Pigmentation Treatment
What is pigmentation?
How it works
Our leading Consultant Dermatologist, Dr Rajani Nalluri, or her secretary will respond to your enquiry with a complimentary telephone discussion or email, to answer any questions regarding the consultation process and schedule an appointment for you to see her in the clinic or virtually.
- A questionnaire will be emailed out for you to complete
- Also include image/s of your skin condition in the email (far and close up views)
- Please return them at least 24 hours before your appointment so that it can be reviewed in detail, and the consultation time used more effectively.
Dr Nalluri will provide a medical diagnosis and discuss your treatment options during the consultation
Melasma
Melasma is the most common cause of hyperpigmentation in people with skin of colour.
Melasma presents as dark patches on the cheeks, the forehead, the bridge of your nose, your upper lip and/or your chin.
FAQ
What causes melasma?
It is a condition that commonly runs within a family. Pregnancy, contraceptive pills, and sun exposure (both UV and visible light from the sun or light bulbs) can also be a cause of Melasma.
How do we treat melasma?
An initial consultation is required to make diagnosis and discuss treatment options. Melasma can usually be assessed clinically, without the need of a biopsy.
Treatment options (both medical and cosmetic) include:
- Depigmenting Creams – we usually recommend using the cream for 3-6 months to reach optimum results.
- Sunscreen – sunscreens that are effective at blocking pigmentation are essential as UVA/UVB sunscreens alone are insufficient.
- Chemical Peels – This treatment can only be performed by a trained professional and multiple sessions may be required
- Laser – some types of laser can be effective in treating Melasma.
- Tranexamic Acid – this is one of the most effective treatments for Melasma and is available as oral medication, topical creams and injectables. Treatment courses can last between 2-6 months. This clinic has one of the very few dermatologists in the country with experience in using Tranexamic Acid.
Post-inflammatory hyperpigmentation
PIH presents as brown or purple patches that are left behind after skin irritation or damage in skin of colour patients.
FAQ
What causes PIH?
PIH is caused by irritation from other skin conditions, like acne, eczema, psoriasis, seborrhoeic dermatitis and lichen planus. It can also be caused by physical injuries like burns or grazes.
Treatment is aimed at:
- Treating the underlying cause of skin irritation
- Methods to lighten the pigmentation
Before Treatment
This patient presented with post inflammatory hyperpigmentation on left forehead; which occurred after a procedure.
This was deep in the skin
After Treatment
Results after 4 sessions of laser and formulated creams
Hardly noticeable now
Very happy patient
Lichen planus pigmentosus
LPP presents as grey to brown patches that affect the face, neck, upper limbs, skin folds and the groin.
FAQ
Treatment is aimed at:
- Reduction of the inflammation
- Lightening the pigmentation.
Acanthosis nigricans
Acanthosis Nigricans presents as velvety, thick, dark skin affecting the back of the neck, underarms and groin area, the forehead and upper cheeks.
FAQ
What causes AN?
Acanthosis Nigricans is associated with high blood pressure, obesity, high cholesterol and heart disease.
How do we treat AN?
Treatment includes depigmenting or skin lightening agents.
Vitiligo
LPP presents as grey to brown patches that affect the face, neck, upper limbs, skin folds and the groin.
FAQ
What causes vitiligo?
Vitiligo is an autoimmune disease where the body’s immune system attacks its own pigment cells (melanocytes).
Treatment options include:
- Topical steroids and calcineurin inhibitors
- In cases of severe and rapidly spreading vitiligo, oral medications can be recommended.
- Phototherapy or Excimer laser are used certain cases
- Surgical treatment such as a Punch Graft or a Melanocyte Transfer can be offered in carefully selected cases.
Our Approach
Our Consultant Dermatologist has undergone specialist training to provide cutting edge treatment for pigmentation occurring in ALL skin types, including skin of colour.
In most cases, our outpatient services can be administered on the same day as your initial consultation. Varna Pigmentation offers our clients quick and easy access to advanced dermatological advice and streamlined treatment services.
Dr Nalluri has a unique and specialist interest in pigmentation and treating all skin types
Find out more about your Consultant Dermatologist
