From Tshiamo Molete

Question

Hi Dr. I am a 46 year old lady, and have hyperpigmentation on my face (cheeks,forehead and nose. I never had them during my 2 pregnancies. 7 years after my second child they erupted from nowhere and I struggled with them for 16 years. I got pregnant for a third time and after the birth they disappeared for 4 months, but they came out again. I consulted many doctors and specialists without any help. I used many recommended treatment but till today I am still struggling. Please help

Submitted by Tshiamo Molete on 23 July 2019

Answer

Hello. What you are explaining here is typical of hormonal pigmentation. Pigmentation can increase or decrease with any hormonal fluctuation, this gets aggravated by long or excessive UV exposure. The cells that product our Melanin, the pigment of the skin, is situated in the epidermal layer of the skin (this is the top layer of the skin), the problem with hormonal pigment is that it actually drops into the dermis (the deeper layer of the skin). Once the pigment is in the dermis, it is nearly impossible to remove. Most aggressive lasers and Chemical peels will actually cause it to get worse due to the amount of inflammation they create. This however does not mean that ALL the pigment has dropped to the dermis, a lot of the pigmentation is still situated in the Epidermis of the skin and this is the pigment we can treat. Step one will be to start using a Tyrosinase inhibitor, a pigment suppressor, this will decrease the activity of the pigment producing cell and prevent more pigment from forming. Inflammation caused by the hormonal fluctuation, UV radiation, medication etc. needs to be reduced as much as possible. Treatments such as PDT (Photo Dynamic therapy) can be done weekly to reduce the inflammation in the skin. Once we have the pigment producing cells under control and the inflammation at bay we can start working on getting the pigment out.  Laser Genesis treatment can be done to break up the pigment cells in the epidermis making them easier to remove by superficial chemical peels. From a homecare perspective, topical products that contain pigment reducing ingredients can be used daily, Lamelle Luminesce is a good homecare range that includes a cleanser, day cream, night cream and serum. The use of a SPF minimum 50 is vital.

Want to ask a question? Sign in here sign up now

More Questions

Question from Penelope PENNY

Question

Hey there I am an aspiring beauty blogger and I would like to know about the effects of climate and climate change on skin. I have been watching a lot of beauty and make-up reviews on YouTube and other fashion and beauty blogs and this has been a recurring topic among influencers. Does this mean that seasonal changes require me to change the products that I use on my skin with every season or can I use the same products throughout the year?

Thank you do much for replying to my question, I really appreciate it.

View the answer

| Submitted by Penelope Penny on 4 August 2019

Question from Dorothy Basson

Question

Hi Dr Allem
I am a lupus patient and have rosacea skin. I have developed a skin allergy/ rash because I used Eucerin anti redness for extra moisture during winter. I normally use Bioderma AR and Skinceuticals Phytocorrective. It always worked fine, however due to dryness I tried Eucerin which caused such an allergic reaction that I can not get it to calm down. The dermatologist and doctor prescribed Tetralysal, Prednisone, Travocort, which did not do much then Advantan Ointment, Advantan milk, Epimax mixed with a cortisone…. there is pretty much not much I have not tried. I have a bright red cheeks and neck. My problem is that even the Bioderma and Skinceuticals now make me flare up. I also have Lamelle Serra products. I’m desperate for a product and foundation that I can try? Please can you recommend something? Anything from Skinceuticals kills me – I have tried them all.
Thanks and kind regards
Dorothy

View the answer

| Submitted by Dorothy Basson on 4 August 2019

From Tanita Brandt

Question

Hi there Dr Maureen,

Lamelle vs Nimue vs Environ?
In your opinion which of the 3 is the best daily skin care brand to use?

View the answer

| Submitted by Tanita Brandt on 23 July 2019

Question from Frances Kovacs

Question

I’m 60 years old and relatively well preserved, but the veins on my forehead stand out, which is exacerbated by hot weather or if I bend down. Can they be removed? or concealed with subcutaneous fat injections?

View the answer

| Submitted by Frances Kovacs on 9 July 2019

Question from Filizia Vanrensburg

Question

Hi Dr Maureen

I have a combination skin, dry around my eyes and cheeks. I have large open pores and and my skin is saggy and I have developed fine lines and dark circles around my eyes. Please advise.

View the answer

| Submitted by Filizia Vanrensburg on 12 May 2019

BeautySouthAfrica - your pre-shop stop for all things beauty

Beautysouthafrica.com is South Africa’s most comprehensive online beauty magazine and your pre-shop stop for product information and reviews. From the latest international make-up trends to the hottest new products on the market, we offer insights into the glamorous world of beauty. Join like-minded beauty fanatics in our loyalty program and earn points, trial beauty products and share your experiences.

Become a beauty addict!

Get great deals and climb the ladder to a Gold Star!

×

Sign In

×