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  • Presentation

Bread n' Butter Cosmetics - Pigment Disorders

Description

Ron Seleski presents on effective cosmetic treatments for pigment disorders, focusing on common conditions such as tattoos, melasma, benign macular spots, photoaging, and acne scarring. He emphasizes the importance of prevention, specifically through sun protection and the use of topical agents like hydroquinone. Various treatments are discussed, including cryotherapy, chemical peels (notably TCA peels), and lasers. Specifically, he highlights intense pulse light (IPL), non-ablative fractional lasers, and Q-switched or picosecond lasers as effective for targeting pigmentation. Seleski explains different laser wavelengths and their effectiveness; lower wavelengths target melanin more effectively. He shares numerous case studies demonstrating successful outcomes from the use of picosecond lasers, showcasing significant improvements in pigmentation in just one or a few treatments. Additionally, he addresses treatment considerations for patients with different skin types and emphasizes combination treatments as a strategy for enhancing results. The presentation stresses a patient-centered approach, encouraging ongoing treatment plans for lasting results.

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Conclusions

  • Preventive measures, especially SPF, play a crucial role in managing pigment disorders.
  • Hydroquinone remains a gold standard in topical lightening agents for pigment disorders.
  • Cryotherapy and chemical peels, particularly TCA peels, are effective treatment options for various pigment issues.
  • Lasers, particularly Intense Pulsed Light (IPL) and picosecond lasers, offer significant improvements in treating pigment disorders.
  • Different wavelengths of lasers can effectively target melanin, hemoglobin, and water in the skin, enhancing treatment efficacy.
  • The use of picosecond technology can yield faster results with less thermal damage compared to traditional nanosecond lasers.
  • Combination treatments, including TCA peels followed by picotoning, can lead to enhanced outcomes in pigment management.
  • Tanghetti EA. The histology of skin treated with a picosecond alexandrite laser and a fractional lens array. Lasers Surg Med. 2016 Sep;48(7):646-52.