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Skin Treatment

Hyperpigmentation Treatment

WHAT IS HYPERPIGMENTATION?

Hyperpigmentation (also known as pigmentation or dark spots) is a harmless but annoying skin condition for many men and women. It simply means the area of the skin appears darker than it should be. These include freckles, birthmarks, sun spots, age spots, dark patches, skin discolouration, and melasma. It can appear as small patches or may cover an entire body area and affect one’s self-confidence.

We provide a variety of treatments that are tailored to your skin concerns.

How does hyperpigmentation occur?

Melanocytes, the pigment cells of the skin, produce melanin distributed evenly throughout the epidermis giving the natural skin colour. When trauma, inflammation, hormonal changes, or extended sun exposure happens, the pigment can over-produce, forming “clumps” of hyperpigmentation. It can appear as small patches or may cover an entire body area and affect one’s self-confidence.

What are the causes of hyperpigmentation?

While genetics and hormones play a part in hyperpigmentation, in most cases, it is caused by skin inflammation and sun exposure. When the skin is inflamed or overexposed to the sun, the skin produces extra melanin that makes the skin look darker than usual.

WHAT ARE THE DIFFERENT TYPES OF HYPERPIGMENTATION?

Common types of hyperpigmentation include:

Melasma

Caused by hormonal changes during pregnancy

Sun Spots

Caused by excess sun exposure

Post-Inflammatory Hyperpigmentation

Frequently associated with skin inflammation such as acne spots and blemishes

Age/Liver Spots

Liver spots, they typically appear as flat brown, grey or black spots and vary in size. Age spots are more common in older adults.

Freckles

Often appearing in grey/brown patches, these patches are usually found on the cheeks, forehead and chin

Skin dullness

Decreased skin rosiness, the corresponding increase of yellowness, and the dark look caused by shadows over uneven skin surfaces

HYPERPIGMENTATION TREATMENT: AMARIS B. CLINIC’S CUSTOMISED APPROACH

There are various types of hyperpigmentation, and they do not all respond to the same treatment. A correct diagnosis is essential in the prescription of the right treatment. At Amaris B. Clinic, we practise personalised medicine, where we tailor your treatment, based on your unique skin condition, according to skin goal and progress.

Hyperpigmentation

Tailored to your skin

When you embark on the skin transformation journey with us, you can be assured that our doctor will only recommend treatments based on what you need clinically to optimally treat your hyperpigmentation.

Our doctor may propose a combination of these treatments or one on its own, depending on the state of your skin health and clinical condition:

  • Tranexamic Acid
  • Dr’s prescribed skincare range
  • Medical Grade Chemical Peels
  • Picolaser

What is a Chemical Peel?

Our doctor will assess your skin condition during the consultation. He will also evaluate your general health status, the medications you are taking for example, oral isotretinoin, if you smoke, have had previous cosmetic procedures or chemical peels done, if you have recurrent herpetic outbreaks, or if you have the tendency for keloid formation, etc. After which, based on your skin goals and clinical condition, he will propose a suitable type of peel for you.

During the treatment, a chemical exfoliating agent (with an active ingredient) is applied to the skin to destroy portions of the epidermis and/or dermis while promoting healthy cell turnover.

Chemical Peel improves hyperpigmentation and brightens the skin, giving it more radiance. It may be combined with Picolaser to further optimise the results.

What types of pigmentation can Picolaser treat?

Picolaser delivers extremely short pulses of energy into the skin to break up the pigmentation into microscopic particles, allowing your body to remove them naturally over time.

Picolaser can clinically treat:

  • Freckles
  • Post-inflammatory hyperpigmentation
  • Solar lentigines
  • Melasma/chloasma
  • Post-acne pigmentation
  • Age Spots
  • Computer Radiation Spots
  • Uneven skin tone
  • Cafe-au-lait
  • Birthmark
  • Skin dyspigmentation
  • Blue Hyperpigmentation
  • Blue or grey facial patch

FDA-approved and CE-marked, Amaris B. Clinic Picolaser’s ultrashort pulses and the wavelengths work simultaneously to disintegrate pigmentation while reducing the amount of heat delivered to the skin. As a result, the laser energy penetrates deep into the targeted skin area without causing damage to the skin surface. This also translates to a faster recovery for the patient.

