Pigmentation (Melasma)

MELASMA

 Frequently Asked Questions

Melasma is also known as 'mask of pregnancy' although you don’t have to be in a childbearing state to acquire this dark brown pigmentation  resulting in patchy skin discolouration .

The hormone oestrogen can at times result in overactive pigment producing melanocytes . The outcome, brown patches across the cheeks , chin, forehead and around the mouth. While you don’t have to be taking oestrogen supplements or be pregnant to develop melasma, these certainly increase your risk of developing melasma. Birth control pills and hormone replacement medications are also a common trigger for melasma development . 

Melasma is caused by the over-stimulation of melanocytes  (cells in the dermal layer which transfer a pigment called melanin to the keratinocytes of skin) when the skin is exposed to ultraviolet light from the sun. Small amounts of sun exposure can make melasma return to the skin after it has faded, which is why people with melasma often get it again and again, particularly in the summer.

The sun is your enemy . No matter the cause of you discolouration, the sun actively plays a role in deepening the disparity between your natural lovely skin tone and the unwanted dark patches.

May be you can place the blame squarely on those hours spent in the sun unintentionally sun bathing or perhaps you were merely passing through on your way to less sunny conditions. But without an effective sunscreen like the Nuevo SPF50+ Sunscreen, those UV rays are going to send your pigment skin cells (aka melanocytes) into overdrive. 

Genetic predisposition is also a major factor in determining whether someone will develop melasma. People with the Fitzpatrick skin type III or greater from African, Asian, or Hispanic descent are at a much higher risk than others, and people of all pigmented races living in areas with high-tensity UV radiation are also at increased risk. Treatment of melasma is changing due to its multifactorial aetiology:

  • Primarily a genetic predisposition 
  • Secondarily, high levels of oestrogen in the body (both natural and supplemented)

These factors are complicated by sun sensitivity in which a small exposure to sunlight triggers a series of enzymatic reactions and leads to production of excess pigmentation . 

The real treatment has three challenges:

  1. The first is Basic life style change: Discontinue or decrease hormone use, avoiding the sun, and using an effective sunscreen such as the Nuevo SPF 50+ Sunscreen
  2. The second challenge is the ability to deliver skin medications to the appropriate site: the epidermal melanin unit in the epidermis and to melanophages in the dermis. Our Pigmentation Set really shines here. 
  3. The last challenge is chronic suppression of melanocytes 

TREATMENT OF MELASMA WITH THE NUEVO DERMA-THERAPEUTIC PIGMENTATION SYSTEM

 The principle of the treatment is to increase the penetration of topical medication to reduce the thickness of the stratum corneum (the outer most layer of the skin) by applying the Nuevo Exfol Peel and daily use of the Nuevo products as follows:

1. Preparation and Pre-treatment Peel with the Exfol Peel :

Exfol Peel is to be applied once a fortnight (every 2 weeks) for 4 sessions (8 weeks in total). After the first peel, the Nuevo Pigmentation Set should be used immediately and this is to be continued throughout the Exfol Peel regimen and beyond to maintain the incredible results.

 

2. Usage of the Nuevo Derma-Therapeutic Pigmentation Skin Care Set 

The Morning Regimen (AM)

i) Nuevo Cleansing Milk (To cleanse & exfoliate dead skin and debris)

ii) Nuevo Hydrating Lightening Cream (To improve uneven skin tone, brighten skin, lighten blemishes, and to provide deep hydration. Product should only be used daily for first 2-4 months and then every second day after 4 months.) 

iii) Nuevo Day Protection Cream (Moderate sun protection with SPF, Anti-oxidants to prevent free-radical damage to skin cells, and AHA/BHA complex to improve absorption of products and brighten skin)

iv) Nuevo Sunscreen SPF 50+ (High Level protection from UV damage to the skin which is one of the main causes of pigmentation and ageing. The high levels of anti-oxidants in the formulation also combat free-radical damage and create a protective layer to continue protecting the skin.)

Optional Add Ons: 

v) Total Rejuvenation 35+ (For maximal lightening of melasma and severe pigmentation. Apply a few drops before using the hydrating lightening cream or before the Intensive Night Treatment. The product contains liposomal complex delivery system allowing for better absorption of ingredients, is rich in Vit C and E antioxidants to protect skin from free radical damage, and contains Hyaluronic Acid to draw moisture to the skin.)

The Night Regimen (PM)

i) Nuevo Cleansing Milk (To cleanse & exfoliate dead skin and debris)

ii) Nuevo Hydrating Lightening Cream (To improve uneven skin tone, brighten skin, lighten blemishes, and to provide deep hydration. Product should only be used daily for first 2-4 months and then every second day after 4 months.) 

iii) Nuevo Night Intensive Repair Cream (Promotes regeneration of collagen and elastin while brightening skin with retinol and promoting regeneration of healthy skin cells. This is best used after applying the Total Rejuvenation 35+)

 

BEFORE & AFTER PHOTOS OF PATIENTS TREATED WITH THE NUEVO DERMA-THERAPEUTIC PIGMENTATION SYSTEM

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