When considering pigmentation facial Options, it is essential to consider the different causes of facial hyperpigmentation, such as melasma, sun damage, and post-inflammatory hyperpigmentation (PIH), as the best facial treatment for pigmentation depends on the type. Once you understand what is causing your facial hyperpigmentation, effective treatment options are tailored to each cause.
Chemical peels, topical creams containing pigment inhibitors, photo facials for sun damage pigmentation, LED pico laser and Q-switch lasers for facial melasma management to LED facial and Pico laser settings specifically targeting ethnic skin types for PIH recovery.
But before going any further, it is essential to get an accurate diagnosis of any pigmented lesions before treatment. Dr Colin McTari is qualified to diagnose and treat skin cancers and all aspects of medical skin treatment. If there is any concern, our therapist and Nurse will book you for a consultation with him. for accurate diagnosis and appropriate laser treatments based on specific facial hyperpigmentations.
By understanding the nuances in facial pigmentation options achieving clear and radiant skin is well within reach!
Identifying the Cause of Facial Hyperpigmentation
First, let’s talk about identifying the cause of your pigmentation issue. With over 150 possible causes, it’s crucial to diagnose your specific condition for effective treatment accurately. However, the most common culprits include facial melasma, sun damage (photo damage), freckles, and post-inflammatory hyperpigmentation (PIH).
Facial Melasma Caused by Hormones, UV Exposure, and Genetics
Facial melasma is a common skin condition characterised by dark map-like patches on the face due to hormones UV exposure. This has a genetic basis, and an unlying predisposition runs in families.
Sun Damage Presents as Pigmentation, Redness &Wrinkles
Our beloved sunshine can be both friends, helping produce Vitamin D, improving our mood and helping us sleep, but too much can cause damage. Sun damage pigmentation typically exists alongside other changes to skin colour and texture. These can include redness from broken capillaries, skin dryness or roughness, fine lines, and wrinkles.
Post-Inflammatory Hyperpigmentation Due to Acne or Other Skin Conditions
The third most common cause is PIH which occurs after an insult to the skin resulting in inflammation. It is most common after acne or other inflammatory skin issues. But it can result from burns (including laser), chemical peels, and physical trauma after the acute insult heals the inflammation set up to recover, leaving behind darker spots on the skin surface.
Pigmentation Facial Options
Let us look at the pigmentation facial options from the simplest to the most complex.
For those with mild facial hyperpigmentation issues, topical treatments with pigment inhibitions may be all you need. These can include the gold standard of prescription topical to fade pigmentation, such as hydroquinone and retinoids. There is a range of topical skin ingredients which are commonly used in combinations in creams, serums, and gels containing ingredients like Vitamin C, Niacinamide, arbutin, kojic acid, azelaic acid and a range of botanicals such as barberry or liquorice root. It is important to note that these treatments may take weeks or even months to show results. Our favourites are the prescription gold standards. However, you will need to see a Doctor. This is especially useful for facial melasma, and PIH Over counter Azelaic acid (combined with Niacinamide) or Vitamin C is well tolerated by everyone. Kojic though a good option, can cause sensitivity.
Peel Facials for Pigmentation
Peels are a mainstay of cosmetic medicine, including treating facial hyperpigmentation. There are a vast array of superficial and medium-depth peels. Our favourites for melasma treatment include vitamin A and jessner peel, and for PIH, a much gentler pigmentation facial is recommended with Azelaic acid peel and LED light combinations.
Light Treatments, including LED Facial or Photo Facial for Pigmentation
Phototherapy is a non-invasive approach using light to address facial hyperpigmentation. The two most common light treatments are LED facial or IPL photo facial.
The LED light in the red/infrared range is used to help settle inflammation. It is our go-to first step for resolving PIH and its cousin PIE. (Also very useful for acne, rosacea, facial melasma, and any inflammatory skin condition). Suitable for any skin type.
IPL such as the BBL is excellent for treating sun damage pigmentation in skin types I, II and III and with low skin type IV care. Because broadband light treats the three causes of sun damage together (facial hyperpigmentation, redness and skin texture changes), a photo facial is our most sought-after for lighter skin types, rejuvenating the appearance of sun-damaged skin.
Laser treatment is the next-level treatment option that uses concentrated light beams to target pigmented areas. A wide range of lasers is suitable for addressing facial hyperpigmentation issues, and the choice depends again on the underlying pigmentation and skin type. This approach may be ideal for those with more intense discolouration problems, yet multiple treatments might be necessary.
For a free consultation with one of the Pearl team, book online or call 07 3350 5447. Or book directly for skin assessment with Dr Colin McTari