The terms spots or lentigines are practically used in everyday clinical practice, without distinction, in order to describe the same lesions, whereas when they occur in people over 60 years of age, they are often called age spots.
Microdermoabrasion is successfully applied in cases of treatment of Lentigines – Liver Spots and needs at least 8-10 sessions to achieve the desired results. The microcrystals are ejected and suctioned by a special device and remove dead skin cells. It is a simple and painless treatment that allows the patient to return to work immediately, without leaving any pain or irritation.
The application of topical bleaching preparations for the treatment of spots is considered a fairly safe solution, but should be avoided during the summer. They do not lead to immediate and complete results, but lead to a gradual discoloration of the spots until they are no longer so visible.
The treatment of spots with Cryotherapy or Cryosurgery, although it is an older method, is still practiced. With cryotherapy, liquid nitrogen is applied locally, causing the skin temperature to decrease, which leads to the destruction of the pathological tissues. The cold causes local vasoconstriction and necrosis at the site where it is applied.
Microdermabrasion is successfully applied in cases of treatment of lentigines and requires at least 8-10 sessions to achieve the desired results. The microcrystals are ejected and suctioned by a special device and remove dead skin cells. It is a simple and painless treatment that allows the patient to return to work immediately, without leaving any pain or irritation.
Melanin is a family of skin pigments and is produced from the amino-acid tyrosine. There are 3 main types of melanin: eumelanin, pheomelanin and neuromelanin. Melanin is produced in specialized skin cells called melanin cells. Melanin cells are located between the cells of the basal layer of the epidermis and are derived from cells of the neural crest. The eumelanin they produce is a strongly brownish pigment that gives the dark color to the skin and hair. Phaeomelanin is a component of red hair. The higher the levels of melanin in the body, the darker the skin color. At the same time, melanin protects the skin from harmful solar radiation, resulting in protection from skin cancer.
Any abnormalities in the melanin cells and thus in the production of melanin lead to the appearance of characteristic discolorations on the surface of the skin, i.e. the appearance of blotches and spots. Spots and patches belong to the category of hyperpigmented skin lesions and show several similarities with moles in their clinical appearance, without, however, having the same mechanism of development. Therefore, the examination of patients with suspected keloids or nevi should be performed by an experienced Clinical Dermatologist, in order to clearly establish a diagnosis that will determine the subsequent treatment. They are an aesthetic problem, which afflicts both men and women.
Although there is a possibility that they can also appear in men, freckles mostly appear in women 9 times more often than in men. The occurrence is more frequent darker in skin because in these skin types the melanin cells, the cells responsible for the production of melanin, are more easily stimulated.
Their appearance occurs suddenly after a hormonal imbalance, medication or topical application of drugs that increase skin photosensitivity, as well as during pregnancy. The problem becomes strongly visible with exposure to sunlight, especially during the summer months, while in autumn/winter they subside or disappear completely. Their main location is the face, usually the forehead, upper lip, cheekbones and cheeks.
Lentigines that appear during pregnancy are also called "pregnancy mask" and occur due to increased levels of estrogen and melaninotropic hormone. They are a fairly common skin phenomenon. Lentigines that first appear during pregnancy usually disappear on their own a few months after childbirth. If the spots remain for a long time after childbirth, they may become more severe or worse. It should be noted that they are not a skin condition, but are mainly a cosmetic problem.
It is recommended that pregnant women, as well as mothers who are in the breastfeeding stage, should not follow treatments against lentigines, as the change in hormones present in pregnancy can aggravate the already existing lentigines - freckles and the treatment may not have a significant effect.
What is definitely required during pregnancy and lactation is the use of a high index sunscreen in order to prevent spots and melasma from worsening and new ones from appearing.
The so-called "age spots" are easily visible and often lead to psychological distress for patients. They have not been shown to have a risk of flare-ups, but their presence sometimes makes early diagnosis of skin cancer difficult. For this reason, but also for aesthetic reasons, their treatment is recommended.
Possible causes of lentigines include exposure to sunlight, lack of iron, magnesium or vitamin C, skin dehydration, skin injuries, as well as hereditary causes.
Hormonal changes during pregnancy, as well as taking birth control pills can also be triggering causes of spots - blotchy spots and melasma.
Prevention is quite difficult and requires great care and discipline. However, avoiding sun exposure can delay or in rare cases stop the appearance of lentigines. In any case, the use of sunscreen products with a high protection factor is recommended.
Lentigines can in some cases be treated quickly and effectively. Especially the epidermal or mixed type of lentigines respond to treatment with great success. Epidermal lentigines are more difficult to treat, but are treated just as effectively.
Mixed type is usually the most difficult to treat and require a combination of treatments to achieve the best possible result.
After Laser application for the treatment of lentigines, exposure to the sun should be avoided, as well as any method of artificial tanning.
Moisturizing - regenerating creams and sunscreen products are necessary after the treatment.
Cosmetic Derma Medicine Medical Group is the largest and most specialized medical group in the field of Dermatology and Plastic Surgery, with 14 clinics in Greece and Cyprus.
The Scientific Director of Cosmetic Derma Medicine is Dermatologist - Aphrodisiologist Dr. Amalia Tsiatoura, while the staff consists of a medical team of highly experienced and specialized doctors of many different specialties, as well as a fully qualified team of nurses. Our team is at your side every day, 24/7 for whatever you need.