0

Different Types of Skin Pigmentation Problems

The pigment in our skin is called melanin, and the same substance gives color to our hair and eyes. Fair-skinned people have only a little melanin while those with dark skins have a lot. The main function of melanin is to protect the skin from ultraviolet in the sun’s rays.

There are a few problems with pigmentation, which are unrelated to the sun, and they are discussed here.

pigmentation on face

Vitiligo

Intensive research, around the world, has so far failed to reveal the trigger for vitiligo or the mechanism. We know that antibodies against the melanocyte are found in the blood, that antibodies against the thyroid gland are also present, but they seem to do no harm.

The effect of vitiligo is mainly a psychological one. Fair-skinned people may not be troubled, and some individuals notice it for the first time when they have been abroad and have acquired a suntan – only then does the white skin show up against the rest. In brown- or black-skinned races, vitiligo is a far greater problem.

The white patches stand out starkly, especially if the face is involved. In countries such as India, it was confused with the effect of leprosy and could lead to a man being shunned by his people: in fact, the two diseases are easy to distinguish and anyway no one has caught leprosy in Britain for over two hundred years.

Living with vitiligo can be made easier in several ways. A good sun-blocking cream is important to stop the white patches burning in the sun. Camouflaging the pale areas with Covermark. Clinique Continuous Coverage or other cream is especially useful on the face. There is some research into the use of PUVA treatment (as used for psoriasis), but it has not been fully evaluated yet.

Chloasma

This is a darkening of the face, often giving a mask-like appearance. The forehead, cheeks and chin are most often involved. It sometimes occurs in pregnant women or those on the contraceptive pill and is therefore, assumed to have something to do with the changing levels of hormones. It may last for months after delivery or stopping the pill but no treatment is known to help.

Pigmentation after Inflammation

Many causes of inflammation can lead to melanin pigment escaping from the epidermis in the affected area. Examples are eczema, infection and burns. This leads to a darker color which may last for months – an effect more pronounced in people with dark skin.

Care must be taken with proprietary preparations marketed for the removal of pigment because if the melanocyte is permanently damaged it may cease pigment production altogether. A cream called Fade Out is available and after several applications can produce a useful lightening of the color.

0

What Causes Skin Aging?

Aging is not something that happens to you suddenly after a specific number of years has passed: it is a continuous process that affects both body and mind, the result of a combination of internal and external factors. Skin aging is no exception. As you get older, the protein fibers (collagen and elastin) in your dermis change.

They lose water as a consequence of a process called polymerization, and the result is that much of their flexibility goes. This is one reason for the skin wrinkles so characteristic of aging skin: another is that the subcutaneous (under-skin) layer of fatty tissue, which acts as a cushion for your delicate internal organs, loses some of its fat. As it disappears, the skin’s supporting structure weakens. The skin itself begins to sag, and settles into folds and creases.

Causes-of-Skin-Aging

Another factor that contributes to the formation of wrinkles is an increased loss of moisture from your skin. Children have proportionately more water in their body tissues than adults do anyway, which is one reason why their skin tends to look firmer.

Age slows down the activity of the sebaceous and sweat glands whose function is to supply the skin with moisturizing oils and water; elderly people’s skin becomes increasingly dry as a consequence. The sebaceous glands slow down too, which also affects your hair. It tends to become drier and more brittle.

With age, blood flow to the skin is reduced. The epidermis becomes thinner, and the blood capillaries near the skin’s surface become more fragile. There is a decrease in the number of functioning melanocytes, the pigment-producing cells in the skin, leading to changes in skin color and the growth of ‘white’ (actually colorless) hair.

Strangely, some melanocytes increase in size, producing brown ‘age spots’ on the skin. All these changes happen anyway, but it is now known that the effects of the aging process can be accelerated by external conditions, like over-exposure to ultra-violet radiation. This puts the skin’s delicate tissues, and its inbuilt protective systems, under more stress than they are designed to cope with.

