What is a stain?

The word blemish is a very broad terminology in dermatology. It can be congenital (moles, freckles) as well as
later; pregnancy, the use of hormonal drugs or sun-sensitizing drugs,
after deterioration of its structure due to any reason (acne, eczema, herpes, wound, incision) and mostly
They may occur due to unprotected exposure to ultraviolet rays.
Pregnancy, menopause, oral contraceptive (birth control pill) and drugs that cause sun sensitivity
(tetracycline, isotretinoin) use, such as brown spots melasma (pregnancy mask)
is defined as.
Especially in white skinned people, in the shoulder and back area after excessive contact with the sun or after sunburn.
In brown tones, small diameter, numerous sunspots (lentigo) may occur. Above 40 years old, front
Light dark brown spots on the arms and face are called lentigo (age spots).
Small lesions appearing in sun-exposed areas starting from childhood in people with red hair and white skin.
brown spots are usually familial and are called ephelid (freckles). Other than 30 years
Some of the light-dark brown ones seen on the face and body equally in both men and women after
There are spots diagnosed as seborrheic keratosis (age spots), some of which are flat and some with lumps on them.

spot treatment

First of all, any brown spot on the skin should be evaluated and diagnosed by a dermatologist.
is required to be placed. As I mentioned above, brown spots caused by very different reasons.
Naturally, the treatment is also different. Among these treatment methods; chemical peeling, PRP, stain
Mesotherapy, spot mask and laser applications are available.

At the beginning of treatment, mostly containing various acids (hydroquinone, glycolic acid, N-acetylcysteine,
tretinoin, steroid, azelaic acid, kojic acid, ascorbic acid) creams are used. Usually night and spot
In cases where a clinical response cannot be achieved despite the stain lightening products used on it, various peelings can be applied.
applications can be added to the treatment. Combination of chemical peeling and topical lightening products
shows a synergistic effect in treatment. Wood light in the evaluation of the patient before peeling
Detection of the depth of pigmentation (superficial-deep-mixed) with the examination of
It is important in terms of giving an idea about the possibility of benefiting. Again, before the procedure, the appropriate
It is important to prepare the skin in a proper way and to carry out the post-peeling procedures meticulously.
Chemical peels accelerate the regeneration of the upper skin and remove the stain material from the upper skin.
provides. Thus, the opening of the stains takes place. Chemical peeling; chemical solution to the skin (fruit acids,
TCA, glycolic acid, salicylic acid) peeling the top layer of the skin and healing and correcting the skin
used for the purpose. Today, superficial and medium depth applications are made more frequently.
On average, it is a superficial peeling every 2 weeks or a medium deep peeling every 2-4 weeks and 3-4 times a week.
It can be applied as a session.

Stain mesotherapy is another treatment method. Mesotherapy; to treat the problem area
It is the process of giving various drugs to the middle layer of the skin. In stain mesotherapy, with fine-diameter needles
consisting of many stain lightening drugs (glutathione, traxinamic acid, vit c, niconitamide, n-acetyl glucosamine)
The cocktail is applied into the stain at regular intervals. Applying medication directly to the stained area
It allows us to treat only the stain without damaging the tissue. At the same time, the effect on the upper part of the skin

It is a method that can be easily applied in the summer months as it is not available. For patient comfort before application
Topical anesthetic is applied half an hour beforehand. The process is 15-30 depending on the size of the region.
minutes. Depending on the intensity and depth of the patient’s stain, 5-10 sessions at 15 days-1 month intervals
is done.

Stain mask; It is an enzymatic peeling method that can be used in many stain problems. Available in kits
and has two forms. The lighter form for superficial stains, a little bit for deeper and more intense stains.
There are kits with a higher peeling effect. Helps reduce the amount of melanin in the skin
It takes part in the suppression of pigmentation, suppresses the mechanism that triggers the formation of spots on the skin.
It is a single session application. After the skin analysis of the patient, it is decided which kit to apply.
After preparing the skin with the special cleaning solution in the kit, the mask is applied to the entire face or neck.
It is applied on the spots on the décolleté, abdomen, hands and legs. The patient’s skin type, diagnosis of the spot, duration
According to this, the mask is kept on the skin for 8-12 hours. And then the easy-to-apply continuation protocols
continues at home. In addition to stain treatment, skin regeneration, opening fine lines
and shrinks the pores.

PRP means “Platelet Rich Plasma-platelet enriched plasma”. PRP
In this method, it has growth factors that initiate all wound healing and tissue regeneration processes.
platelets are obtained and this obtained platelet-rich serum is injected under the skin with small needles.
is given. Adding PRP to spot treatments ensures better and permanent treatment results.
Spot treatment with PRP should be done at least 3 sessions with other stain treatments at intervals of 2-4 weeks.

laser treatments; generally lentigos (age spots), efhelides (freckles), dermal melanocytoses (deep
localized, congenital spots) disappear completely or significantly with various laser treatments,
cafe-au-lait macules (congenital milky brown spots), postinflammatory hyperpigmentation (wound
Although different results are obtained with laser treatment in melasma (pregnancy mask) and
It also has a high recurrence rate.
Another detail in the treatment; Since the biggest factor in the formation of stains is the sun, it is important in the success of the treatment and
Sun protection measures are extremely important in ensuring the continuity of the result obtained.
Sunscreens suitable for the skin type and structure of our patients are regularly applied both in summer and winter.
in 3-4 hours, due to the decrease in the effectiveness of the protectors due to contact with sweat and water in the summer months.
It is very important to avoid being exposed to the sun during the hours (10-16) when the sun comes perpendicular to the earth.
they need to be careful. In addition to these measures, the patient should be patient in the treatment of stains.
It is necessary because it is not possible to suppress the stain formation mechanism at once. A long
spread over time, many treatment methods are used together, and each treatment method is different.
Considering that it is effective with mechanisms, how difficult is the process of stain treatment.
we can understand.

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