Concerns of Pigmentation

Ever wondered why there are darker spots on your skin, especially after an injury or inflammation. These spots or pigments are the result of excessive melanin production. When our skin has been inflamed (due to acne, infections, excessive exposure to sunlight and other reasons) or injured (due to a fall, insect bite and others), there is excessive production of melanin in order to heal the region. This is the common cause of pigments. People living in more tropical regions are exposed to the issue of hyperpigmentation due to the hot and humid climate. This leaves them with darker spots in some region of the face, neck and arms that are most commonly subjected to harsh weather. From around the age of 35, individuals often see an increase in pigments and patches on the skin. The reason to this is aging, because of which there is lesser production of collagen and elastin which results in slower healing or recovery unlike before. The solution to keep your skin free of pigments is to tend to it. Regular skincare, proper exercise and nutrition are the most essential lifestyle changes that an individual must bring about for good skin health.

What causes skin pigmentation?

Our skin is an aging and sensitive organ. With every passing year from the age of 25, there is considerable decrease in the production of collagen and elastin which are the components which keep the skin young and glowing. This results in the skin taking longer to heal from an injury or inflammation. Our skin produces excessive melanin at the sight of an injury on the skin as a healing mechanism which results in darker spots. Dark spots and pigments heal faster until the age of 25 but becomes really tough to shed these pigments as age passes on. Some of the most common causes for skin pigmentation includes:

  • Birth Nevus or moles and pigments that a person is born with
  • Acne related scarring
  • Skin conditions such as melasma, haemochromatosis, grave’s disease, vitiligo and others
  • Exposure to certain chemicals
  • Fungal infections
  • Drug induced pigmentation
  • Excessive exposure to harsh sunlight, which is common in the tropical climates

At Tamira, we offer you a range of solutions for pigmentation and its concerns based on your skin condition. Our skin pigmentation treatments include the below:

  • For an individual with Melasma, we offer treatments such as chemical peels, topical creams, cosmelan peels, dermamelan peels, microdermabrasion, microneedling and laser treatments
  • For issues due to sun tan and spots, we offer laser resurfacing, RF resurfacing, IPL treatment, cosmelan peel, dermamelan peel, microdermabrasion and topical treatments.
  • Acne scars, birth nevus and dark circles are treated with topical creams, facial creams, microdermabrasion, microneedling and laser treatments
  • Vitiligo is treated using oral medications, skin grafting, medical tattoos, melanocyte transfer and laser treatments.

What is a pigmentation removal treatment?

Pigmentation removal treatments aim at reducing or completely removing the hyper-pigmentation in the affected region. The type of treatment for removing pigments must be decided after a thorough consultation with a cosmetologist. The most common treatments are chemical or laser peels, IPL treatment, microdermabrasion, retinoids, creams and lotions.

How is skin pigmentation or dark spots on the face treated?

Skin pigmentation on the face can come in way of your confidence and personal and professional growth. Today, we have a lot of skin care options that treat dark spots and pigments. The most commonly and easily available treatment includes skin lightening creams, lotions, skin lightening kits that include microneedling techniques and rollers. One could give these home based treatment and check for results. Most of these treatments work differently on each individual and hence the best treatment could be figured out by only a trial and error method. For a long lasting and visible results, patients must seek the help of a cosmetologist and consider treatments that are specific to their skin conditions. While hyperpigmentation due to sun tans, acne scars, infection and others could be treated with over the counter remedies, individuals with severe conditions and with congenital conditions such as birth nevus must visit the clinic for the most appropriate treatments.

What is a skin pigmentation laser treatment?

LASER is the abbreviated form for Light Amplification by Stimulated Emission of Radiation. The laser technique works on the principle of send heat waves or light energy to the inner layers of the epidermis that results in peeling off layer by layer of the pigmented region. This treatment also stimulates the production of natural collagen and elastin that helps keep the skin youthful. Laser treatments are often suggested for inflammatory skin conditions such as melasma and PIH(Post-inflammatory Hyperpigmentation). The results of laser treatments vary depending on the individuals’ skin condition and the extent of pigmentation. Some may not get the expected result in just one laser session and might have to repeat the procedure for 2 to 3 times to get the desired results. Also with laser treatments, the results cannot be obtained as immediately as the procedure is over. One must wait for up to 4 to 6 weeks to understand the effectives of the treatment and if it working well for them.

