Wrinkles are not the only indicators of skin ageing. Pigmentation, which is variation in skin colour, is also a result of the wear and tear over the years, though there are many other reasons for pigmentation appearing on our skin.
The most frequently treated pigmentation conditions are freckles, age or liver spots, melasma and vitiligo. The cause of skin pigmentation varies and the skin pigmentation treatment depends on the nature of the pigmentation. At ENRICH Clinic in Melbourne, we have an extensive range of options to suit the many differing varieties of skin pigmentation and patient lifestyle requirements.
Download: Skin pigmentation – Treatment Information Sheet – Melbourne clinic
Contact us to arrange a consultation to discuss your pigmentation concerns at our Melbourne clinic.
- Dark skin tones and chemical peels – what you need to know
- When sunlight can ruin your great skin procedure
- Using colour to hide skin blemishes
- Additional laser treatments for skin pigmentation
- Why do I have melasma?
- How to identify unusual melasma triggers
- How to reduce the appearance of melasma
- Treating melasma
Café au lait spots
Lentigo, freckles, sunspots
- Treating lentigines, brown spots and freckles
- Treating freckles
- Treating age and liver spots
- How air pollution can cause brown spots (lentigo) on cheeks
Skin pigmentation treatments: Diode laser – Melbourne clinic
The Diode is an LED therapy that offers gentle rejuvenation without skin injury, which means no downtime. LED light therapy can be used as a treatment on its own for skin pigmentation, or with chemical peels. Sometimes we use this after laser treatment to aid in recovery.
The LED Diode:
- Triggers collagen production
- Improves circulation
- Reduces redness and swelling
- No thermal damage to skin
- No downtime
The Diode skin pigmentation treatments are straightforward, and involve the face being cleaned thoroughly, then with your eyes covered, the light is turned on for a specific therapeutic period.
Skin pigmentation treatments: RevLite laser – Melbourne clinic
The RevLite laser is a Q-switch ND:YAG laser that works on multiple wavelengths, and can treat many skin conditions effectively. RevLite uses a high-speed shutter to emit a pulse.
The RevLite laser:
- Use on all skin types
- Refresh complexion
- Improve skin tone
- Improve skin texture
- Reduce pore size
- Reduce fine lines and wrinkles
- Facial rejuvenation
- Pigmentation treatment
- Melasma treatment
- Tattoo removal
Skin pigmentation treatments: Other lasers/technology we may use on your pigmentation – Melbourne clinic
- The Q-switch Ruby
- Fractional-switch Ruby
- Excel V
- Apogee Elite
- CO2 and Erbium lasers
- Portrait laser
Skin pigmentation treatments: Treating vitiligo – Melbourne clinic
Vitiligo treatments aim to even out skin tone to make non-pigmented skin less obvious.
- UVB and UVA phototherapy
- Psoralen (used with UVA and UVB treatment)
- Cosmetics to blend tones
- Depigmentation – removing pigment from nearby skin to make it match
- Vitamin D cream
- Skin-coloured tattoos
Skin pigmentation treatments: Treating melasma – Melbourne clinic
Melasma can be difficult to treat, requiring dermatological care over a long period of time. Treatments sometimes worsen the pigmentation, so utmost care must be taken when treating melasma. We use multiple strategies to treat melasma, working with you for best results.
Melasma treatments may include:
- Stopping hormones – the pill, HRT, contraceptives
- Avoiding sun
- Using sunscreen
- Chemical peels
- Topical vitamin C
- Topical vitamin A
- Laser treatments
- Cutera Excel, RevLite, Genesis
Skin pigmentation treatments: Treating lentigines, brown splotches and freckles – Melbourne clinic
Lentigines may be flat or slightly raised spots on the skin that looks pretty much like a freckle or sunspot. They don’t fade during winter.
Lentigines are different to freckles in a fundamental way – a freckle has an increase in melanin, whereas a lentigines has an increase in the number of melanin-producing cells, melanocytes.
Fair-skinned adults are more likely to have sun-induced lentigo, though some lentigo can be present at birth. Anyone using indoor tanning, sun baking, or getting sunburnt is a likely candidate for development of lentigos. Sun stimulates the development of melanocytes, as well as the secretion of melanin into the skin from melanocytes. There are a few different forms of lentigines, so speak to your dermatologist about yours.
