Our expert says:
Hi Hestia, thank you for the question.
Pigmentation or sun damage may be very difficult to get 100% removed and typically one should rather look at its treatment as management or keeping it under control. The main reason for this is that the pigmentation we see on the surface is only the tip on the ice berg as the pigment usually extends into the deep layers of the skin.
Your best option is to consider a good SPF (50 or higher) that contains zinc oxide and/or titanium dioxide. One should add to this a topical depigmenting regime such as NeoStrata’s Brightening Cream (during the day) and Pigment Lightening Gel (at night) and one may consider light/superficial glycolic acid peels every 4 to 6 weeks.
Greater improvement can be achieved with technology but one needs to differentiate between pigmentation caused purely sun damage/exposure and pigmentation with a hormonal association such as Melasma as the treatment is slightly different.
Typically pure sun damage pigmentation responds extremely well to IPL (Intense Pulse Light) based treatments while Melasma typically needs fractional skin resurfacing (Matrix RF/Sublative Rejuvenation, Fraxel, Ultrapulse FX, Starlux, etc.)
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