Periorbital Hyperpigmentation Laser Treatment
According to the author the key to successful treatment. This usually requires multiple treatments 3-5 treatments and is best when combined with depigmenting agents containing tretinoin and hydroquinone.
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Periorbital hyperpigmentation is a generally benign extremely common condition that is notoriously resistant to treatment.
Periorbital hyperpigmentation laser treatment. Combined Therapy Using Q-Switched Ruby Laser and Bleaching Treatment with Tretinoin and Hydroquinone for Periorbital Skin Hyperpigmentation in Asians. 532014 Momosawa A et al. Highly effective with appropriate patient selection and technique.
May be combined with surgical and laser treatment Risk of scarring pigment change and demarcation Laser Ablative CO 2 Can stimulate collagen production lighten and tighten skin simultaneously and provide lasting results. 22092727 Indexed for MEDLINE Publication Types. Effective treatments for POH include lasers topical creams and serums fillers chemical peels carboxytherapy plasma-rich platelet injections blepharoplasty and normobaric oxygen.
Researchers comparing carboxy therapy chemical peel and vitamin C mesotherapy for treatment of periorbital dark circles found all three effectively reduced the pigmentation but mesotherapy had a slight edge in outcomes and patient satisfaction according to a study published February 2019 in the Journal of Cosmetic Dermatology. This results in strengthening of blood vessels and lesser leakage thus in-turn takes care of pigmentation and puffy eyes. Autologous fat transplantation is used to treat periorbital hyperpigmentation due to thin and translucent lower eyelid skin overlying the orbicularis oculi muscle.
29 Eighteen Japanese patients underwent combined therapy of initial topical bleaching treatment with tretinoin aqueous gel and hydroquinone ointment for 6 weeks to reduce. Fractionated 1550-nm erbium-doped fiber laser for the treatment of periorbital hyperpigmentation. 1112005 In many patients periorbital hyperpigmentation has a variety of causes requiring a multimodal approach that may include topical bleaching agents chemical peels laser therapy andor surgery.
In many patients periorbital hyperpigmentation has a variety of causes requiring a multimodal approach that may include topical bleaching agents chemical peels laser therapy andor surgery. Moody MN1 Landau JM Goldberg LH Friedman PM. Chemical Peels- These can use alone or in combination with topical bleaching agents.
Blepharoplasty surgery is best when excessive skin laxity is the underlying. 2872009 Momosawa and colleagues conducted a study on periorbital skin hyperpigmentation of a combined treatment using a Qswitched ruby laser and bleaching treatment with tretinoin and hydroquinone. Laser treatments have been used for the treatment of POH as well including long-pulsed and picosecond laser types for pigmentations tattoo removal and vascular lesions 22 23 24 25 26.
The therapy of hyperpigmentation is based on accelerate epidermal turnover with removal of pigment in superficial layer glycolic acid salicylic acid and lactic acid increase in melanosome transfer and downregulation of tyrosinase Tretinoin retard melanocyte proliferation melanocyte secretory function and inhibition of inflammation corticosteroids and inhibition of enzyme. 1Derm Surgery Associates Houston Texas USA. Safety issues are of utmost concern when embarking upon treatments such as chemical peeling filler injection and laser therapy as not to worsen the pigmentation.
Autologous fat transplantation. In vascular POH the main treatment is to target the vessel walls to stabilize them and the use of vitamin C Phytonadione vitamin K1 tretinoin and so on can help whereas pigmented POH is treated with hydroquinone and other depigmenting agents along with lasers. Without intervention POH usually progresses over time so early intervention and management is encouraged.
We have world-class pixel Erbium laser technology to get rid of this pigmentation. Sun protection is a cornerstone of therapy. The results showed that both carboxy therapy and NdYAG laser are effective in the treatment of periorbital dark circles but carboxy therapy is significantly more effective.
When laser rays are targeted over this area body stimulates healing response to this injury and new collagen and supporting tissue is formed. In addition topical treatment may be combined with lasers to achieve a better outcome 1 27. 112016 These include the pulsed dye laser diode laser 1064nm NdYAG laser 1320nm NdYAG laser 1540nm erbium glass laser and intensed pulsed light laser sources.
In mixed type POH the approach should be through combination therapy. Soft tissue fillers and autologous fat grafting are most effective in treating dark circles due to volume loss. 1112005 Although medical treatment is not always indicated there are some newer approaches and combined therapies that offer hope for the treatment of dark circles.
Laser is also helpful when skin laxity or age related changes are the main cause of the pigmentation.
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