PIGMENT PRECISION PROGRAM(PPP)

Facts on melasma treatment

• The cause of melasma is a mix of genetics, UV exposure & hormones

• This is a special form of pigmentation that presents on the upper lip, around the eyes, & forehead area

  • The majority of melasma can be improved with a combination of SPF, tablets, creams & laser
  • Picosecond lasers can improve melasma within days

•Resurfacing Lasers is a good treatment for pigmentation, however it should not be used to treat primary cases of melasma

• IPL often flares up melasma & should be avoided

• Microneedling is an awesome treatment, but NOT for Melasma

  • We have over 85% success rate in treating melasma pigmentation

What are the pigment inhibitors that we employ to treat melasma?

Creams form the second tier of melasma management, the first tier is sun protection.Our go to skin lightening agent is hydroquinone, in concentrations ranging from 2 to 8%. This compound has to be used in a rotational manner for safety reasons.

 

Other skin care ingredients we use include-

Arbutin: Both alpha & beta compounds

Kojic Acid: Ranging from 0.1 to 1.8%

Citric Acid: An AHA

Glycolic & lactic acids: AHAs that exfoliate pigment

Retinol: Vitamin A cream

Retinoic Acid: Tretinoin, Stronger vitamin A

Ascorbic Acid: Vitamin C, concentrations ranging from 1 to 20%

Cystemine: A pigment inhibitor from Europe

Licorice extract

Botanicals: Bearberry, soy, flavenoids, cranberries

Vitamin C is a good starting point. It can reduce pigmentation & stimulate collagen. It also protects your skin from UV radiation.

What is tranexamic acid & why is it so important in treating melasma?

This compound has revolutionised melasma management. This tablet modifies feeding vessels to the pigment cells in your skin. It works by modifying a receptor called VEGF 1.

Oral tablets are best, however creams can be marginally effective. This is a prescription only medication. Without t.acid, the prognosis of dramatically improving melasma drops significantly.

Will melasma return if you stop treatments?

The natural history of melasma is recurrence over time. The good news is that melasma will go away on its own- usually in the late 40s to 50s. Asian patients usually have spontaneous fading in the sixth decade of life.

Part of our treatment program is to reduce or prevent recurrence with the use of creams and sun protection. Developing a melasma prevention regime that you undertake at home is important. 

We will discuss the best rotation treatment for your melasma, namely clinic treatment followed by home routines. 

Rotational therapy is the key to managing melasma. All our patients are guided through your rotational cycle.

 

What lasers do we use to treat melasma?

Lasers provide a safe & effective way of treating melasma.

The aim of laser is not to heat up melanocytes (pigment producing cells), but to decrease the transfer of pigment from these cells to the skin. This is a gentle treatment process and takes 5-6 sessions before results can be seen.

For difficult cases of melasma, we use low density non-ablative fractional lasers. Fractional lasers such as CO2 and Erbium have been reported to improve melasma. We never treat melasma with ablative lasers.

What are peels that can treat melasma?

Chemical peels are useful in some cases of melasma. TCA & deeper peels are no longer performed, as aggressive peels are associated with rebound melasma.

 

In order of merit, the peels we use include-

 

Dermamelan or Cosmelan

These are novel peels that contain pigment inhibitors & exfoliants.  

Pros: One of the fastest ways to temporarily treat melasma.

Cons: Super expensive, works in 65% of cases, over one week recovery.

 

Glycolic acid peels 

Derived from sugar cane & related to lactic, glycolic acid is classed as an alpha hydroxy acids. 

Pros: No downtime, also treats sun damage & wrinkles

 Cons: Must be performed as a step up program of 5-7 peels.

 

Retinoic acid peels

 Super strength vitamin A; over 200 times as powerful as retinol. 

Pros: Also treats sun damage & fine lines.

Cons: May peel for 2-4 days.

pigment precision program smart skin solutions panchkula
pigment precision program smart skin solutions panchkula
pigment precision program smart skin solutions panchkula

Uneven skin tone, dark spots, and hyperpigmentation can affect your confidence, but with the best pigmentation treatment in Panchkula at Smart Skin Solutions, you can achieve clear, radiant skin. Pigmentation issues arise due to sun exposure, hormonal changes, aging, and acne scars. Our expert dermatologists provide customized treatments to effectively reduce pigmentation and restore an even complexion.