We treat lentigines, sun spots and freckles much the same way:
- Prevent more with sunscreen and sun protection
- Bleaching creams
- Chemical peels
- Vitamin C
- Cryotherapy (burning/freezing lesions off)
- IPL treatments
Skin pigmentation treatments: Treating age and liver spots – Melbourne clinic
Age and liver spots are larger brown splotches which are less likely to respond well to topical removal, instead are better treated with liquid nitrogen or lasers.
We use various lasers to remove skin pigmentation caused by age and liver spots, with a few favourites: the RevLite, Ruby, Fractional Ruby, Excel, Alexandrite or Apogee usually indicated.
Skin pigmentation treatments: Treating birthmarks – Melbourne clinic
There are several types of birthmark, with some being pigmentation and others being vascular in nature. This means our treatment strategies will vary considerably depending on the nature of the birthmark.
A pigmented birthmark tends to be flat and smooth, and can be white, tan, or even blue. There are Mongolian spots or café au lait spots, for example. Mongolian spots are blue, looking like a bruise, appearing on the lower back or buttocks, whereas café au lait spots are light brown. Another pigmentation birthmark is a mole (nevi).
Skin pigmentation treatments: Treating café au lait spots – Melbourne clinic
Café au lait spots are areas of more intense skin pigmentation – a light or dark brown, similar to coffee with milk, which is what café au lait means in French. Café au lait spots tend to appear with a genetic disorder (neurofibromatosis, NF1), and can appear in babies or children. Ninety-five per cent of café au lait spots are caused by NF1, but there are some other reasons for these spots to appear.
Café au lait spots that are actually lentigines
A lentigines is a small brown spot on the skin, similar (so they thought when they named it) to lentils. Lentigines are not associated with any other skin condition. A café au lait spot may actually be a lentigines.
A light, red, flat birthmark is a type of vascular birthmark caused by developing blood vessels. Some appear on the forehead and eyelids (and disappear in childhood), while ‘stork bites’ appear on the back of the neck and may continue to be visible well into adulthood.
A hemangioma is where tiny blood vessels collect together and come up above the skin. These marks can disappear on their own as the child grows.
A port-wine stain is actually vascular in nature, a flat, coloured mark (red, pink, purple) on the head, abdomen or limbs. Port-wine stains can appear almost anywhere, however, and can be treated everywhere, though success is not guaranteed. Laser treatment is our preferred removal method, since we can destroy the blood vessel tangles and spare unstained skin.
We use a range of treatments to treat any kind of birthmark.
Skin pigmentation treatments: Hiding blemishes using colour – Melbourne clinic
Sometimes we can’t solve skin problems right away and you may want to invest in some disguising methods. Sometimes scarring will be with us for life, and while we can reduce its appearance, it can’t always be made to disappear.
You can use colour correction, theatrical make-up, or second skins to cover up your pigmentation issues.
Every colour has its opposite colour on the colour wheel, which cancels it out to the human eye. The same principle applies to the paintbrush as the face using make-up, so if you have any skills or interest in this department, you are well set-up to do colour corrections on yourself.
Skin comes in so many hues. You may have an orange, pink, red, or deep versions of any of those.
Classic combos for colour correction of certain skin conditions include:
- Pityriasis rosea, tinea, seborrheic dermatitis – often orangey-red
- Rosacea, acne scarring, acne – red
- Veins – blue
- Dark circles under eyes, lichen planus, bruises – purple
- Bruising – yellow
- Cellulitis, Sweet’s syndrome, rosacea, psoriasis, acne scarring – deep red
- Vasculitis, lichen planus, under-eye bags, veins – purple-red
- Pigmentation, some acne scarring, sarcoid – brownish-red
- Lentigines, melasma, seborrheic keratosis, pigmentation, moles, café au lait spots – brown
- Hiding red – green-based or yellow base
- Hiding blue – peach, salmon or orange base
- Hiding purple – yellow or reddish base
- Hiding yellow – purple or lavender base
- Hiding brown – Brown
Darker pigments will allow more grey under the concealer, so the lighter the pigment, the easier to correct. Your skin tone will make the difference in which colour you choose. Whatever the colour, find it on the colour wheel and figure out which colour will correct it.
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