Pigmentary Disorders

What are the causes of increased pigmentation or darkening of the skin?

There are a range of causes for increased pigmentation or darkening of the skin. The common causes are:

Melasma – Melasma is a long-term skin pigmentation problem which tends to affect both sides of the face. It is more commonly seen in women and in darker skin types.

Post-inflammatory hyperpigmentation – Post-inflammatory hyperpigmentation tends to happen after an injury to the skin, a skin disease or inflammation in the skin. It can affect anywhere in the skin and affect all skin types.

Sun-damaged skin – Sun-damaged skin often has brown spots and freckles. These brown spots are usually seen in fair skin types after sun exposure. Some brown spots may fade away after a period of sun avoidance; but some brown spots may continue to persist.

What if I have reduced pigmentation or lightening of the skin?

Reduced pigmentation or lightening of the skin can happen after an injury to the skin, inflammation in the skin or due to a skin disease (such as vitiligo),

Vitiligo is a common pigmentation problem where the skin loses its melanocytes / pigment cells. As a result, the affected areas look white. Dr Nicole recommends topical creams for this problem and has a regime to help you achieve the best results. Other treatment options such as light therapy, oral treatments can be discussed at consultation. This condition can be challenging to treat.

What treatments are used by Dr Nicole?

Dr Nicole uses a combination of prescribed medications, specialist skin care treatments and products to stabilise melanocytes, suppress melanin production and blend the skin tone. Dr Nicole also provides a range of chemical peels to target your individual problems. Sometimes, a combination of different peels are needed to obtain best results.

What results can I expect?

The aim of treatment is to achieve an improvement in the pigmentation problem and to achieve an even skin tone. Maintenance treatment is important to prevent worsening of the pigmentation as melanocytes are sensitive to a wide range of factors (as listed above).

What if my pigmentation problem returns after treatment?

Strong sun protection and appropriate skin care are important to maintain the reuslts once they are achieved. Treatments can be repeated if the pigmentation problem results. Sometimes, it is advisable to have treatments such as a chemical peel at least once or twice a year as part of the maintenance programme.