Pigmented skin marks or lesions can present in a variety of colour, size, number and location. Patients do not like these skin pigmentations and they will seek the opinion of the best dermatologist or cosmetic plastic surgeon in Delhi, Kolkata and Manipur. The benign pigmented cutaneous lesions can be divided into epeidermal and dermal depending in the level at which the pigment is located.
Epidermal pigmented lesions include lentigines, café-au lait macules, ephilides or freckles, nevi, sebarrheic keratosis and pigmented actinic keratosis. Treatment of epidermal pigmentations is usually done by using methods which removes the epidermis containing the pigmentation. Radiofrequency(RF) , cryosurgery and ablative laser is used to remove isolated lesions. Peels can also be used and so is the use chemical depigmentation creams.
Dermal pigmentation include post inflamatoy hyperpigmentation, nevus of ota , nevus of ito, blue nevus, melasma, becker's nevi and compound nevi. If we try to these dermal pigmented lesions with destructive methods, there is a lot of scarring.
The method which avoid the scarring and dyspigmentation should be the best method for pigmented lesion treatment. Q-switched Nd:YAG laser has become the gold standard treatment for epidermal and dermal lesion treatment. But there is a subgroup of pigmented lesions which will require the expertise of reconstructive plastic surgeons.
Basic mechanism of action of Q switched laser is the selective destruction of the pigment forming melanocytes. There is multitude of companies who markets Q-swtiched Nd:YAG under different brand. The most popular one are Alma Q, Revlite, Medlite, candela alex trivantage, Candela GenteLase, luminous PiQo4.
Commonly patients presents with freckles, café-au-lait spots, congenital nevi, nevus of ota, nevus of ito, melasma and post inflammatory hyperpigmentation. The best pigmentation laser treatment result in Delhi, Kolkata and Manipur is achieved in multiple sessions. The selection of the best laser clinic does not only depend on the availability of the best laser surgeon but also in the best quality laser machine which is FDA approved for the diagnosis to be treated.
Laser treatment for pigmentation is done in multiple sessions. The best result for pigment removal requires a combination of expert Laser surgeon and high quality laser machine.