Do skin pigmentation treatments work well for acne?

Acne cannot be treated completely just by skin pigmentation procedures. The treatment for acne requires the dermatologist to understand the severity of the acne, its causes and triggers. The doctor would first start off with topical medicines such as cleansers, creams and lotions, along with oral medications for the treatment of acne. A skin pigmentation treatment would only help with the reduction and removal of scars that have resulted due to acne. Acne scars could be effectively treated with laser scar correction, surgical scar correction or microneedling techniques.

What are some of the skin pigmentation treatment products available in the market?

Owning a clear skin is a dream for all and hence the world outside is loaded with skin pigmentation removal products. You could find an incredible number of products, each with the aim of reducing / diminishing each of your skin concerns. Some of the products cater to only the dark pigments under the eye and are most often labelled as dark circle removal creams. Similarly, there are products that vouch to reduce acne scars, blemishes, age spots, sun tan and more. There are overnight creams, anti-aging serums, spot correcting serums, all natural ayurvedic creams and a lot more. The catch here is to figure out what works best for you and to do that you need to analyze the causes of your pigments. It is also really important to do a patch test before going ahead with any of the store-bought products. There are higher chances of a skin reaction since these products are not catered to based on an individual’s specific need and hence the results too might take more time.

What is a skin pigmentation surgery?

Not all skin pigments and dark spots get healed with non-invasive and topical solutions, tougher and more stern marks need to be treated with quite an invasive procedure. Skin pigmentation surgeries could include surgical scar correction (for acne scars), surgical removal techniques (for moles) and skin grafts (for vitiligo and similar conditions). These procedures serve the benefit of being a permanent solution to the skin condition with a long lasting result that stay for more than 10 to 15 years.

What are the reasons for skin pigmentation loss?

Not all skin pigmentation concerns are about dark spots or excessive pigmentation at a particular region of the body.  Some of them are about the loss of melanin which leave the skin with uneven pigments. The area of melanin loss appeals white or pale while the rest of the parts appear pigmented. This skin condition is medically referred to as vitiligo. There are also other reasons such as a deep injury to the tissue that could leave your skin white or less pigmented than other parts of the body.

What is the cost of skin pigmentation removal treatments in India?

Skin pigmentation removal procedures start from INR 1,500 and upwards. Non-invasive procedures could go up to about INR 50,000. For surgical treatments the cost would vary and could be around INR 1,25,000. The exact cost would depend on the city you are getting the treatment in.

What are the post procedural care involved with skin pigmentation treatments?

Though skin pigmentation treatments are safe, one could experience minor after effects for a short duration. This would include redness, swelling, burning sensation, change in color and others.

One must strictly follow the post-procedural care that the cosmetologist would suggest. Post treatment one must

  • Apply the prescribed ointment
  • Take medications or ice-pack care as suggested by the doctor
  • Avoid direct exposure to sunlight at least for a week
  • Use a sunscreen lotion with SPF above 30
  • Take antibiotics and other medications if prescribed
  • Keep the area of the stitch clean, if a surgical procedure was undergone
  • Have a wholesome fruit rich diet
  • Drink a lot of water
  • Continue mild and regular exercises

What is the best skin pigmentation treatment?

There is no one procedure that works well for all. Patients must consult a qualified cosmetologist who could suggest the right treatment based on the skin condition, patient’s need, age and health.

Who should consider skin pigmentation related treatments?

Both men and women of any skin type who have the problem of pigments and moles could consider skin pigmentation removal and treatments. Anybody in the age group of 30 and above could seek the treatments, as skin naturally starts to undergo the aging process around this time and the first signs of pigmentation are often seen around this age. However, the results of the treatment could be different from one person to another and is hugely dependent on the severity of pigmentation, skin condition and the health of the patient. For a long term permanent result, some patients might have to resort to surgical skin tightening procedures.

Pregnant women and individuals with health disorders such as high blood pressure, heart diseases and other serious conditions must stay away from skin pigmentation treatments and should seek help from a cosmetologist if the treatment is a necessity.

What makes skin pigmentation related treatment at Tamira stay ahead of the rest?

