It is a medical-aesthetic procedure, to solve the problem of hyper-pigmentation of the skin (dark coloration of the face that appears slowly). Common in people over 30 years and in the elderly, and it seems more women than men (1 in 20 is male). It is an important cosmetic problem that affects quality of life, self-esteem and has social implications particularly in cultures where the smooth and smooth appearance of the face is a sign of health.
It affects the forehead, cheeks, cheekbones, upper lips and sometimes presents as patches that extend to the neck.
Hyper-Pigmentation is also known as melasma, chloasma, pregnancy stains or liver spots.
CAUSES
Melasma or Mancha is a genetic condition that is stimulated by:
- Heat and cosmetics (phototoxic reactions).
- Pregnancy.
- Unknown factors.
- Contraceptive hormones (pills and progesterone injections).
- Sun.
It can also be caused by:
- Liver diseases.
- Tumors of the pituitary.
- Addison’s disease.
- Hemochromatosis.
- Medicines.
INDICATIONS
Who can treat melasma or blemish?
- Any patient, male or female with dark spots on the face.
INDICATIONS
Who can not be treated melasma or stain?
- Persons who have undergone surgery in the area to be treated and at least four months have not elapsed.
- People with certain diseases or pathologies, which is why your doctor should do a previous medical history.
- If a corrective treatment or plastic surgery has been performed and at least four weeks have not elapsed.
Answers to the most frequent questions in treatments for spots or melasmas.
How long does melasma treatment last?
Stains may disappear by the second or third month of treatment, the treatment to remove the melasma or blemish can last for more than nine months.
When can I get treatment?
It can be done at any time of the year.
How do I know which product is the best in my particular case?
After the medical examination and the evaluation of your case, our aesthetic doctors will recommend the best product depending on your needs and your personal budget.
Can I wear makeup after the treatment?
You can put cosmetics and make-up without restrictions.
Should I take any personal care after applying the treatment creams?
It is advisable to use sunscreens with a factor of over 50 and hats, protection against ultraviolet light is one of the main factors for a good result.
Will the treatment last for a lifetime?
The treatment lasts as long as it continues to protect itself from light and heat.
Should I use sunscreen the rest of my life?
Yes.
In whom is hydroquinone contraindicated?
People allergic to the product.
What is the most effective method to treat melasma or spot?
According to the most recent scientific studies with statistical validity, the formula of doctors Kligman and Willis that combined hydroquinone with retinoic acid and a steroid, is still the best way to treat melasma or spot.
How is skin depigmentation therapy?
After an evaluation and the completion of a particular medical examination, therapy is started in a gentle way especially in those with sensitive skin. If very abrasive substances are used we run the risk of creating contact dermatitis with skin irritation leading to a greater problem of hyperpigmentation called postinflammatory pigmentation.
PRODUCTS
What products are used for blemishes or melasmas?
- Soft cleansing cream.
- If the skin is dry, moisturizing creams.
- Protective sunscreens all year round, if there is sun exposure the application should be every two hours.
- We use chemical peels before starting treatment with depigmenting substances to start destroying the pigment stored in the skin.
- The most important part is depigmentation, which acts by inhibiting the formation of melanin by the melanocytes of the skin. Depending on the type of melasma, different products and the mixture of them will be used, especially the one originally described by Drs. Kligman and Willis, composed of the triple topical combination of hydroquinone, tretinoin and dexamethasone, demonstrating optimal results since the most recent studies demonstrate their effectiveness.
ADVERSE EFFECTS
What side effects does the application of hydroquinone? With the application of hydroquinone is normal to appear a itching and redness sensation of the treated area, in addition to a slight peeling of the skin.Although in general is a safe medication effects Side effects are skin irritation and contact dermatitis, which are treated with mild topical steroids. In people with very dark skin and who use high concentrations of hydroquinone, a phenomenon called ochronosis may appear.THE THERAPEUTIC PROCESS What should be expected from the treatment? • The results will be seen after a few months of the procedure. • Remember that melasma or blemish is a slow onset process and is also its cure. • Must follow medical orders rigorously. • It is very important to avoid the sun, use sun blocking creams and follow the regimen established or recommended by your doctor. • Remember that the intention of the creams is to depigmentate, improve the color, appearance and quality of the skin, moisturize and moisturize, avoid irritation and restore normal conditions.
