Pigment & Elevated lesion    Nevus, Melasma, Lentigo etc. - Pigment & Elevated lesion removal

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Pigment & Elevated lesion removal
There are various kinds of pigments and elevated lesions on face, neck and other areas. Removal of pigments and elevated lesions are the basic and primary step for skin whitening.

We explain roughly for easy understanding. It may not be exact explanations. Results and progresses may differ from person to person and lesion to lesion.
1Pigments Removal
(1) Pigments that is widespread on both right and left area and symmetrical are likely to be melasma
• generally aim to remove about 70% of pigments
• usually repeated treatment of laser toning+whitening material intrusion using eletrophoresis at 1~2 weeks interval. Other treatment may be needed
• no treatment mark, almost no pain
• prediction of definite treatment numbers is impossible
• In case that repeated treatment is impossible, for one time treatment, CO2 fractional laser, Nd-Yag laser, CO2 laser, laser toning, whitening material intrusion using eletrophoresis may be possible.
• recurrence is possible

※ Everyday life managements for melasma
• moisturizing cream and sunblock application everyday
• if you want to apply whitening material on the face or take oral medication, consult a doctor
• take vitamin C everyday


(2) Pigments that is not symmetrical, circumscribed and flat are likely to be nevus, freckle, lentigo, cherry angioma, Ota nevus, etc.
• generally aim to remove about 90~100% of pigments
• one time treatment removes about 30~80% of pigments
• at 1st treatment, usually combination treatment of CO2 laser+ Nd-Yag laser is needed. From the 2nd treatment, Nd-Yag laser only is needed
repeated treatment of laser toning+whitening material intrusion using eletrophoresis at 1~2 weeks interval. Other treatment may be needed
• no treatment mark, almost no pain
• prediction of definite treatment numbers is impossible
• In case that repeated treatment is impossible, for one time treatment, CO2 fractional laser, Nd-Yag laser, CO2 laser, laser toning, whitening material intrusion using eletrophoresis may be possible.
• the reason that use both CO2 laser and Nd-Yag laser is faster and more removal of pigments and prevention of postinflammatory hyperpigmentation(PIH).
• repeated procedure of CO2 laser is possible after over 1 month and repeated procedure of Nd-Yag laser is possible after over 2 weeks
• treatment after anesthesia cream about 30min.
• scabs during 7 days after CO2 laser and red spots during 7 days after Nd-Yag laser.
• prediction of definite treatment numbers is impossible, generally over 5 sessions are needed.
• recurrence is possible

※ Everyday life managements after laser treatments
• dryness and mild pruritis of face and resolve with time
• moisturizing cream and sunblock application everyday
• do not apply sunblock when there are scabs
• if you want to apply whitening material on the face or take oral medication, consult a doctor


(3) Pigments that is elevated, not flat, various colors (black, brownish and skin color) likely to be wart, soft fibroma, milia, syringoma, seborrheic keratosis, etc.
• generally one time treatment removes about 80~100% of pigments.
• CO2 laser only is needed generally, but Nd-Yag laser may be needed.
• additional treatment is possible after over 1 month.
• treatment after anesthesia cream about 30min.
• scabs during 7 days after CO2 laser and red spots during 7 days after Nd-Yag laser
• prediction of definite treatment numbers is impossible, generally over 5 sessions are needed
• recurrence is possible
2Dark Circle
Dark Circle is not a medical terminology, but is an expression of a symptom caused by a various causes. The symptoms include hyperpigmentation, prominent veins beneath the eyes and dark-looking phenomenon due to protruding fat lower eyelids. In most of cases, removal of melanin pigment using lasers shows satisfactory results.

◈Treatments
1) Nd -Yag Laser

Characteristics
• treat dark circles due to melanin pigmentation.
• requires multiple procedures for complete removal.

Downtime and pain
• Pain: 20-60 (0: no pain, 100: severe pain)
• Treatment time: anesthetic cream 40 minutes, treatment 30 minutes
• Downtime: Red spots and scabs for about 5-7 days
• Effect: 30 to 80% elimination after 1 session
• Treatment interval: more than 1 month

2) Removal of a vein
It is generally not recommended due to the risk of side effects.

3) Lower eyelid fat removal
JD Clinic does not perform surgery .

4) Hyaluronic acid filler injection
Few patients shows good effects. Generally filler injection is not recommended due to unnatural results.

◈ Daily Life Management of Dark Circles
• Moisturizer and UV cream are essential. Apply that every day.
• Do not apply functional cosmetics to the lesion area.
• Before applying whitening materials, consult your doctor and use the appropriate product.
3Treatment process
- Superficial pigmentations

CO2 laser, IPL, CO2 fractional laser
Surface beautification 30 minutes, procedure 40 minutes, after care 40 minutes.

One month between procedure.


- Deep tissue pigmentation
Takes longer than 30 minutes for the procedure and 40 minutes for after care.

7 days to one month between treatments
Cautions, side effect
Cautions, side effect
Laser Treatments
1CO2 laser
-CO2 laser
- Could be used to remove pigmentation on superficial skin.
The superficial skin pigmentations include black spot, freckles, and others.

CO2 laser enables removal of superficial skin pigmentations individually in entirety, this procedure is crucial for the successful treatment.

- It is difficult to target individual pigmentation with IPL
- Generally, IPL is done simultaneously with CO2 laser and CO2 fractional laser to achieve best result.


- Even a single combined treatment can make conspicuous improvement.
2Nd-Yag laser
- It is used for the elimination of deep tissue pigmentations.

The types of pigmentation include birth marks to all kinds of colored spots.


Nd-Yag Laser is also used for toning and other procedure such as removal of pigmentations on arms and legs.
Usually, 3 treatments are required for a satisfactory outcome.

The skin pigmentation is widely spread both on the superficial and deep tissue skin areas that the treatment is usually carried out to address problems in both.
The possibility of side-effects intensifies when trying to achieve a satisfactory condition in deep tissue pigmentation with single procedure.
3IPL
IPL is used for the treatment of superficial skin pigmentations.


IPL can also be applied to protruding vessel removal, surface pigmentation removal, epilation and whitening.


IPL has effect against dark-colored pigmentations, but not the light-colored ones.

IPL can remove most of dark-colored surface pigmentations in single treatment, but if used on the high energy level setting, there is risk of skin burn.

4CO2 Fractional Laser
CO2 fractional laser is used for the treatment of superficial skin pigmentations.



Whereas CO2 laser removed pigmentations piecemeal, CO2 fractional laser does this on the whole surface of face.
CO2 factional laser is used simultaneously with CO2 laser to achieve an optimal result.

- Even a single combined treatment can make conspicuous improvement.
This procedure will leave scabs and crusts for up to 7 days.
5Laser toning and Spectra toning
These are applied to remove deep tissue pigmentation.



Laser toning or spectra toning alone has limits in removing deep tissue pigmentation, therefore it is advised to use these with other methods of treatments.
6Other Treatments
- Scarlet RF Fractional

- DNA(PDRN) injection

- Ion migration, electricity migration, stem cell culture, and whitening solution application
- The Ion migration treatment delivers Vitamin C to skin by electricity flow.
- The whitening effect is almost immediate with this procedure.

The methods of delivering whitening solutions include electricity, ultrasonic, skin perforation and others.
The whitening solutions include Vitamin C, Albutin and others.


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