At Tamira, we offer you with end to end assistance in your treatment which would begin with your consultation with highly qualified cosmetologists, selection of the right procedure, treatment plans and post procedural care. We respect every individual’s choice of having cosmetic/aesthetic related procedures and stand by our value of being honest and committed in our care.

Our skin pigmentation related treatments aim at addressing your skin related issues such as scars, discolouration, hard patches and various skin conditions such as vitiligo, birth nevus and others. We adhere to the safest treatment protocol which involves assessing your skin’s reaction to lasers and supplements before getting into the complete procedure. After completion of every procedure we also put the individual through a home care skin care routine and treatment. We advise all our patients to consult a qualified cosmetologist or a plastic surgeon specialized in aesthetic treatments to choose the right option for you.

At Tamira, we assess your skin and curate treatments to target the root cause of your skin concern.

MELASMA

Melasma is a common skin disorder seen predominantly in women. It causes dry and flaky brownish-grey patches on the skin, mostly on the cheeks, chin, forehead and nose. Melasma is most commonly caused due to hormonal changes like pregnancy or contraceptive pills, but it can be caused due to sun exposure as well. Melasma is an on-going treatment and will require multiple sittings and maintenance to prevent recurrence. It is generally treated using skin lightening procedures.

The treatments offered for melasma are:

Topical creams:

This is the most common treatment and maintenance method for pigmentation. Depending on the severity of the condition the topical cream may include steroids or a combination of vitamins, retinoids and niacinamide. Topical creams have to be used with consistency as prescribed by a physician to show its true result over-time.

Chemical peels:

A chemical peel treatment that reduces uneven skin tone, skin texture, acne scars, dull skin and spots. It essentially comprises of AHA (glycolic/lactic acid) or BHA (salicylic acid) which potently exfoliates the epidermal or superficial layer of the skin. This treatment results in clear, even-toned, smooth, bright and glowing skin.
A chemical peel may cause redness, tenderness and irritation. No makeup or products with acids (AHA/BHA/PHA) except humectants prior-treatment or post-treatment. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. There is no downtime and the procedure is typically performed within 1 to 2 hr.

Cosmelan peel:

The cosmelan peel is a concentrated de-pigmenting treatment. It is a two-step process – a mask and a spot treatment. The mask is applied by an aesthetician and has a leave-on time of 6 to 10 hr. This is then followed up with the spot treatment at the comfort of your home. This treatment effectively reduces pigmentation – resulting in even-toned, brighter and glowing skin with long-lasting effects.
The cosmelan peel may cause redness, tenderness and irritation which subside under a week. No makeup prior-treatment or post-treatment. No swimming to avoid infections. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. There is no downtime.

Dermamelan peel:

The dermamelan peel is a saturated de-pigmenting treatment. It involves 5 steps – a mask, cleanser, toner, spot cream and moisturizer. The mask is applied by an aesthetician and has a leave-on time of 8 to 12 hr. This is then followed up with the skincare regime at the comfort of your home. This treatment effectively reduces pigmentation – resulting in even-toned, brighter and glowing skin with long-lasting effects.
The dermamelan peel may cause redness, tenderness and irritation which subside under a week. No makeup prior-treatment or post-treatment. No swimming to avoid infections. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. There is no downtime.

Microdermabrasion:

This procedure involves using a medical-grade blade to gently scrape off dead cells and peach fuzz to reveal brighter, healthier skin below. It is oft combined with a chemical peel (AHA/BHA) to attain the most effective exfoliation and the best results. Microdermabrasion results in reduced dark-spots, acne scars, tan and pores – revealing brighter, glowing, clear, smooth and rejuvenated skin.
This procedure may cause redness, tenderness and irritation. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

Laser treatment:

This is a non-surgical procedure that uses the technique of lasers or intense pulsing lasers. Laser treatment works by heating the skin along with the option to penetrate deeper into the dermal layers and de-pigmenting the skin from within. The heat stimulates the production of collagen along with resurfacing the epidermis. Laser technology emits stronger rays and may require a topical gel to minimize discomfort. Laser treatment results in clearer, even-toned, tighter, smoother skin which enhances a youthful appearance.
The treatment may cause some irritation, redness, tenderness and bruising which usually disappear within a week. There is no downtime involved. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment.

