Prevention and Treatment

Hyper pigmentation or pigmentation refers to darker areas of pigment on the skin. The causes to this condition might vary but the treatment is very much aligned. In skin care units we mostly see three types of hyper pigmentation:

  • Solar pigmentation also know as age spots or liver spots: this is caused by sun damage to the skin and is more prevalent in lighter more aged skins.
  • Post Inflammatory Hyper (PIH) pigmentation is caused by any form of inflammatory processes in the skin. Mostly the cause is related to inflammatory acne. In this case it might be more important to treat the acne before attempting to treat the hyper pigmentation
  • Melasma or hormonal pigmentation: this type of pigmentation irregularity is linked to changes in hormonal status. It might be worsened by changes in contraception, pregnancy and infertility treatments. The challenge with hormonal pigmentation is that we know how pigmentation is formed in the body. We understand all the factors that contribute but we are still not sure exactly which hormone is related to the problem. Even though the condition is found mostly in woman there is also a 10% incidence in males.

Generally with Hyper Pigmentation it will be necessary to have a slight amount of social downtime, so a little flaking or peeling with these treatments will result in a improved result. Doing lighter, non peeling treatments will be successful but will require more treatments to get results.

Treatments

Salicylic acid is a beta-hydroxy acid that is derived from the bark of a willow tree. Salicylic acid in lipid soluble and in the Beta Peel formulation it is used for its effect on the lipid found in the corneum of the skin. This self neutralising formulation is also effective in commedones (Black and whiteheads) and congestion. The treatment will, especially with the first few treatments, cause some dryness of skin and flaking.

There are three concentrations of this treatment, Beta Peel 15%. Beta Peel 20% and Beta Peel 30%. The latter is only performed in skin care units where there is a doctor involved.

How it works:

All impurities and oils are removed during the cleansing process. The next step, degreasing the skin, will remove oils that might prevent the penetration and action of the peel on your skin.

This preparation phase is then followed by application of Beta Peel. The solution will be applied to your skin with gauze. Within a few second of applying the solution you will experience an intense tingling sensation.Your skin care therapist will fan your skin if necessary and will help you through this tingling. This will only last for up to three minutes and will dissipate and become more comfortable. Depending on what the therapist is seeing on your skin, how many peels you have had and the results you would want to achieve your therapist might decide to apply a second and even third layer of the solution.

When the tingling has subsided the peel solution has self neutralised so there is not neutralising process involved in this treatment.

Depending on the type of skin care unit and their signature treatments the following might be included in your treatment: extractions and deep cleanse, tint and plucking of brows.Excessive extractions are not necessary and this peel does most of the work.

The treatment is completed with moisturiser and sunscreen application.

Skin directly after the treatment

You skin will feel hydrated, pump and glowing after this treatment. A little bit of redness is very normal and should dissipate very quickly.

What you can expect in the week after your treatment:

Depending on when the treatment has been done your therapist will indicate if you need to cleanse in the evening and start applying your barrier repair cream.

The next morning your skin should be tight and dry. Stop all treatment products except for your Brighter concentrate (if you are using it) in the flaking phase.

Your skincare routine while flaking

In the Morning:

Cleanse your skin with your finger tips using your Lamelle Cleanser.

Pat your skin dry with a towel, do not rub.

Apply Brighter Concentrate as your skin care professional has instructed.

Apply Barrier Repair Cream.

Apply your Lamelle Sunscreen.

During the Day:

Carry your Lamelle Barrier Repair Cream with you, when your feels dry or slightly itchy, apply more Barrier Repair Cream to the area.

In the Evening:

Cleanse your skin with your finger tips using your Lamelle Cleanser.

Pat your skin dry with a towel, do not rub.

Apply Brighter Concentrate as your skin care professional has instructed.

Apply Barrier Repair Cream.

Follow this routine until your skin in completely healed and no longer dry or flaking.

Special Care after the treatment:

  • Protect your skin from the sun by avoiding sun and apply your sunscreen every morning.
  • No treatments for 14 days on the treated area, this includes waxing, peels and laser or IPL treatments and micro needling.
  • Do not exfoliate for 10 days after the treatment. These include toners and cleansers that contain alpha hydroxy acids.
  • Do not pick the skin, allow extracted areas to heal.
  • Only start using your retinoid (Vit. A) containing products on the evening of day 6 after the treatment if your skin is fully healed

How it Works:

In cases where more flaking is required the skin care therapist might decide to add Retinol to your treatment. This might be done in skin where the pigmentation is resistant to treatment or where the skin is not peeling adequately to see results. The initial Beta Peel treatment is the same, the after care products (moisturiser and sunscreen) are however replaced by the application of Retinol 0,3 serum. This needs to be left in place for 8 to 12 hours. Your therapist will tell you when you can cleanse your skin and start the After Care Routine as discussed with the Beta and TCA peels.

How it Works:

Spot treatment is designed to treat pigmented areas that are resistant to treatment. This treatment is especially popular in solar pigmentation in more aged skin. Two or three of these treatments are generally enough to see drastic improvement and because the area of pigment is limited it generally is easy to manage from a social downtime point of view.

One of two layers of beta peel might be done on the full face. The skin care therapist will then apply TCA with an ear bud to the ‘dark spot’ only.  She might apply many layers with waiting periods of around 3 minutes in between applications. The therapist will have a result in mind and will apply TCA until your skin responds to get the best results.

When she is happy she will apply a moisturiser and sunscreen or she might decide to apply Retinol 0,3, once again depending on what you want to achieve.

Skin directly after the treatment

You skin might feel a little hot and heat sensitive directly after the treatment. For around 48 hours after the treatment it is very normal to experience some sensitivity in the area where the TCA was used.