Sunburn may have one short-term effect. Epidermal cells are damaged; blisters develop if deeper layers of the skin are affected. When large numbers of skin cells are destroyed, the production of new ones is speeded up. So many are made that they crowd one another to the surface, forcing the burned ones to peel off.

Melanin production is speeded up, too, and it is the extra pigment produced by the melanocytes under stress that gives the skin its tan. The tan, therefore, is one of your skin’s natural responses to injury by the sun rather than a symbol of a healthy, leisured lifestyle.

Although fair-skinned people are more obviously at risk from the harmful effects of ultra-violet rays (especially if, as many do, they expose themselves to fierce sunlight for a couple of holiday weeks a year) even those people whose naturally darker skins are better able to protect themselves from damage still experience the drying (and aging) effects of prolonged exposure.

Supplementing the skin’s natural moisturizer – the sebum that coats the skin and hair, helping to keep it supple and forming a protective barrier to prevent excess moisture-loss from the body’s tissues -with lotions or creams containing screening agents helps to minimize these problems.

You can slow down the effects of aging on your skin (by replacing lost moisture, or by exercise and massage which, by toning the skin’s underlying muscles, help to maintain its firmness), but you cannot stop them. Neither can you unwrinkled skin, which has begun to lose its resilience, except, in some cases, by surgery.


0

Top Acne Treatments that Work Effectively

Most people will need advice from their doctor to help in the treatment of moderate or severe acne. Generally doctors will start with cheap, safe agents which have few side effects and only if these fail will they recommend medication to be taken by mouth.

Top Acne Treatments

Topical preparations (onto the skin)

Benzoyl peroxide – This has been around for more than thirty years, but we do not yet know fully how it works. It loosens blackheads and kills bacteria but has other effects as well. It comes in strengths from two-and-a-half to twenty per cent and may be bought as a cream, gel or a wash.

It is quite irritating to the skin for the first few days and may cause redness, dryness and scaling, but this varies between individuals. However, many people think that the redness it produces means that they are allergic to the preparation and so stop using it.

Genuine allergy is very rare. If you persevere with treatment or perhaps stop for a few days and then start again, your skin will tolerate the benzoyl peroxide. It is best to start with a low strength and build up gradually. The full benefit of treatment is seen after several weeks, and it can be continued for months or years.

Retinoic acid - Creams and gels containing this chemical are available, and they help to loosen blackheads. They are not so good for inflamed acne spots. The chemical is marketed as Retin-A.

Topical antibiotics - Several antibiotics can now be applied to the skin directly e.g. erythromycin (Stiemycin), tetracycline (Topicycline) and clindamycin (Dalacin T). They penetrate the skin very well and kill bacteria in the follicles. Their main effect is in mild acne, and some people find that after controlling more severe acne with other treatments, they can keep it under control with a topical antibiotic. The lack of both staining and greasiness makes them popular lotions to use.

Oral therapy (taken by mouth)

Antibiotics - this is the mainstay of treatment for moderate or severe acne. Occasionally, they may be required for people with minor acne who cannot tolerate topical preparations.

Antibiotics kill bacteria but may have other effects as well. Only in the last few years have we reached a consensus on how much, and for how long they should be taken. In the past, they were often given in short courses or in low dosage. Studies have now shown clearly that high doses should be given and for four to six months.

Tetracyclines are used most often and have very few side effects. They must be taken with water or an empty stomach, usually about half an hour before a meal. Minocycline is a special form which may kill bacteria more quickly. Erythromycin is another antibiotic acting in a similar way. Occasionally, it causes an upset stomach.

Hormones - We know that androgens are important as the number one cause of acne, and it is logical to try to counteract their effects. Two hormones, namely ethinyl oestradiol and cyproterone acetate are contained in a pill called Dianette.

They both reduce the effect of androgens in different ways and provide a treatment for acne as effective as tetracycline. The treatment can only be given to females and has the added benefit of being an excellent contraceptive.