Microneedling:

Microneedling is a new technique that is found to be very effective in repairing and rejuvenating the skin. The procedure involves using a derma roller (a facial roller with microneedles) in particular movements to stimulate the production of collagen. Collagen has been known to have skin-repairing properties. This treatment reduces the appearance of pigmentation, large pores, acne scars, fine lines and to an extent, signs of ageing. Microneedling results in bright, even-toned, smooth, plump and glowing skin. This procedure is painless and has the additional benefits of increased circulation to the face.
This procedure may cause redness, tenderness and irritation. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

SUN-SPOTS

Actinic lentigines or commonly known as sunspots, age spots or liver spots are grey-brown dots found on the areas of skin that has had prolonged exposure to the sun without adequate sun protection. They are found on the arms, legs, back, neck and sometimes present as ‘freckles’ on the face. This form of hyperpigmentation is a common and harmless problem that can be easily treated but requires maintenance to prevent recurrence.
The range of treatments offered are:

Laser resurfacing:

Laser resurfacing is an ablative treatment that targets both the epidermal and dermal layers of the skin. Laser technology is used to resurface the epidermis and at the same time heat the dermis to promote the formation of collagen, this ensures that the skin is repaired and rejuvenated both externally as well as internally. This treatment is effective in reducing acne scars, wrinkles, fine lines, enlarged pores and brown spots. Laser resurfacing improves skin quality and texture – resulting in smooth, clear, bright, glowing, tight skin. this procedure apart from resurfacing also has anti-ageing and de-pigmenting outcomes. This procedure may cause redness, tenderness and irritation. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

RF resurfacing:

Fractional radiofrequency is a potent resurfacing treatment. It involves the dual technology of ablation radiofrequency and dermal stamping. This makes RF resurfacing tackle problems like – enlarged pores, acne scars, fine lines, wrinkles and sun-spots to name a few. This effective procedure stimulates skin repair, blood circulation and the production of collagen – resulting in smooth, clear, tight and youthful skin. Fractional radiofrequency is usually combined along with other anti-ageing treatments like facelift or neck lift to give the skin a much more drastic natural finish without making the skin look made up.
This procedure may cause redness, tenderness and irritation. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

IPL treatment:

This is a non-surgical procedure that uses the technique of lasers or intense pulsing lasers. Laser treatment works by heating the skin along with the option to penetrate deeper into the dermal layers and de-pigmenting the skin from within. The heat stimulates the production of collagen along with resurfacing the epidermis. Laser technology emits stronger rays and may require a topical gel to minimize discomfort. IPL treatment results in clearer, even-toned, tighter, smoother skin which enhances a youthful appearance.
The treatment may cause some irritation, redness, tenderness and bruising which usually disappear within a week. There is no downtime involved. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment.

Chemical peel:

A chemical peel treatment that reduces uneven skin tone, skin texture, acne scars, dull skin and spots. It essentially comprises of AHA (glycolic/lactic acid) or BHA (salicylic acid) which potently exfoliates the epidermal or superficial layer of the skin. This treatment results in clear, even-toned, smooth, bright and glowing skin.
A chemical peel may cause redness, tenderness and irritation. No makeup or products with acids (AHA/BHA/PHA) except humectants prior-treatment or post-treatment. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. There is no downtime and the procedure is typically performed within 1 to 2 hr.

Cosmelan peel:

The cosmelan peel is a concentrated de-pigmenting treatment. It is a two-step process – a mask and a spot treatment. The mask is applied by an aesthetician and has a leave-on time of 6 to 10 hr. This is then followed up with the spot treatment at the comfort of your home. This treatment effectively reduces pigmentation – resulting in even-toned, brighter and glowing skin with long-lasting effects.
The cosmelan peel may cause redness, tenderness and irritation which subside under a week. No makeup prior-treatment or post-treatment. No swimming to avoid infections. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. There is no downtime.

