Yet, in certain circumstances, one may desire for them to be removed.
How do we achieve it?
The answer is using photoacoustic laser tattoo removal!
Steps to Photoacoustic Tattoo Removal
(1) Evaluation of Tattoo
This is crucial and will determine how many sessions it may take to clear up the tattoo.
Factors that influence the resultant number of sessions include
(A) Your Skin Color
(B) Location of The Tattoo
(C) Color Pigments of The Tattoo
(D) Amount of Ink In The Tattoo
(E) Any Scarring or Layering Involved
(2) Photoacoustic Laser Removal Treatment
This involves the practitioner using an optimal power to treat the tattoos. An optimal power will result in fewer sessions rather than always treating at a suboptimal power.
(3) Post Treatment Care
Blisters, bleeding, redness, swelling, scabbing are common from treatment and the key is to manage them properly. Usually, these can take between 5 - 14 days to recover depending on your skin.
I recommend using an antibiotic ointment from your doctor, twice a day across the areas affected.
As with any laser, treatment at optimal power requires optimal recovery. Usage of RAI Post Laser Intensive Recovery Serum is recommended to achieve the optimal recovery with minimisation of side effects.
(4) Repeat Sessions
These will be conducted at one month intervals as the skin takes time to clear off the fragmented pigments.
*With any treatment, a careful evaluation and diagnosis allows us to outlay a proper treatment plan to target your concern effectively. Always ask your doctor for a diagnosis and clear treatment plan.
Is there a way to treat PIH effectively?
The answer to it is to use a combination of treatments.
Steps To Resolving PIH
(1) Removal of triggers to inflammation
This can be as simple as putting a stop to scratching the affected area. Minimising inflammation to the area prevents the area from progression to more areas which can develop PIH.
(2) Sun protection and sun avoidance
Avoidance of excessive UV lights helps in preventing the production of more pigments. Regular use of susn block in recommended.
(3) Laser Therapy
A combination of both the Pigment Removal Laser and the R2 Glow Laser is crucial to target both pigments and underlying inflammation, reaching a optimum speed of improvement for the areas of PIH affected.
(4) Post laser care
Usage of skin lightening agents can be employed. The best choice will be the use of one that calms the inflammed areas down and decrease the production of pigments at the same time.
I recommend RAI Post Laser Intensive Recovery Serum.
** The diagnosis is always critical when evaluating any form of pigmentation in the skin, before subjecting it to any treatment. Make certain to arrive at a diagnosis with your doctor before commencing any form of treatment!
What can we do to control it?
The answer lies in understanding Melasma, arresting the aggravating factors, then rebalancing the skin profile!
Arresting The Aggravating Factors
Avoid UV radiation
Use of broad spectrum sunscreen can achieve up to 26% improvement as early as 3 months. Regular application of broad spectrum sun block can reduce melasma incidence by up to 90% and decrease its intensity by 50%.
Increase in pregnancy hormones or use of oral contraceptives can trigger melasma.
Avoid over-exposure to heat
Professions such as bakers who are exposed to oven can have aggravation.
Avoid exposure to high light intensities
Professions such as dentists are more resistant to treatment of melasma. Visible light can induce hyperpigmentation via opsin 3 which is a specific sensor in melasma. Sunscreens containing iron oxide confer protection against these visible light of shorter wavelengths.
Avoid use of photosensitizing cosmetics
Found in a range of cosmetics where they can aggravate melasma.
**Reproduced with permission from RAI Aesthetics.
Rebalancing The Skin Profile
The key here is to select treatments that are sustainable in the long term with minimal side effects.
Use of Skin Lightening Agents
I recommend RAI Post Laser Intensive Recovery Serum for a few reasons:
(1) Herbal extract with skin lightening components.
(2) Calms down inflammation in skin which is associated with Melasma.
(3) Zero risk of exogenous ochronosis
*a permanent darkening that occurs with prolonged use of certain skin lightening agents such as hydroquinone.
(4) Improvement in overall skin profile, texture and quality.
Use of R2 Laser
(1) Targets underlying inflammation implicated in melasma.
(2) Helps to balance and normalise the production of pigments rapidly.
(3) Disperses areas of concentrated pigmentation.
Other Modalities Involving chemical peels, growth factors can be considered on a case by case basis.
On a personal note, I do not advocate oral medications for long term management of melasma.
Enquire with your doctor today to find out what is the best way to control your melasma and restore clear even skin tone!
DR SY Blog
Explore your aesthetic journey with Dr Sin Yong. Experience the journey of beauty together!