January 2008In the land of Red Necks Red necks are common in sunny areas such as ours. Why? Because they are caused by chronic sun exposure. Typically the skin is reddish-brown on the sides of the neck and chest, but whiter directly under the chin where it is shaded from the sun. The medical term for this sun induced discoloration is Poikiloderma of Civatte. The red part of the discoloration comes from a network of tiny blood vessels called telangiectasia and the brown comes from an increase in the melanin pigment in the skin. In addition to the color changes, the skin is also thinner and wrinkled. Other causes such as perfumes and cosmetics will also make the skin more sensitive and reactive. Avoidance of using products directly on the skin in these areas is helpful. Several treatment options are available. Topical therapies including bleaching agents, glycolic acids or topical Vitamin A are helpful. The best way however to reduce the redness (tiny blood vessels), and the hyperpigmentation is with pulse light lasers. After the procedure the treated areas appear reddened and the brown spots may darken slightly before they get lighter. Approximately three treatments are required for moderate to severe cases. Next month we will continue to discuss neck rejuvenation. Call us for a free consultation at 504-4156. question@theexperts.ca
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