Question: I have a dark brown oval-shaped spot on my forehead and a cluster of them on my upper chest. Cryotherapy: Melanocytes (pigmented skin cells that cause the darkened spot) are very sensitive to cold temperatures and can actually be destroyed at -4°C to -7°C, therefore we effectively use liquid nitrogen cryotherapy applied to a singular spot for 5-10 seconds. Chemical peels: Medium depth chemical peels such as Trichloroacetic acid (TCA), for example, have been studied and had a fair response, but we use them cautiously because of irritation and redness. Laser therapy: Of all the lasers available, some are more pigment-specific and attract the discoloration and act on it better than others.
Topical treatments: The use of topical prescription retinoid preparations definitely takes longer, but they are an effective and certainly less expensive alternative to laser therapies for both a large cluster of spots or one spot, no matter where it is located.
This entry was posted in Skin Cancer Prevention, Skinformation, Sun and tagged age spots, Deka Dot, Fraxel laser, retinoids, sun spots by jodi. Enter your email address to subscribe to this blog and receive notifications of new posts by email. At the meeting there was a 18-year-old girl who was a returning lifetime member trying to lose the 50lbs that has found her over the past three years. Isn’t a tax just a way for the government to capitalize on our, albeit bad, food choices?
Instead of punishing a family’s food choices, why don’t we start at the very beginning and encourage affordable healthy eating habits in elementary school? We need to teach our children how to make good food choices through our knowledge and counter balance the not-so-good ones. We need to get this junk food tax idea out of our minds. When she isn't soaking up all that Motherhood has to offer, you can find her blogging over at Plunged in Debt where she chronicles her and her husbands journey out of debt. I grew up in a home with home cooked meals and being forced outside to play everyday and I can count on one hand the amount of times I ate stuff like McDonalds before I moved out…seriously.
Usually, they are caused by sun exposure and the incidence is age-related (hence the term “age spots”) because the older you get, the more you’ve been exposed to the sun, the more likely they are to become visible. The brown spot will turn white and crusty and new skin will emerge underneath in about a month. A chemical peel can be a good choice for a larger area or cluster of spots such as on the upper chest, but may need to be repeated to achieve desired results because you are only removing the outer-most layers of the skin each time. I have found Argon, Q-switched ruby and Er:Yag lasers are all effective on solar lentigines. In studies comparing 0.1% tretinoin versus placebo, after the initial 10 months of treatment, there was an 83% improvement versus 29% in the placebo group and the upper extremities responded as did the face. They closely resemble freckles, but are usually larger and darker than freckles (remember the lentil?) Freckles are usually genetically determined whereas, unfortunately, solar lentigines are often a mark of photo (sun)-damage.
For one simple spot that is not on your face, cryotherapy is a great and inexpensive option.
After an additional 6 months of treatment, the lesions that had resolved during initial treatment did not recur during the 6 month follow-up period and patients continued to Improve. The logic being that parents will be forced to make different, ideally smarter, food choices for their family’s diet. If we drill it into our kids heads and explain the choices they have to make there could be an entire generational change.
Complications such as post-inflammatory pigment alterations (discoloration) can occur afterwards, so sun protection after laser is a must. Foods singled out are pop (soda), oils, cheeses, candy, chips, basically anything is highly processed or saturated fat-laden. Bleaching creams containing 4-5% hydroquinone used over a period of several months will lighten solar lentigines but possibly only temporarily. We have found that a combination of the tretinoin and 4% hydroquinone plus a corticosteroid may be even more effective for your specific spots than the individual components alone, although tretinoin alone does work beautifully on Asian skin. Some families may be reluctant to initiate the changes required or ask the required questions. If help was available in the form of things like healthy family nights, held at your child’s school, where a nutritionist could come in and do presentations aimed at the specific demographic, the framework for better decision making could be laid down.
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