Dermamelan peel:

The dermamelan peel is a saturated de-pigmenting treatment. It involves 5 steps – a mask, cleanser, toner, spot cream and moisturizer. The mask is applied by an aesthetician and has a leave-on time of 8 to 12 hr. This is then followed up with the skincare regime at the comfort of your home. This treatment effectively reduces pigmentation – resulting in even-toned, brighter and glowing skin with long-lasting effects.
The dermamelan peel may cause redness, tenderness and irritation which subside under a week. No makeup prior-treatment or post-treatment. No swimming to avoid infections. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. There is no downtime.

Microdermabrasion:

This procedure involves using a medical-grade blade to gently scrape off dead cells and peach fuzz to reveal brighter, healthier skin below. It is oft combined with a chemical peel (AHA/BHA) to attain the most effective exfoliation and the best results. Microdermabrasion results in reduced dark-spots, acne scars, tan and pores – revealing brighter, glowing, clear, smooth and rejuvenated skin.
This procedure may cause redness, tenderness and irritation. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

Topical maintenance programs:

The maintenance skincare program is an individually curated skincare regime. It comprises of a combination of different dermatologist-approved products. This skincare program targets specific concerns – reducing acne scars, spots, uneven skin tone, texture and further damage to the skin. The topical maintenance program rejuvenates, brightens, lightens and maintains skin complexion.

ACNE MARKS

Acne marks and scars are common aftermaths of hormonal or ill-treated acne. Acne marks are usually hyperpigmented spots found in the area where the acne once was. Acne scars come in various shapes and sizes like, ice pick scars and boxcar scars which look like craters and usually run deep into the skin. Atrophic scars and rolling scars are generally flatter, however, hypertrophic and keloid scars can form a raised bump where the acne once was. The treatment for acne scars varies depending on the type or types of scarring present in the area. Though treatments can have dramatic results, unfortunately, acne scars cannot be 100% reversed
The range of treatments offered are:

Oral supplements:

Oral supplements help brighten and clear complexion from within. They are usually comprised of a combination of different vitamins and other antioxidants. Supplements are prescribed on a cyclic basis and it may take a full cycle to show visible effects. They also aid in improving skin/hair texture and reduce acne, acne scars and spots. Oral supplements result in clear, bright, smooth, light, even-toned and glowing skin. This treatment is effective only if it is consistently followed as prescribed by the medical professional.

Topical treatment:

This is the most common treatment and maintenance method for acne marks or scars. Depending on the severity of the condition the topical cream may include steroids or a combination of vitamins, acids (AHA/BHA) and humectants. Topical creams have to be used with consistency as prescribed by a physician to show its true result over-time.

Chemical peel:

A chemical peel treatment that reduces uneven skin tone, skin texture, acne scars, acne marks, dull skin and spots. It essentially comprises of AHA (glycolic/lactic acid) or BHA (salicylic acid) which potently exfoliates the epidermal or superficial layer of the skin. This treatment results in clear, even-toned, smooth, bright and glowing skin.
A chemical peel may cause redness, tenderness and irritation. No makeup or products with acids (AHA/BHA/PHA) except humectants prior-treatment or post-treatment. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. There is no downtime and the procedure is typically performed within 1 to 2 hr.

Microneedling:

Microneedling is a new technique that is found to be very effective in repairing and rejuvenating the skin. The procedure involves using a derma roller (a facial roller with microneedles) in particular movements to stimulate the production of collagen. Collagen has been known to have skin-repairing properties. This treatment reduces the appearance of pigmentation, large pores, acne scars, fine lines and to an extent, signs of ageing. Microneedling results in bright, even-toned, smooth, plump and glowing skin. This procedure is painless and has the additional benefits of increased circulation to the face.
This procedure may cause redness, tenderness and irritation. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

Microdermabrasion:

This procedure involves using a medical-grade blade to gently scrape off dead cells and peach fuzz to reveal brighter, healthier skin below. It is oft combined with a chemical peel (AHA/BHA) to attain the most effective exfoliation and the best results. Microdermabrasion results in reduced dark-spots, acne scars, acne marks, tan and pores – revealing brighter, glowing, clear, smooth and rejuvenated skin.
This procedure may cause redness, tenderness and irritation. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

Laser scar correction:

This is a non-surgical procedure that uses the technique of lasers or intense pulsing lasers. Laser scar correction works by heating the skin along with the option to penetrate deeper into the dermal layers. The heat stimulates the production of collagen along with resurfacing the epidermis. It can also be used in combination with PRP/vampire facelift for better results. Laser technology emits stronger rays and may require a topical gel to minimize discomfort. Laser scar correction results in clearer, tighter, smoother skin which enhances a youthful appearance.
The treatment may cause some irritation, redness, tenderness and bruising which usually disappear within a week. There is no downtime involved. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. Scars are not 100% reversible*.

