Total Dermatology
Brownspots & Hyperpigmentation2019-09-24T00:22:20-08:00

Brownspots & Hyperpigmentation

Skin mottled with brown spots and pigmentation discoloration often resists all at-home efforts. The keys to reducing hyperpigmentation:

  • Quickly lift surface pigment for natural exfoliation
  • Turn off pigment cell activity with melanin suppressors
  • Recognize and Protect the skin from the sources that cause excessive melanin production

Nearly everyone has some discoloration of the skin

Facial brown spots and discoloration are the top reasons for cosmetic visits to dermatologists in Southern California. Year-round sun and outdoor lifestyle almost guarantees skin mottling and brown facial pigmentation.

Age Spots Orange County
View our Hyperpigmentation Gallery

Although you may have tried and failed with previous efforts to erase pigment, the newer technologies over the last 2 years have resulted in some remarkable outcomes – new pigment specific lasers, new topical formulations or blends of laser and topicals.

Read Gisela P.‘s review of Total Dermatology on Yelp

Effective treatment options for Brown Spots and Hyperpigmentation

*Hispanic, Asian or Middle Eastern skin? Ask about the new eMatrix sublative resurfacing all-skin-type all-skin-color non-laser resurfacing.

How do brown spots and age spots form?

Pigmentation is color in your skin produced by melanin, a natural pigment that also determines eye and hair color. However, if too much melanin is produced in one area, the result is a brown patch on your skin ( brown spot or hyper-pigmentation.)

To see more Total Dermatology Patients treated for Skin Discoloration and Brown Spots click here ->  See Additional Photos

Types of Hyper-Pigmentation

Melasma or Chloasma: Skin discoloration that appears as blotchy brown spots, often covering cheeks, forehead, or temples. This type of hyper-pigmentation can be hereditary, or triggered by hormonal changes such as pregnancy or menopause. The most common cause of skin discoloration is a result of sun exposure. Taking birth control pills can also cause Melasma. See more specific information on Melasma

Age Spots or “Liver” Spots: Smaller darkened patches usually on older adults who have been exposed to the sun for many years. These spots  can be seen on the face, forearms and backs of hands.

Post-inflammatory Hyper-Pigmentation: This type of hyper-pigmentation results from any inflammatory injury or trauma to the skin.
Some causes of post-inflammatory hyper-pigmentation:

  • Acne — particularly cysts or nodules — often leaves dark discoloration after a blemish heals.
  • Poorly administered chemical peels or  laser surgery can leave behind hyper-pigmentation.
  • Rashes like psoriasis and eczema often darken the skin as well.
  • Even seemingly innocuous things like leg waxing and electrolysis can cause the melanin cells to over react.

More about available treatment for pigmentation

To have skin that is as free as possible of brown spots, sun damage, hyper-pigmentation, age spots, and Melasma, a skin rejuvenation program is your first step.

Any successful treatment for pigmentation problems will require achieving and maintaining healthy skin through pre-conditioning. Some patients will need only the skin rejuvenation program to have the beautiful skin they always dreamed of. All forms of pigmentation problems begin in the melanin cells beneath the skin’s surface.

Treatment Options

Lumixyl Skin Brightening System:  An all in one skin balancing program which includes all the products you need to begin control of your skin’s coloration.
Cosmelan Mask

Cosmelan De-Pigmentation Treatment: A “Power-Level” skin rejuvenation treatment for particularly stubborn and dense pigmentation. Cosmelan’s synergistic ingredients work very quickly, resulting in a fast, effective blending and elimination of undesirable pigment. The melanin activity is regulated, causing the pigment producing cells to slow down production and function in a more uniform way.

Cosmelan is “sun-friendly”, an especially appreciated factor for our California lifestyle, and works well even on darker toned Asian and Latin skin. Cosmelan will also produce a slight initial “peel” which helps refinish the skin surface while dramatically diminishing hyper-pigmentation.

Perfecta Laser: New power-level laser blends resistant browns spots and red areas. Special MicroPulse technology treats faster with fewer sessions and dramatically reduces bruising which is common with older systems.

Perfecta also treats diffuse redness.

Fraxel Dual: Through a systematic gentle resurfacing of the skin, Fraxel removes even stubborn melasma and has FDA approval for that particular condition.

A series of comfortable laser treatments resurfaces 20 to 25% of the treated area each time. Typically a package of 4 Fraxel treatments are given, from 10 to 14 days apart. Fraxel can be used to treat the face, neck, chest, arms and hands.

Chemical Peels: Some pigmentation problems are more serious and therefore must be treated with a chemical peel. A chemical peel is a safe and effective form of treatment for many pigmentation problems.

ViPeel contains a proprietary mix of many peel ingredients for a very effective peel response in 7 days.

Diolite Laser: For specific spot treatments when there are singular or scattered spots that require precisely targeted treatment.

The Diolite Laser works by generating an intense beam of light aimed at the exact location of the lesion. The melanin absorbs this light, creating sufficient heat to destroy the lesion, leaving surrounding healthy skin unharmed. This laser is appropriate for flat brown spots from sun exposure, keratoses, freckles or the very small black spots common to Asian or African-American skin.

How to maintain your improvements

With any treatment of pigmentation problems, sun exposure must be avoided. Age spots and brown patches on the skin have been directly linked to sun exposure. To maintain results from a treatment and to prevent any further pigmentation damage from occurring, use of a physical block sunscreen containing Titanium Dioxide or Zinc Oxide with a SPF of 45 or higher is mandatory.

Also, maintenance treatments of the various therapies may be necessary.

During your consultation, Dr. Pilest will be able to determine the best course of treatment for your pigmentation problems.

Confused? It’s easy to be overwhelmed by the options. A consultation is an excellent way to get you started on the path to evenly toned and more attractive skin. Call us today at 949.727.3800 for your professional consultation.

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