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| 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. |
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| 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.
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| 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. |
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| 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. |
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| 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. |
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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. |
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| 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. |
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| 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. |
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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. |
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| 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. |
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| 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.)
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| 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. |
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