Surgical scar correction:

Surgical scar correction is performed using different excision techniques to reduce scar tissue while simultaneously inducing repair and the production of collagen. This treatment diminishes scars noticeably and results in clearer, smoother skin. this procedure may cause redness, irritation, scarring (keloids), tenderness and bruising. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There may be downtime depending on the surface area of the procedure. Scars are not 100% reversible*.

BIRTH NEVUS

Congenital nevus is a rare anomaly in pigmentation disorders. They typically cause hyperpigmentation and can be brown or port-wine (nevus flammeus) in colour. Congenital nevus can be found anywhere on the skin including the scalp and are formed at birth. Nevus flammeus in particular is formed due to a capillary disorder owing to its red wine stain. Haemangiomas, however, protrude and form a lump on the skin, unlike the other congenital nevi which are flat. Treatment varies depending on the variety, size and severity of the nevus and multiple sittings may be required.

Range of treatments offered are:

Topical cream:

This is the most common treatment and maintenance method for congenital nevi. Depending on the severity of the condition the topical cream may include a majority of steroids along with a combination of vitamins, acids (AHA/BHA), retinol and humectants. Topical creams have to be used with consistency as prescribed by a physician to show its true result over-time.

Laser treatment:

This is a non-surgical procedure that uses the technique of lasers or intense pulsing lasers. Laser treatment works by heating the skin along with the option to penetrate deeper into the dermal layers and de-pigmenting the skin from within. The heat stimulates the production of collagen along with resurfacing the epidermis. Laser technology emits stronger rays and may require a topical gel to minimize discomfort. IPL treatment results in clearer, even-toned, tighter, smoother skin which enhances a youthful appearance.
The treatment may cause some irritation, redness, tenderness and bruising which usually disappear within a week. There is no downtime involved. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment.

Surgical removal:

Surgical removal is performed only on haemangiomas using excision techniques to remove the stained protruding tissue while simultaneously inducing repair and the production of collagen. This treatment removes haemangiomas and results in clearer, smoother skin. This procedure may cause redness, irritation, scarring (keloids), tenderness and bruising. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There may be downtime depending on the surface area of the procedure.

UNDEREYE DARK CIRCLES

Dark circles are the most common form of hyperpigmentation disorders found all over the world. Sleep deprivation is not the only cause for undereye bags, they can also be caused by pigment deposit (haemosiderin or melanin), periorbital fat loss (volume loss), skin laxity, fatigue and dehydration. Undereye dark circles can also be hereditary and pass on from one generation to the next (more commonly found in women). Treatment options depend on the severity and the root cause behind the problem.
Range of treatments offered are:

Topical cream:

This is a common treatment and maintenance method for undereye dark circles. Depending on the severity of the condition the topical cream may include a combination of vitamins, acids (AHA/BHA), retinoids, caffeine, niacinamide and humectants (hyaluronic acid). Topical creams have to be used with consistency as prescribed by a physician to show its true result over-time.

Fillers:

Fillers on are made up of substances like; calcium hydroxylapatite, hyaluronic acid etc. These dermal fillers are used to volumize and add fullness to the periorbital region, replacing the volume loss. Fillers are also a temporary treatment that will need maintenance every few months. Fillers result in plump and bouncy skin which can reduce the appearance of undereye wrinkles and sagging skin.

Chemical peel:

A chemical peel treatment that reduces pigmentation, uneven skin tone, skin texture and dull skin. For the periorbital region, it essentially comprises of AHA (lactic acid) which potently exfoliates the epidermal or superficial layer of the skin. This treatment results in clear, even-toned, smooth, bright and glowing skin.
A chemical peel may cause redness, tenderness and irritation. No makeup or products with acids (AHA/BHA/PHA) except humectants prior-treatment or post-treatment. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. There is no downtime and the procedure is typically performed within 30 min to 1 hr.

