Aa
I need advice on Poikiloderma of Civatte and sun damage skin promposed treatment
I am in my mid 40’s and have the following issues with my skin on my face:
Poikiloderma of Civatte on my forehead, Cherry angiomas on my scalp and solar lentigines. I have been checked by a dermatologist and nothing is cancerous. I went to a skin care clinic and they have advised the following treatment:
“Laser treatment to Cherry Angiomas immediately. We use a long pulsed Nd:Yag laser for this and I would anticipate removal of these in one session with no real issues.
Commence Obagi Nu-Derm immediately for the reduction in hyperpigmented areas. The system is a combination treatment of 4% Hydroquinone and tretinoin and should be used for a minimum of 6-12 months. As we discussed, this will cause initial redness and flaking, as both active ingredients are irritating to the skin. The irritation usually subsides within 12 weeks or so as your skin starts to tolerate the drugs.
Once your skin complexion has started to even out, I would suggest we try a test patch on the solar lentigines. The laser I would use is a long-pulsed Alexandrite laser. We also have Q-Switched lasers available should the long pulse not be effective. It would be best to delay starting treatment as hypopigmentation (whitened areas) can be a result of laser treatment, and the demarcation would not be so evident once the background area has started to lighten.”
I was wondering if anyone could offer their opinion on the proposed treatment. They seem to be a very professional clinic with a good reputation.
Poikiloderma of Civatte on my forehead, Cherry angiomas on my scalp and solar lentigines. I have been checked by a dermatologist and nothing is cancerous. I went to a skin care clinic and they have advised the following treatment:
“Laser treatment to Cherry Angiomas immediately. We use a long pulsed Nd:Yag laser for this and I would anticipate removal of these in one session with no real issues.
Commence Obagi Nu-Derm immediately for the reduction in hyperpigmented areas. The system is a combination treatment of 4% Hydroquinone and tretinoin and should be used for a minimum of 6-12 months. As we discussed, this will cause initial redness and flaking, as both active ingredients are irritating to the skin. The irritation usually subsides within 12 weeks or so as your skin starts to tolerate the drugs.
Once your skin complexion has started to even out, I would suggest we try a test patch on the solar lentigines. The laser I would use is a long-pulsed Alexandrite laser. We also have Q-Switched lasers available should the long pulse not be effective. It would be best to delay starting treatment as hypopigmentation (whitened areas) can be a result of laser treatment, and the demarcation would not be so evident once the background area has started to lighten.”
I was wondering if anyone could offer their opinion on the proposed treatment. They seem to be a very professional clinic with a good reputation.
Have an Answer?
You are reading content posted in the Dermatology Community
Learn to identify and prevent bites from summer’s most common pests.
Doctors argue for legislation to curb this dangerous teen trend in the latest Missouri Medicine report.
10 ways to keep your skin healthy all winter long
How to get rid of lumpy fat on your arms, hips, thighs and bottom
Diet “do’s” and “don’ts” for healthy, radiant skin.
Images of rashes caused by common skin conditions
