Reduce Pigmentation

LAST UPDATED DATE : 17 September 2021

ลงทะเบียนรับสิทธิ์ลด ON TOP 10%

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โบท็อกคืออะไร ? โบท็อกทำให้กล้ามเนื้อตายจริงหรือไม่ ?

โบท็อกคือสาร botulinum toxin ที่สกัดจากธรรมชาติ สารโบท็อกนี้เมื่อจับกับกล้ามเนื้อจะทำให้กล้ามเนื้อหยุดทำงาน ริ้วรอยต่างๆบนใบหน้าเกิดจากการหดตัวของกล้ามเนื้อที่มากเกินไป เมื่อฉีดโบท็อกไปที่กล้ามเนื้อเหล่านั้นให้คลายตัว ริ้วรอยจึงหายไป ไม่ว่าจะเป็นริ้วรอยที่หน้าผาก ขมวดคิ้ว หางตา เมื่อกล้ามเนื้อกรามหยุดทำงาน ขนาดของกรามจะลีบเล็กลงทำให้ใบหน้าดูเรียวขึ้น เมื่อครบอายุโบท็อกจะสลายไปเองและกล้ามเนื้อจะค่อยๆกลับมาทำงานและมีขนาดเท่าเดิมก่อนฉีด 

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What is melasma ?

Melasma is one type of skin disease when the melanocyte are overactive, it creates too much amount of melanin therefore brown spot appears. Melasma is not a dangerous skin disease and have zero chance of becoming cancer. The main concern for melasma patient is the aesthetic reason as they usually lose confident. Melasma is considered a difficult and time-consuming treatment and it needs patient’s patience.

What causes melasma ?

  • Sunlight
    UV ray from sunlight are the main stimulator for the melanocyte to become hyperactive creating more melanin than usual 
  • Genetic
    Your skin type are passed on from your parent. If your parent have melasma it is more likely that you will have melasma too
  • Race
    There are report indicating that Asian people are more likely to have melasma than European people. 
  • Gender and Hormone
    Having women’s hormone increase the possibility of having melasma. Therefore, women have melasma more than men. Some women have melasma while pregnancy or while taking birth control pills. 
  • Congenital disease and medication used
    Melasma can appear after taking anticonvulsants medication

Is melasma and freckle the same? What is the difference ?

Melasma and freckle are quite similar, both are caused by overactive melanocyte. However, the stimulator are different, it appears on different skin layer so the spot looks different and the method use to treat is also different.

Why melasma appear on cheek area ?

As mentioned above, the main stimulator that cause melasma is sunlight and the area that touches the most are forehead, nose and cheeks. This is because these area are curved out and therefore, melasma appear on that area the most.

What are the related cause that stimulate melasma?

  • Perfume in cosmetics
    People with sensitive skin may be allergic to fragrances or ingredients in cosmetics. When an allergic reaction occurs, there will be itching, burning, acne, redness, and eventually form into brown/black spot.
  • Applying cream
    Most common cream is acne cream that help exfoliate cell. Your skin will become sensitive to sunlight and turns into brown/black mark. Another common cream is cream that contain steroid. Most patient don’t know that it contain steroid until their skin got worsen.
  • Friction and skin irritation
    Repeatedly squeezing, picking, scratching around in one area of the skin can stimulate melanocyte to become overactive and create brown/black mark. It is recommended to wash your face, apply cream or touch your face as gently as possible.

Different types of melasma

Melasma can be divided into 2 types which are superficial melasma and deep melasma. Both types of melasma are difficult to treat and takes time to heal. The difference is that deep melasma is more common and takes longer time to heal. Therefore, if the patient has deep melasma you must understand that it will take time to heal and you should follow the treatment procedure for best result.

5 ways to treat melasma pros and cons

Each treatment has different pros and cons. What they all have in common is that every choice takes time and continuity to heal. The latest dermatologist’s treatment guideline for melasma recommends a combination of treatments. It will give good results and patient can see results faster.

What type of melasma can we use cream to treat ?

For superficial melasma when you use cream that contain correct ingredient and correct amount and apply regularly can help melasma to fade away. However, it is recommend to consult with the doctor before applying cream by yourself to prevent using wrong medication and getting darker melasma.

I have done some treatment before but melasma became darker than before what should I do ?

If there have been unwanted side effects such as irritated skin or formation of ingrained brown/black mark you need to stop the treatment immediately and consult with the doctor for further treatment.

What is Melasma Clear, what is the procedure ?

Melasma Clear is injecting medicine onto the skin layer where the melanocyte is. This help prevent the melanocyte from creating melanin. Doing 1 session will only help prevent the melanocyte from creating melanin only abit. It is recommend to do continuously every 2 week for best and clear result. 

Is it painful ? How long does it take for 1 session ?

Before the treatment, an anesthetic is applied for 40-60 minutes to reduce the pain from the injection and it takes about 30 minutes to do the treatment.

After Melasma Clear treatment will my face become red like after doing laser treatment ?

After the treatment, there will be some red mark and needle mark which is similar to laser treatment (just not the whole face). The needle mark will fade within 3-5 days after the treatment. You can do make up or apply cream as usual on the next day.

Why do the doctor say not to stress out when treating melasma? How is it related ?

From our doctor experience, melasma and stress is related. It is suggest that other than sunlight, “stress” is also the main reason that causes melasma to get darker and also resistant to treatment as well. When you choose to do melasma treatment at Peace Clinic the doctor will always remind you to  find activity that help reduce stress. It is considered as a step in treating melasma that can helps to see results faster.

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