{"id":2165,"date":"2019-09-13T02:00:40","date_gmt":"2019-09-13T00:00:40","guid":{"rendered":"https:\/\/hautwerk.ch\/hyperpigmentierung\/"},"modified":"2024-02-26T16:05:38","modified_gmt":"2024-02-26T15:05:38","slug":"hyperpigmentation","status":"publish","type":"post","link":"https:\/\/hautwerk.ch\/en\/blog\/hyperpigmentation\/","title":{"rendered":"Hyperpigmentation"},"content":{"rendered":"

While a few freckles are still considered likeable and cute, just a few Age spots<\/a> with an urgent need for treatment in the dermatology practice. Hyperpigmentation is a congenital or acquired pathological dark discoloration of the skin or mucous membrane. Laser treatment is the treatment of choice. <\/p>\n\n\n\n

Hyperpigmentation is caused by an\nincreased number of melanocytes or by increased localized melanin formation.\nPossible reasons for the increased occurrence are today's lifestyle with pronounced\nwith pronounced UV exposure and the widespread use of hormonal contraceptives.\nhormonal contraceptives and hormonal therapies. <\/p>\n\n\n\n

In addition, there is the so-called post-inflammatory hyperpigmentation (PIH), i.e. pigmentation that occurs after inflammation. Examples would be after a burn, a chemical burn or even inflammatory skin diseases. Sometimes, unfortunately, they occur after failed laser treatments or aggressive peeling treatments. The treatment of such pigmentary shifts is not infrequently a therapeutic challenge that must be readjusted for each individual patient. The choice of treatment method depends in particular on the depth of pigmentation in the skin.<\/p>\n\n\n\n

\n
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PIH after heat damage before treatment<\/figcaption><\/figure>\n\n\n\n
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After treatment<\/figcaption><\/figure>\n<\/figure>\n\n\n\n

When a patient comes to us with the wish to remove a\npigmented lesion, the first step is to make a correct diagnosis.\ncorrect diagnosis. The most important factors are the patient's medical history and a\ndermatoscopic examination (magnifying glass placed on the skin). At\nIf a malignant lesion is suspected, a tissue sample must be taken. Depending on the\ndiagnosis, the appropriate treatment must be determined.\nEither a local cream therapy or a laser therapy can be used.\ntherapy. In many cases, a combination therapy is also chosen.<\/p>\n\n\n\n

The lightening of the affected skin areas\nwith locally applied products is primarily promised through the use of active\nof active ingredients that either inhibit the growth of melanocytes or melanin production\nmelanin production or promote the breakdown of melanocytes.<\/p>\n\n\n\n

If topical therapies do not show an appropriate\nresponse, various laser systems can be used as a supportive measure, or a\nor you can decide to use a laser as the primary treatment.\nWhenever you pick up a laser, you should think about the choice of wavelength.\nwavelength. In the case of hyperpigmentation, we have a\nspectrum of wavelengths that absorb in melanin.<\/p>\n\n\n\n

A distinction must be made here between 1. ephelids, lentigines or flat seborrheic keratoses<\/a> or 2. to the fundamentally different treatment of the Melasma<\/a> or the PIH.<\/p>\n\n\n\n

For the first group, q-switched lasers are the first choice: Classically, we use q-switched ruby lasers (694nm), which, however, carry the risk of permanent hypopigmentation in darker skin types. Alternatively, we use the wavelength 532nm as q-switched nano- or picosecond laser. Properly dosed, there is no epidermal injury, but the treated pigment changes within a few minutes to a darker lesion, usually surrounded by a slight redness. In order not to induce PIH, this treatment is always performed under consistent skin cooling.<\/p>\n\n\n\n

\n
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Seborrheic keratosis before treatment<\/figcaption><\/figure>\n\n\n\n
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After treatment<\/figcaption><\/figure>\n<\/figure>\n\n\n\n

In melasma and also in PIH, a forced procedure can worsen the findings. Therefore, fractionated non-ablative lasers, Q-switched 1064nm, a Q-switched ruby laser (694nm) or the fractionated thullium laser are often used in such cases. The treating physician should be well versed in this therapy to avoid risking deterioration. Used correctly, these lasers can often work wonders. The number of therapy failures is very small.<\/p>\n\n\n\n

\n
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Melasma before treatment<\/figcaption><\/figure>\n\n\n\n
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After treatment<\/figcaption><\/figure>\n<\/figure>\n\n\n\n

As can be easily seen, the treatment options are extensive. However, we are well equipped at both locations to provide assistance with any type of hyperpigmentation. Let us advise you. <\/p>","protected":false},"excerpt":{"rendered":"

Gelten ein paar Sommersprossen noch als sympathisch und niedlich, so f\u00fchren oft bereits wenige Altersflecken mit einem dringenden Behandlungswunsch in die dermatologische Praxis. Unter Hyperpigmentierungen versteht man eine angeborene oder erworbene pathologische Dunkelverf\u00e4rbung der Haut oder der Schleimhaut. Die Behandlung mit dem Laser ist das Mittel der ersten Wahl. Hyperpigmentierungen werden durch eine erh\u00f6hte Anzahl […]<\/p>\n","protected":false},"author":15,"featured_media":2166,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[762],"class_list":["post-2165","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allgemein","tag-hyperpigmentierung-tag"],"acf":[],"yoast_head":"\nHyperpigmentierung : Hautwerk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hautwerk.ch\/en\/blog\/hyperpigmentation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hyperpigmentierung\" \/>\n<meta property=\"og:description\" content=\"Gelten ein paar Sommersprossen noch als sympathisch und niedlich, so f\u00fchren oft bereits wenige Altersflecken mit einem dringenden Behandlungswunsch in die dermatologische Praxis. Unter Hyperpigmentierungen versteht man eine angeborene oder erworbene pathologische Dunkelverf\u00e4rbung der Haut oder der Schleimhaut. Die Behandlung mit dem Laser ist das Mittel der ersten Wahl. 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Unter Hyperpigmentierungen versteht man eine angeborene oder erworbene pathologische Dunkelverf\u00e4rbung der Haut oder der Schleimhaut. Die Behandlung mit dem Laser ist das Mittel der ersten Wahl. Hyperpigmentierungen werden durch eine erh\u00f6hte Anzahl […]","og_url":"https:\/\/hautwerk.ch\/en\/blog\/hyperpigmentation\/","og_site_name":"Hautwerk","article_published_time":"2019-09-13T00:00:40+00:00","article_modified_time":"2024-02-26T15:05:38+00:00","og_image":[{"width":1440,"height":1080,"url":"https:\/\/hautwerk.ch\/wp-content\/uploads\/2022\/12\/Abbildung4a.jpg","type":"image\/jpeg"}],"author":"Stipan Maric","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Stipan Maric","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/hautwerk.ch\/blog\/hyperpigmentierung\/#article","isPartOf":{"@id":"https:\/\/hautwerk.ch\/blog\/hyperpigmentierung\/"},"author":{"name":"Stipan 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