Hyperpigmentation and age spots
Let's discover with Dr Bucci, Nutridermatologist, what hyperpigmentation and age spots repesent and how to correct them.
Uneven complexion, skin dyschromia and hyperpigmentation are some of the major concerns that women are worried about, regardless of age and skin type. Even and luminous skin make us feel beautiful and reinforce our perception of ourselves, especially in the social dimension in which we move everyday. The appearance of spots and dyschromia – even in early adulthood, but typically after menopause – is unfortunately widely widespread and undermines the appearance and self-confidence of women. What are the factors that trigger the appearance of spots, how can we prevent them and eventually what corrective measures can we put in place? Let’s find out with Dr. Bucci, Dermatologist and member of the [comfort zone] scientific committee, the answer to these frequently asked questions.
First off, how many and what types of spots exist?
There are many different types of spots, with varying shapes, origin and names: dark spots, age spots, melasma, lentigo, just to name a few. It is fundamental to classify these manifestations, to naked eye or through a diagnostic tool, to understand which corrective action should be taken. A tool such as the Wood’s lamp, similar to that used in the [comfort zone] skin test, can provide valuable and essential support in understanding the depth of the spot and estimate the possibility of correcting it. Let’s see in detail the types of spot we can find.
Melasma is a particular spot that appears on the face, even around your 20’s and often during or after a pregnancy. Visually it looks like a geographical map, with rough edges and tends to appear on the forehead, cheeks and upper lip area. Among the main causes of its onset we have sun exposure and estrogens’ fluctuations: this explains why the appearance of this skin imperfection is most common during the summer months.
Post-inflammatory hyperpigmentation instead, forms – as the name suggests – due to inflammatory processes such as acne, trauma or scars. Its onset is in correspondence of the trauma’s area and shows up as very dark spots, visible even in people with the darkest phototype.
Lastly, age spots usually appear around 40’s. Typically they appear as well-defined oval-shaped spots with variable, located on the areas most exposed such as face and hands. To the naked eye, they can appear more or less intense, sign of the depth they can reach. The deeper the spot is, the lighter it will appear, making it harder to treat and eliminate.
There are also other spot types that can appear on the whole body, such as freakles and efelides, similar in appearance but with very different genesis. Efelides occur on the areas most exposed to sunlight, especially on face and décolleté. Most frequenti in people with fair phototypes and blond or red hair, their onset is caused by an oxidative process triggered by UVA rays that hit the skin.
Contrary to efelides, freakles are a very superficial build up of melanin that can occur on any part of the body, even not directly hit by sunlight, like mucous membranes. At times, they can be present since birth, or appear during puberty, increasing in number and intensity.
The diagnosis of the spots – establishing in which category they fall – allows to understand how to treat them in the most appropriate way. An extremely useful tool for an accurate and in-depth diagnosis is the Skin Analyzer. Not only it will provide us more information regarding the spots, but it will also help us understand how to treat and remove them. It’s important to understand, and make understand, that some types of spots are too deep to be completely removed.
Which corrective actions can we put in place to minimize their treat and minimize the appearance of different types of spots?
From a dermatological standpoint, efelides and freakles cannot be treated to favor their disappearance. For all other spots, it is possible to intervene with specific and targeted treatments. A great deal of procedures can be used in the treatment of sposts, but not all are equally effective.
In the case of age spots it is necessary to act by lightening and stimulating the cell turnover, ensuring maximum protection of the areas exposed to sunlight. With regular cycles of a couple of months, visible results can be obtained, interrupting the worsening of the existing spots and preventing the formation of new ones.
For post-inflammatory pigmentation, linked to acne and trauma, you have to treat the blemish with a localized brightening action. However, always be aware that treating the spot implies a clear improvement but not a total disappearance of it.
With melasma, the treatment can be quite difficult as neither the laster nor a peeling can be used. The only way to treat this type of spot is with the use of cosmetic brightening products combined with sunscreen, to be used year-round, not only during the actual exposure. A more invasive treatment of this type of spot would be likely to lead to a worsening of the same spot, even resulting in a post-inflammatory hyperpigmentation.
In summary, multifuncional correctors help to diminish spots in general, in particular those caused by the combination of UV rays exposure and aging.
Sublime Skin Corrector", explains Carlotta Del Canale from [comfort zone] R&D team “is a concentrated serum for the correction of age, sun and post-inflammatory spots with triple action: brightening, renewing and counteracting the uneven accumulation of melanin. Thanks to the Tri-White complex contained in the formulation, the corrector acts on the three steps that determine the skin pigementation: inflammation, synthesis and transport of melanin, and pigment accumulation”. A regular application morning and evening, before your normal routine, allows to brighten the posts, improving dyschromia and promoting a homogeneous and rejuvenated complexion. In case of age sposts, a peeling can be added, both to be used at home or in Spa with the help of a professional.
In all these cases, photo-protection is the first and foremost line of defense. The daily use of a sunscreen with UVA and UVB spectrum is the key to spots prevention. Sublime Skin Color Perfect SPF50, a tinted face cream with evening and shielding action, immeditely protects and improves the complexion. It protects effectively from UV radiations thanks to the wise combination of physical and chemical filters, calibrated to be “worn” everyday.