We often get patients at TMD that are concerned with abnormal darkening or spots on the face that they want treated.  One of the most common types of darkening or hyperpigmentation is melasma.  We see patients with it frequently and often recommend the Vi Peel and microdermabrasion for it.
Melasma is the abnormal darkening of facial skin that typically occurs in women in association with pregnancy or hormonal therapy, such as with oral contraceptives.  Dark patches may be distributed on the cheeks, cheekbones, upper lips, nose and forehead, but can occur elsewhere on the body.  Certain ethnic groups, such as Native Americans, are more commonly affected, especially in regions of high sun-exposure.  There is definitely a genetic component.

Treatment of melasma has focused on topical agents and ablative agents.  Topicals include hydroquinone 2 and 4%.  Hydroquinone inhibits the enzyme that creates melanin in the skin.  Hydroquinone 4% along with other natural compounds, including kojic acid, azelaic acid, arbutin, and licorice extract are the active ingredients in the Vi Derm Bleaching Cream that we offer at TMD along with our Vi Peels.  This cream is also good for long-term maintenance.

For significant melasma, especially when one wants more immediate results, the Vi Peel is an excellent technique.  The peel works quickly and quite effectively yet is gentle on the skin.  A short series of Vi Peels may be all you need to take away the melasma.  Microdermabrasion is a good adjunctive technique as it helps to remove melanin built up in dead skin.  Call to schedule a free consultation with our licensed esthetician regarding melasma or the Vi Peel.

This entry was posted on Saturday, November 8th, 2008 at 10:19 pm and is filed under Spa/Facials. You can follow any responses to this entry through the RSS 2.0 feed. Responses are currently closed, but you can trackback from your own site.