Spot removal
Hello: I originally had spots on my cheekbones due to melanin deposition, which became more pronounced after giving birth.
The areas on both sides are about the size of a 50 NT dollar coin each.
I would like to know what permanent and long-lasting options are currently available? What are the price ranges? How long does it take to recover? Thank you~~~
Hei Ban Mei, 20~29 year old female. Ask Date: 2009/04/29
Dr. Jiang Yujiao reply Dermatology
Hello: After giving birth, there are areas of hyperpigmentation on both sides of the cheekbones, each about the size of a 50 NT dollar coin.
To assess the pigmentation, the color, shape, depth, and degree of fusion of the spots should be evaluated to determine whether it is 1.
melasma 2.
malar spots 3.
sunspots 4.
post-inflammatory hyperpigmentation 5.
congenital nevi 6.
freckles.
Each type requires a different treatment approach, so please seek a consultation for proper diagnosis.
Response from Jiang Yujiao.
Reply Date: 2009/04/29
More Info
Facial pigmentation, particularly melasma or dark spots, is a common concern for many women during and after pregnancy. This condition is often exacerbated by hormonal changes, sun exposure, and other factors. After childbirth, many women notice that these pigmentation issues can become more pronounced, leading to a desire for effective long-term solutions.
Effective Long-Term Solutions for Facial Pigmentation
1. Topical Treatments:
- Hydroquinone: This is a skin-lightening agent that can be effective in reducing pigmentation. However, it is important to consult with a dermatologist before using it, especially during breastfeeding.
- Retinoids: Products containing retinoids can promote cell turnover and help fade pigmentation. However, they are generally not recommended during pregnancy or breastfeeding.
- Vitamin C: This antioxidant can help brighten the skin and reduce pigmentation. It is safe to use during pregnancy and breastfeeding.
- Azelaic Acid: This is another option that can help with pigmentation and is considered safe for use during pregnancy.
2. Chemical Peels:
- Chemical peels can help exfoliate the skin and reduce pigmentation. They involve the application of a solution that causes the top layer of skin to peel off, revealing fresher skin underneath. The recovery time can vary depending on the strength of the peel, but typically ranges from a few days to a week. Prices can vary widely based on the type of peel and the provider, generally ranging from $150 to $600 per session.
3. Laser Treatments:
- Laser therapy, such as fractional laser or intense pulsed light (IPL), can effectively target pigmentation. These treatments work by breaking down the melanin in the skin. Recovery time can vary, but many patients experience redness and swelling for a few days. The cost can range from $300 to $1,500 per session, depending on the type of laser and the area being treated.
4. Microneedling:
- This procedure involves using fine needles to create micro-injuries in the skin, which can stimulate collagen production and improve skin texture and pigmentation. Recovery time is usually minimal, with some redness for a day or two. The cost typically ranges from $200 to $700 per session.
5. Sun Protection:
- Regardless of the treatment chosen, diligent sun protection is crucial. Using a broad-spectrum sunscreen with an SPF of 30 or higher can prevent further darkening of existing pigmentation and protect the skin during recovery from treatments.
Considerations and Recommendations
- Consultation with a Dermatologist: Before starting any treatment, it is essential to consult with a dermatologist who can assess your specific condition and recommend the most appropriate treatment options based on your skin type and medical history.
- Timing of Treatments: Many dermatologists recommend waiting until after breastfeeding to start more aggressive treatments like chemical peels or laser therapy, as some treatments may not be suitable during this time.
- Realistic Expectations: While many treatments can significantly improve pigmentation, results can vary, and it may take multiple sessions to achieve the desired outcome.
Conclusion
In summary, there are several effective long-term solutions for facial pigmentation after pregnancy, including topical treatments, chemical peels, laser treatments, and microneedling. The choice of treatment should be guided by a dermatologist, considering safety, effectiveness, and individual skin type. Additionally, ongoing sun protection is vital to prevent further pigmentation issues. Always prioritize safety and consult with a healthcare professional before starting any new treatment regimen.
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