What you can expect in the week after your treatment

Depending on the size of the area that was treated with TCA your skin will vary from only dryness to tight dry parchment like skin. It is very normal for the pigmented area to darken drastically. Your therapist will be very excited by this, as it means that skin will be peeling off to reveal new, healthy and less pigmented.

Your skincare routine while flaking

In the Morning:

Cleanse your skin with your finger tips using your Lamelle Cleanser.

Pat your skin dry with a towel, do not rub.

Apply Brighter Concentrate as your skin care professional has instructed.

Apply Barrier Repair Cream.

Apply your Lamelle Sunscreen.

During the Day:

Carry your Lamelle Barrier Repair Cream with you, when your feels dry or slightly itchy, apply more Barrier Repair Cream to the area. If the areas are very limited this might not be necessary.

In the Evening:

Cleanse your skin with your finger tips using your Lamelle Cleanser.

Pat your skin dry with a towel, do not rub.

Apply Brighter Concentrate as your skin care professional has instructed.

Apply Barrier Repair Cream.

Follow this routine until your skin in completely healed and no longer dry or flaking.

Special care after treatment:

  • Protect your skin from the sun by avoiding sun and apply your sunscreen every morning.
  • No treatments for 14 days on the treated area, this includes waxing, peels and laser or IPL treatments and micro needling.
  • Do not exfoliate for 10 days after the treatment. These include toners and cleansers that contain alpha hydroxy acids.
  • Do not pick or pull the flaking skin, allow the skin to come of naturally. Removing flaking skin to early might mean the new skin is not yet ready to be exposed and might react.
  • Only start using your retinoid (Vit. A) containing products when your skin is fully healed.

How it Works:

The Augmented Beta Peel incorporates 3 peels in one treatment, Beta Peel, TCA and Retinol. When having this peel done you need to consider that there will be some social downtime. Your therapist will discuss this with you to plan a time when is best in your social and work calendar. The advantage to this peel is that the change in your skin will be quiet drastic. The treatment is chosen for severe ageing, resistant pigmentation and skin that requires aggressive intervention.Your skin will be prepared with other lighter peels prior to attempting this treatment as your skin must be intact when doing it. It is also important to make sure that there is no risk of injury with the peel so depending on the condition of your skin your therapist will suggest a preparation treatment which will incorporate any of the following products, Cathepzyme 2 or RA Cream, Brighter Concentrate, Barrier Repair, Recharge CE Complex or Serra Restore. The preparation period will generally be two weeks prior to doing the treatment.

All impurities and oils are removed during the cleansing process. The next step, degreasing the skin, will remove oils that might prevent the penetration and action of the peel on your skin.

This preparation phase is then followed by application of Beta Peel. The solution will be applied to your skin with gauze. Within a few second of applying the solution you will experience an intense tingling sensation.Your skin care therapist will fan your skin if necessary and will help you through this tingling. This will only last for up to three minutes and will dissipate and become more comfortable.As second layer of the Beta peel is applied as soon as the first layer has neutralised.

After the second layer has done is work the skin will be wiped with a moist compress or sponges.

The next few layers will be TCA layers. The TCA is quite uncomfortable when on your skin and your skin care therapist will either fan your skin or will give you a hand held fan to fan your own skin while the TCA is on your skin. The therapist will wait for each layer to calm down before applying the next layer. This step is repeated until your skin responds to the level that the therapist is hoping to achieve. Your skin is allowed to calm completely.

The treatment is completed with the application of Retinol 0,3 serum. This is left on your skin for 8 to 12 hours or even over night. Your therapist will indicate when you can remove the Retinol and start you aftercare process.

Skin directly after the treatment

Your skin will feel like it has been on a workout directly after this treatment. You will be more heat sensitive so it is important (also because you have no sunscreen on) to keep your skin well protected from the sun and heat.

It is very possible that your skin will become quite hot within the first 48 hours after the treatment.

What you can expect in the week after your treatment

Your skin will feel very tight and dry the day after and until your skin has completed the peel process. Generally your will start peeling around your mouth and nose and then the rest of your face will peel. This is because the area moves more.

It is very normal for the pigmented area to darken drastically and your skin will have a parchment like texture. Your therapist will be very excited by this, as it means that skin will be peeling off to reveal new, healthy and less pigmented.

Your skincare routine while peeling

In the Morning:

Cleanse your skin with your finger tips using your Lamelle Cleanser.

Pat your skin dry with a towel, do not rub.

Apply Brighter Concentrate as your skin care professional has instructed.

Apply Barrier Repair Cream.

Apply your Lamelle Sunscreen.

During the Day:

Carry your Lamelle Barrier Repair Cream with you, when your feels dry or slightly itchy, apply more Barrier Repair Cream to the area.

In the Evening:

Cleanse your skin with your finger tips using your Lamelle Cleanser.

Pat your skin dry with a towel, do not rub.

Apply Brighter Concentrate as your skin care professional has instructed.

Apply Barrier Repair Cream.

If the Barrier Repair Cream is not giving you enough relief during the night your therapist might suggest an alternative treatment for the first few nights after the treatment.

Follow this routine until your skin in completely healed and no longer dry or flaking.

Special care after your treatment:

  • Protect your skin from the sun by avoiding sun and apply your sunscreen every morning.
  • No treatments for 14 days on the treated area, this includes waxing, peels and laser or IPL treatments and micro needling.
  • Do not exfoliate for 10 days after the treatment. These include toners and cleansers that contain alpha hydroxy acids.
  • Do not pick or pull the flaking skin, allow the skin to come of naturally. Removing the skin to early might mean the new skin is not yet ready to be exposed and might react.
  • Only start using your retinoid (Vit. A) containing products when your skin is fully healed.

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