Pigmentation is a common concern that affects people of colour. It comes in various forms and due to plenty of reasons, pigmentation disorders can affect any gender at different ages.
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