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Skin Pigmentation

Understanding Skin Pigmentation: A Professional Overview

Skin pigmentation is determined by melanin, a pigment reflecting the color of the skin. Disruptions in melanin production lead to skin pigment disorders, resulting in hyperpigmentation (dark spots) or hypopigmentation (lighter spots), ultimately causing an uneven skin tone. Rather than relying on over-the-counter products or home remedies, consulting a dermatologist is recommended for timely and effective resolution.

Types of Pigmentation:

  1. Hypopigmentation:
    • Albinism: Genetic condition causing extremely pale skin, white hair, and light blue eyes.
    • Vitiligo: Patchy lighter skin areas, distinct from overall color loss.
    • Pityriasis Alba: Residual white spots from prior red, scaly skin patches.
    • Tinea Versicolor: Fungal infection resulting in light or dark patches.
    • Lichen Sclerosus: Causes white patches, often in genital areas, prone to enlargement, bleeding, and scarring.
  2. Hyperpigmentation:
    • Age Spots: Sun-induced brown, tan, or black spots on sun-exposed skin.
    • Melasma: Large darkened skin patches, prevalent in pregnant women or those on birth control.
    • Post Inflammatory Hyperpigmentation: Dark spots following inflammatory skin conditions like acne or eczema.

Symptoms of Pigmentation:

  • Tanning: Darkening of the skin.
  • Freckles: Tiny dark skin spots.
  • Dark Spots: Distinct dark-colored spots.
  • Focal Pigments: Dark patches on face, forehead, neck, cheeks, etc.

Causes of Skin Pigmentation:

  1. Hypopigmentation Causes:
    • Genetic factors and conditions like albinism.
    • Skin conditions like eczema, contact dermatitis, psoriasis, infections, scars, and burns.
  2. Hyperpigmentation Causes:
    • Sun exposure triggering excess melanin production.
    • Skin inflammation due to acne or injury.
    • Hormonal imbalance, drug reactions, and medical conditions like melanoma and Addison’s disease.
  3. Preventing Hyperpigmentation:
    • Protecting the skin from the sun using sunscreen, clothing, or an umbrella.
    • Avoiding picking off scabs or spots on the skin.
    • Seeking professional advice before using skin-lightening creams to prevent reactions.

Treatments for Skin Pigmentation:

  1. Typical Treatments:
    • Creams and lotions containing components like azelaic acid, vitamin C, hydroquinone, corticosteroids, kojic acid, retinoids, and arbutin.
    • Selection based on the cause, depth, skin type, and individual lifestyle.
  2. Procedures :
    • Chemical Peel: Exfoliates to eliminate superficial pigmented cells, promoting new skin development.
    • Microdermabrasion: Epidermal resurfacing to treat uneven skin tone, photoaging, and scars.
    • Laser Treatments:Ablative lasers remove epidermal layers, while non-ablative lasers target the middle layer to promote collagen and address deep pigmentation effects.

Skin Pigmentation Treatment Cost:

  • Chemical peel costs vary based on type and number of sessions, ranging from Rs. 3,000 to Rs. 10,000 per session.
  • ND YAG laser costs depend on the area and number of sessions, ranging from Rs. 5,000 to Rs. 30,000 per session.
  • Laser treatments may be combined with other therapies for enhanced results.
Consulting a dermatologist helps determine the most suitable treatment plan, considering the type of pigmentation, depth, and individual skin characteristics.