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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-producing melanin pigment. The treatment of white spots depends on the underlying cause, which may include milia, white-heads (closed comedones), vitiligo, pityriasis alba, tinea versicolour or sunspots (guttate hypomelanonsis).

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


Treatment Options

Topical skincare plays an important role in successfully treating hypopigmentation. Following a thorough consultation, your practitioner will recommend a tailored topical skin programme.

Milia and white-heads (closed comedones) can be removed by extraction facials. This involves a deep clean and disinfection of the skin followed by a small instrument that carefully removes the debris under the skin. We recommend using vitamin A cream and a scrub before and after treatment to soften the skin for more effective extraction and to prevent the recurrence of milia and comedones.

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 naturally exfoliate the skin. 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.

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