Picolaser targets hyperpigmentation and stimulates collagen reproduction. It can be used to rejuvenate the skin and improve skin tone and texture.

WHO IS PERFORMING THE HYPERPIGMENTATION TREATMENT?

In Singapore, the Ministry of Health tightly regulates treatment such as lasers. Only registered and certified medical doctors with adequate training can perform the treatment.

Dr Ivan Puah

Dr Ivan Puah, the Medical Director of Amaris B. Clinic, holds a Graduate Diploma in Family Dermatology from NUS and boasts over 17 years of clinical experience in addressing various dermatological concerns. His proficiency encompasses the treatment of skin laxity, wrinkles, fine lines, hyperpigmentation, acne scarring, and more.

Dr Puah's knowledge and skill are further acknowledged through his appointment as a trainer-to-doctor by Merz Singapore and Allergan Singapore.

Dr Ivan Puah doing laser on a patient

Our Awards

HYPERPIGMENTATION TREATMENT FAQS

How do I prevent hyperpigmentation?

  • Avoid excessive sun exposure and tanning beds.
  • Apply sunscreen with an SPF of at least 50 and broad spectrum to protect against UVA and UVB rays daily, even on overcast days.
  • Avoid sun exposure in the middle of the day when UV rays are strongest.
  • For those prone to hyperpigmentation, avoid picking or touching acne spots, wounds, or cuts to reduce the chances of developing post-inflammatory dark spots.

What is melasma?

Melasma is a common skin problem, often appearing in grey/brown patches. These patches are usually found on parts of the face like the cheeks, forehead and chin.

Sun exposure can cause melasma, especially among those genetically predisposed to the condition. Birth control pills, hormone therapy, and anti-seizure medications can also trigger the condition. In women, pregnancy is also a possible cause.

It is thought that stress results in the overproduction of melanocyte-stimulating hormone (MSH), causing melasma. Those with thyroid disease also have an increased chance of developing the condition. Rare causes include allergic reactions to medications and cosmetics.

What are freckles?

Freckles commonly appear in areas exposed to the sun and come in small brown spots. While they are generally harmless, freckles are signs of sun damage on the skin. Long-term sun exposure is commonly the cause, including exposure to other forms of ultraviolet (UV) light. Fair-skinned people are generally more susceptible to UV rays and more likely to develop freckles. Another possible cause is genetics.

Why does melasma occur during pregnancy?

Melasma, or chloasma as it is known during pregnancy, occurs due to hormonal changes in the body. During this period, there is an increase in melanin production, but it is temporary. Also known as the “mask of pregnancy”, these dark patches typically appear on the face around the nose, upper lip, cheekbones and forehead in the shape of a mask.

What is the reason for freckles formation?

Freckles are spots that contain melanin, a pigment-protein. This protein is made by cells known as melanocytes, produced when skin is exposed to UV light to defend against its harmful effects. In some people, these melanocytes are evenly spread out, resulting in a tanned appearance. People with fair skin, however, experience a heavy deposit of melanin in one spot in the skin, and these spots are known as freckles.

What is pigmentation?

Pigmentation refers to the natural colour, in this case, of skin. The resulting issue is known as hyperpigmentation when it is more pronounced or uneven. Naturally, being by default the skin most exposed to the sun, our face tends to be the most susceptible to hyperpigmentation.

What is skin dullness?

The problem with dull skin is more of the appearance than the skin itself. Skin dullness can be attributed to various factors. Skincare professionals use “dullness” as a blanket term to describe a decreased skin rosiness, the corresponding increase of yellowness, and the dark look caused by shadows over uneven skin surfaces. Dull skin is dehydrated and lacks brightness and vigour.

What is the cause of dull skin?

Common factors that cause dull skin include smoking, excessive alcohol consumption, dehydration and poor diet. Any triggers that deprive your skin of much-needed oxygen and nutrients will dull skin tone. Lack of exfoliation – the sloughing of dead skin cells off– can also cause dull skin.

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