Melasma is a brown hyperpigmentation that occurs as a result of excess melanin. It usually appears symmetrically on the left and right face; the areas most commonly affected are around the cheekbones, on the cheeks and forehead, where there is likely to be most ultraviolet ray exposure. It is more common in women than in men and it usually occurs after puberty.
1. Vital iontophoresis treatment
A method originated from iontophoresis which increases percutaneous absorption through skin, this new treatment allows L-Ascorbic acid (an activated vitamin C) to penetrate deep into the pigments in the dermis.
It is highly effective for dermis melasma and mixed melasma which are difficult to treat. It leaves no damage to skin and there is no problem washing your face and using makeup immediately after treatment. It not only works on melasma, but also lessens the look of fine lines.
2. Ionzyme treatment
Ionzyme treatment works well on darker forms of melasma because it allows vitamin C, an anti-aging vitamin A known as retinol, beta carotene, AHA and vitamin E (an antioxidant and a powerful moisturizing agent) to penetrate all at the same time. By raising the skin penetrative power by over 400%, it works not only on melasma, but also on fine lines; it also has anti-aging and firming effects. Daily activities are unaffected as you can wash your face and apply makeup right away.
3. Oxy-Jet treatment
After spreading whitening or other special nutritious ingredients on the skin, the Oxy-Jet machine uses compressed oxygen to pass these ingredients deep into the dermis, together with purified oxygen. Results are outstanding when combined with skin scaling, Crystal peel or Diamond peel; Oxy-Jet treatment is good at whitening, improving sagging and wrinkled skin.
4. Crystal peel scaling & Diamond peel scaling
A light peel which doesnĄ¯t affect any of your activities, it removes pigments in the epidermis and helps new skin resurface. Pigment removal is sped up by the simultaneous use of ointment, electric iontophoresis and Oxy-Jet.
5. Whitening deep sea herbal peel
A new pure skin peel method which massages 100% natural seaweed powder extracted from the deep sea together with active ingredients for an exfoliating and a peeling effect. Since whitening ingredients are added to the current deep sea herbal peel and peel depth needs to be controlled by skin type, the procedure requires great expertise.
6. Oral medication or application
In the case of very dark dermis melasma affecting a large area of skin, a special medication called Tranexamic acid can be used at the initial stage of treatment. Taking vitamin-C for a long period of time or using whitening products continuously may help a little, but these methods have limitations and should only be regarded as supplementary.
Melasma prevention and skin care
Aforementioned aggravators should be avoided and use of sunscreen with a SPF (Sun Protection Factor) of 15~30 should be included in your daily beauty regime to prevent recurrence and aggravation.
1. Small nevus, wart and skin tag
Carbon dioxide laser is used to remove them. Warts are treated with V-beam laser which selectively destroys vessels. The benefit of using this laser is that it does not leave any scars.
2. Raised nevus, seborrheic keratosis and syringoma
Erbium laser and carbon dioxide laser are used to elaborately trim the skin. For syringoma, laser is the only treatment known at present. First, Erbium laser is used to even out the bump and then carbon dioxide laser is used to remove the root deep inside. In some instances, TCA solution is additionally applied to the treated area.
3. Hereditary nevus, deep nevus and blue nevus
Erbium laser or carbon dioxide laser levels off the skin surface and Q-Switch laser specifically destroys the pigment cells.
Small nevus or skin tags can be removed with a single treatment. Seborrheic keratosis or black moles are 80% removed with one treatment, but a follow up procedure may be needed in some cases. Large or special nevus may need repeated treatments and in the case of syringoma, most patients have to undergo 2~3 laser procedures at 1~2 month intervals to completely remove roots. Patients with a high occurrence of syringoma may develop new lesions after a couple of years. Warts also have a high rate of recurrence, so extra attention is needed even after procedure.
1. You should make sure the treated area does not come into contact with water for 2~3 days and frequently apply the prescribed cream to the treated area. Slowly, a scab will form which will flake off within 7-10 days. There may be scarring if you remove the scab or if the scab dries up, so it is important to keep applying the cream until the scab falls off on its own.
2. If the treated area is large, a special synthetic skin is attached until the lesion is dry and 3~5 visits to clinic are required.
3. After the scab falls off, avoid ultraviolet rays and donĄ¯t worry about the slightly pitted parts as they will be gradually filled.
4. For seborrheic keratosis or syringoma, there is some redness after the scab falls off, but it dissipates with time. From this time, ultraviolet ray sunscreen and whitening products should be used and 3~4 whitening treatments with one week intervals will help prevent and heal pigmented lesions.
Freckles is the most well-known pigment disorder caused by overproduction of pigment cells (melanin) underneath the epidermis and it is often hereditary. It is heavily influenced by ultraviolet rays and worsened by pregnancy, birth control pills and stress.
Nd YAG laser or Q-Switch laser such as Alexandrite laser is used for treatment. This laser does not damage any surrounding normal tissues, so there is no worry of side effects such as scars or pigmented patches. A single treatment will remove 80% of freckles, but since it is hereditary, some of it may recur.
Out of all disorders treated with lasers at dermatologists, freckles are the most affected by ultraviolet rays. Therefore, once the crust falls off, you should always wear a sunscreen with a SPF of at least 30 which blocks both ultraviolet rays A and B. Evenly apply the sunblock at least 30 minutes before going out and wear a sweatproof and water-proof sunscreen at swimming pools or at a beach. For long-term exposure to the sun, reapply every 2-3 hours.
Since there are no wounds, washing your face or taking a shower is allowed even immediately after procedure. From the next day, there is slight scabbing and this is when you should be careful not to pick the scab when removing your makeup and cleansing your face. The prescribed cream should be applied evenly to ensure the scab does not dry up. The scab falls off in 5-7 days, but it is best to leave it as long as possible.
The name originates from the discoverer, a Japanese doctor called Ota. It is a large, blue nevus around the eyes. In a majority of cases, only the area around one eye is affected, but in 10% of cases, it appears on both sides of the eyes. It is usually present at birth, but sometimes, it appears afterwards and occasionally darkens as patients go through adolescence. Nevus of Ota does not disappear on its own and if left untreated, it will last a life time and though rare, can develop into cancer of the skin (malignant melanoma.)
 
1> Laser treatment
It can easily be treated with Q-Switch lasers such as Nd: YAG laser and Alexandrite laser. These lasers almost never damage the skin and selectively destroy melanin cells deep inside the dermis. However, as the location of pigments are so deep, as many as 3Ą­10 treatments are needed 1~3 months apart, depending on the condition.
2> Medical Skincare
While having laser treatments 2 months apart, medical skincare which has whitening effects, such as vital Iontophoresis, Ionzyme, Oxy-Jet treatment, Crystal peel scaling and Diamond peel scaling can be conjointly performed as close as 1-2 weeks apart. This will expedite the results and prevent hyperpigmentation after laser treatment.