Skin pigmentation is one of the common problems seen in our consultation daily. There are many options for skin lightening available nowadays. After consultation with your dermatologist and after analyzing your skin type or condition and type of pigmentation, a doctor can suggest you proper treatment to lighten your skin pigmentation.
Just for your understanding, human skin contains melanin which gets synthesized by cells called as melanocytes, so melanocytes + other cells keratinocytes distribute this pigmentation to an upper layer of skin.
Melasma: most commonly seen in females, hyperpigmentation occurs especially on check, forehead & bridge of a nose. Mostly seen in females post pregnancy. Even male get this type of pigmentation but the percentage in a male is less than in females.
Post-inflammatory hyperpigmentation and hypopigmentation: this type of pigmentation is caused due to inflammation of the skin caused by some disease, irritants, friction. Eg:- atopic dermatitis, burns, psoriasis, eczema, seborrheic dermatitis, neurodermatitis, lichen planus, post acne pigmentation, photosensitivity etc.
Freckles: Brown spots that occur on the skin when there is repeated history of sun exposure, mostly noted in fair skin people.
Vitiligo or Leucoderma: hypopigmentation, white spots or patches are noted, it is caused due to underproduction of melanin that leaves skin lighter than other skin, the melanocytes are destroyed in the skin the reason is not yet found why this occurs or may be autoimmune.
Acanthosis nigricans: it is associated with hormonal changes, insulin resistance, and skin tone getting darker, mostly seen on the neck, axilla, face, and groins.
Also, many other types of pigmentation are seen in day to day practice of dermatology. So according to the type of pigmentation, there are various combinations of treatment done. The basic rule to reduce pigmentation is
Avoid direct sun exposure and ultraviolet rays
Use of sunscreen & physical protection from the sun is must when you are planning to reduce your skin pigmentation.
Also, Treatment maintenance is required to keep your skin tone nicely.
Then according to your skin type and sensitivity doctor can do the following treatment with reduced pigmentation:
Oral & topical medicines
These are alpha & beta hydroxy medicine peels which are safe for use on the skin are applied to the affected area. It helps to exfoliate the skin layer mildly without causing any discomfort to the patient. Depending on the level of pigmentation various types of peels are used for good results.
Different types of advance laser are used for reducing the skin pigmentation. The new advanced FDA approved laser treatment are very much helpful for pigment reduction. Lasers like Q switched Nd Yag 1064 laser, Intense Pulse Light(IPL), Co2 laser & Erbium glass laser have shown good results when done under the supervision of an experienced dermatologist.
MDA + hydra + Bs
Microdermabrasion is used to exfoliate the dead skin layer then electroporation with hydra and brightening solution help to give an even tone.
Tranexa therapy for melasma & pigmentation
Tranexamic acid can be electroporated on the skin which helps to reduced pigmentation.
Many more treatments are done using different combinations as per patient skin type and a requirement to get good results. Multiple session may be required according to the type of pigmentation and post-treatment care is also required. So oral and topical medications are suggested as required and to get good results.
For treating your skin condition, feel free to get in touch with one of our best dermatologists in Pune. You can also call on +912071177333 to book an appointment at one of our skin clinics near you.
Thank you for your valuable question. As your biopsy reports revealed, you are having Lichen Planus Pigmentosus skin problem. This condition is autoimmune inflammatory skin condition in which dark pigmented...
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