against visible light and blue light, which can contribute to facial redness and hyperpigmentation, especially in individuals with darker skin tones. Sunscreens formulated with antioxidants such as vitamin C, vitamin E, and niacinamide help provide an extra layer of protection against oxidative stress and inflammation, which can lead to skin redness and pigmentation issues. By consistently using a broad-spectrum sunscreen with these ingredients, individuals can effectively reduce the risk of skin redness, hyperpigmentation, and other sun-induced damage.