MELASMA AND HYPERPIGMENTATION
Melasma is the excessive production and deposition of melanin in the dermal and/ epidermal layers of the skin and is a chronic skin disorder that results in symmetrical, blotchy, brownish facial pigmentation. This type of pigmentation manifests as brown or greyish-brown patches on the cheeks, nose, and forehead; which in early stages appear as freckles and advance into large blotches of hypo - and hyper-pigmentation. (That is areas that have no pimentation + Others that have too much)
The cause of melasma is complex. There is a genetic predisposition to melasma with at least one-third of patients reporting other family members to be affected. In most people melasma is a chronic disorder.
Known triggers for melasma include:
- Hormonal Influences: Pregnancy, menopause, adolescence and certain medications are the biggest culprits causing hormonal fluctuations. Oral contraceptive pills containing oestrogen and/or progesterone, hormone replacement, intrauterine devices and implants are factors in about a quarter of affected women
- Sun exposure and sun damage—this is the most important avoidable risk factor
- Pregnancy—in affected women, the pigment often fades a few months after delivery
- Certain medications (including new targeted therapies for cancer), scented or deodorant soaps, toiletries and cosmetics—these may cause a phototoxic reaction that triggers melasma, which may then persist long term
- Hypothyroidism (low levels of circulating thyroid hormone)
Melasma also commonly arises in healthy, non-pregnant adults. Lifelong sun exposure causes deposition of pigment within the dermis and this often persists long term
Management of melasma will be on-going and starts with you:
- Discontinue hormonal contraception.
- Year-round life-long sun protection. Use broad-spectrum very high protection factor (SPF 50+) sunscreen applied to the whole face every day. It should be reapplied every 2 hours if outdoors during the summer months. In addition, use a make-up that contains sunscreen. Wear a broad-brimmed hat.
- Use a mild cleanser, and if the skin is dry, a light moisturiser.
- Cosmetic camouflage (make-up) is invaluable to disguise the pigment.
Clients must be treated with a tyrosinase inhibitor and retinol rich topical product (see Home Care). There are several effective and safe means to minimize and remove pigmentation, dark skin, freckles and blemishes for flawless, even toned skin.
Using a unique combination of treatments and products – Dermetone brightens and clarifies by delivering active ingredients deep into the skin and lifting dark pigment out of the epidermal layer.
- Mechanical Microdermabrasion: is an intense exfoliation that removes dry dull cells for a brighter, clearer cpmplexion.
- Microneedling: This is a medically accepted clinical procedure that creates fine channels in the scar tissue to trigger the body’s natural repair response. In addition –these tiny pores allow the infusion of serums and actives deep within the dermal layer where they are most effective.
- Salicylic Acid Peels: Utilizes the Beta Hydroxy Acid to safely ecfoliate the sin inside out, revealing youth.
Treatments are approximately 90minutes in duration and are done every 2-4 weeks.
Generally clients can expect to come through for 6-8 treatments and the magnificent improvements may be seen from your 2nd/ 3rd session
Home Care Essentials:
Treatment is initiated at the clinic but must be continued at home as prescribed.
Results are accelerated and more predictable when professional treatments are maintained with homecare products.
A customised range of products will be prescribed after a skin assessment has been conducted and a detailed medical history noted.
Amazing results have been achieved with a combination of treatments and the following products: