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The colour of your skin, hair and eyes is determined by a pigment called melanin. This pigment is produced by pigment-cells called melanocytes. Healthy melanocytes will evenly distribute pigment throughout the skin, giving a smooth and even complexion. Unhealthy, inflamed or damaged melanocytes can either over-produce clumps of pigment leading to hyperpigmentation (dark spots), or stop producing pigment altogether leading to hypopigmentation (white spots).

Melanocytes are sensitive to their surrounding environment. Inflammation (e.g. acne, trauma, aggressive peels or lasers), hormones, sun exposure, medication and medical conditions can cause melanocytes to either over- or under-produce melanin pigment. The treatment of hyperpigmentation focuses on stabilising melanocyte activity to prevent the over-production of pigment and speeding up the shedding of existing pigmentation.

It is important to consult one of our expert skin practitioners who can assess the underlying cause of your pigmentation and advise on the best treatment options for you.


Treatment Options

Topical skincare plays an important role in successfully treating pigmentation. As sun exposure is a major factor in the development of pigmentation, sun avoidance and strict use of high-factor SPF will be required in the treatment of pigmentation. Topical ingredients such as hydroquinone, glycolic acid and vitamin A and C, are often used to treat and prevent pigmentation.  Following a thorough consultation, your practitioner will recommend a tailored topical skin programme.

Fruit and other natural acids can be used to blend pigmentation, improve skin texture, and promote regeneration. The treatment involves a non-toxic chemical (usually from fruit acids) applied to the skin to naturally exfoliate and remove pigmentation. Peels range from mild and refreshing to more intense and resurfacing. We offer a full range of Dr Tatiana’s own blend of chemical peels. Dr Tatiana has combined natural acids with anti-inflammatory ingredients to achieve optimal results, with minimal down-time.

Light energy from an Alexandrite laser is used to treat pigmented lesions such as solar lentigo, ephelides, macular pigmented seborrhoiec keratosis, café au lait macules, naevus of Ota and Mongolian blue spots. Short pulses of light-energy are used to shatter the pigment within the skin. This process oxidises the pigment, turning it darker, and causing the pigmented skin to peel off.

Carbon dioxide (CO2) laser can be used to effectively treat stubborn pigmentation or melasma. The laser targets the superficial and deep layers of the skin to create tiny wounds and stimulate a wound-healing response. This treatment can be used in combination to first destroy abnormal pigment cells (melanocytes) with the CO2 laser and then selectively eliminate the pigment (melanin) using the Alexandrite laser.

Cosmelan and Dermamelan peels are industry-leading treatments for all types of pigmentation, including melasma. The peels work to deeply resurface, blend and remove unwanted pigment whilst also improving skin texture, luminosity and health. The treatment programme includes skin preparation, two targeted peels and a 12-month supply of skin products – to ensure that we help you maintain the outstanding results of your treatment.

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