Laser treatment:

This is a non-surgical procedure that uses the technique of lasers or intense pulsing lasers. Laser treatment works by heating the skin along with the option to penetrate deeper into the dermal layers and de-pigmenting the skin from within. The heat stimulates the production of collagen along with resurfacing the epidermis. Laser technology emits stronger rays and may require a topical gel to minimize discomfort. IPL treatment results in clearer, even-toned, tighter, smoother skin which enhances a youthful appearance.
The treatment may cause some irritation, redness, tenderness and bruising which usually disappear within a week. There is no downtime involved. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment.

Microneedling:

Microneedling is a new technique that is found to be very effective in repairing and rejuvenating the skin. The procedure involves using a derma roller (a facial roller with microneedles) in particular movements to stimulate the production of collagen. Collagen has been known to have skin-repairing properties. This treatment reduces the appearance of pigmentation, large pores, acne scars, fine lines and to an extent, signs of ageing. Microneedling results in bright, even-toned, smooth, plump and glowing skin. This procedure is painless and has the additional benefits of increased circulation to the face. However, it needs to be used with the utmost caution and expertise around the eye area.
This procedure may cause redness, tenderness and irritation. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

Surgery:

Undereye bags with excess sagging or drooping can be removed surgically using excision while simultaneously inducing repair and the production of collagen. This treatment removes laxity and results in tight, clear, de-puffed under eyes. This procedure may cause redness, irritation, scarring (keloids), tenderness and bruising. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No smoking or alcohol consumption. No physical activity or eye strain. No makeup is to be worn prior-treatment or post-treatment. The downtime may be in-between 1 to 3 weeks.

VITILIGO

Vitiligo is a long-term hypopigmentation skin disorder. It is caused when melanocytes undergo necrosis or stop producing melanin. Vitiligo has a characteristic approach by appearing in patches. These patches can affect areas of the face, body, hair and even pupils. Vitiligo generally presents itself around 20 – 30 years, though treatment options are available, it cannot be cured.
Range of treatments available are:

Oral medication:

Oral medication helps curb the process from within. They are usually comprised of a combination of steroids and vitamins. These medicines are prescribed long-term and it may take a while to show visible effects. They can only slow down vitiligo and cannot treat the disorder. Oral medication can also aid in improving skin/hair texture and reduce hypopigmentation. This treatment is effective only if it is consistently followed as prescribed by the medical professional.

Laser treatment:

The excimer laser or exciplex laser has a highly focused beam of ultraviolet B rays. It is a viable treatment for vitiligo commonly used for larger patches around the face, neck and body. However, the excimer laser is not a permanent treatment and is required to be repeated to maintain and increase results. The treatment may cause some irritation, redness, tenderness and bruising which usually disappear within a week. There is no downtime involved. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment.

Skin graft:

This surgical method is used on larger patches of hypopigmentation when other medical treatments are unresponsive. Tissue along with healthy melanocytes are grafted to the de-pigmented area. Skin grafting is a very successful technique for scattered vitiligo that has become stable. This procedure may cause redness, irritation, scarring (keloids), tenderness and bruising. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There may be downtime depending on the surface area of the procedure.

Melanocyte transfer:

Melanocyte transfer is one of the most effective treatment options available for stabilized vitiligo. It has an edge over skin grafting because it requires minimal donor site. In this process, healthy melanocytes are transferred into the de-pigmented area, over time these melanocytes will produce pigment which will homogenise and improve pigmentation. This procedure may cause redness, irritation, scarring (keloids), tenderness and bruising. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There may be downtime depending on the surface area of the procedure.

Medical tattoo:

Medical tattoos are a form of restorative micro-pigmentation. It involves using tattoo ink to replenish colour or pigment onto the skin via a tattoo needle and medical tattoo machine. This process is permanent and the ink may fade over time. It is a viable option for unresponsive vitiligo and covers any discrepancies for a low cost. Due to the delivery method, this procedure may cause redness, irritation, tenderness and bruising. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No exercise or swimming for 1 to 2 weeks. No makeup is to be worn prior-treatment or post-treatment. There is no downtime.

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Tamira Plastic Surgery

No. 18, Gopalapuram 1st St, Gopalapuram, Chennai, Tamil Nadu 600086