 

We offer advanced pigmentation treatments, including laser therapy, chemical peels, medical facials, and prescription skincare to target stubborn pigmentation at its source. Using cutting-edge technology, we treat conditions such as melasma, sunspots, post-inflammatory hyperpigmentation, and freckles. Our scientifically backed procedures help brighten the skin, reduce discoloration, and improve overall skin health.


Unlike generic creams or home remedies, our best pigmentation treatment in Panchkula ensures deeper penetration of active ingredients, delivering long-term results. With dermatologist-guided care, we customize treatments based on skin type and severity, ensuring safety and effectiveness. Our holistic approach also includes sun protection and lifestyle recommendations to prevent future pigmentation concerns.


Reclaim your natural glow with professional pigmentation treatments at Smart Skin Solutions. Book a consultation today to experience the best pigmentation treatment in Panchkula and achieve flawless, even-toned skin with expert care.

What is the Cosmelan peel for melasma?

We employ both the Cosmelan & Dermamelan peel for melasma. These peels are termed ‘novel peels’ with proprietary skin care ingredients.

Peels have several advantages over lasers, including faster results. The flip side is that downtime ranges from 4 to 9 days. Peels are also more costly than lasers.

Used with proper selection, the Dermamelan peel can give good outcomes in as little as one week.

Preselection of patients are essential prior to the use of both Cosmelan & Dermamelan peels. To see if you are a good candidate, book an appointment with my team at Smart Skin Solutions.

Can microneedling treat melasma?

This treatment is probably worse than IPL, reason being pigment in the upper layers of skin gets pushed deeper into the dermal layers, converting superficial to deep pigmentation.

The logic behind microneedling is to repair the damaged basement membrane as well as providing epidermal & dermal drug delivery (t.acid most frequently). This theory is flawed as the initial injury results in pigment dropout. Topicals can be delivered to the epidermis (where pigment cells are) with good formulations of ingredients.

Can Pico lasers treat melasma?

Pico is most useful in mixed pigment including melasma, sun spots, freckles & age warts. Pico is especially useful in darker skin types, including ethnic & Asian skin.

Pico lasers are awesome! A melasma series package can remove pigment in the majority of cases.

Fraxel has a downtime of 3-5 days, other treatments do not.

In summary, Fraxel is an excellent method for treating sun pigmentation, sun spots, and freckles.

Will treatment be effective in all cases?

No. We have a success rate of over 80%. This means despite optional medical therapy & lasers, some patients are just resistant to treatments.

Lower success rate are seen in – 

Deep dermal melasma

Microneedling induced melasma

Melasma in darker skin

Melasma due to heat or infrared exposure

The melasma check list; why isn’t your pigment getting better?

Sun protection. Are you using enough sunscreen? One 50 ml bottle should last  2-3 weeks. Are you using the correct sunscreen? You require a SPF 50+, at least twice a day. You do require either a tinted sunscreen as it protects against VL or visible light, failing that you must have some form of iron oxide as part of your photo-protection. This may include mineral make up.

If you exercise, you should use a water-proof sunscreen.

Other sources of heat: melasma is activated by visible & IR heat. Examples of the former include light behind a window; driving for example. IR heat can come from saunas & cooking.

Compliance of topicals: you need to regularly apply pigment correctors. In some cases your skin maybe too sensitive; especially to retinoids, cysteamine & hydroquinone.

Compliance of other medications: t.acid should be orally taken in the absence of contra-indications.

Diagnosis: Conditions like Hori or age spots can look like melasma. They are treated very differently.

Truely resistant melasma: in a small percentage of cases, melasma is recalcitrant to medications, lasers, & peels.

 

pigment precision program smart skin solutions panchkula
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How to cure Melasma from the inside?

You are probably reading the wrong context if you are after some positive information about curing melasma from the inside.

Here is a scientific explanation, melasma is due to genetics, modified by environmental changes. A ‘cure’ is not possible, however we can significantly fade melasma in over 85% of cases with methods described above.

Our View on Melasma Management

This is one of the hardest skin condition to treat. There is an expression in dermatology that melasma will humble even the most experienced dermatologist. Our teams hit rate is about 85%, by definition we can improve the MASI or melasma area severity index by 50% or more in over 85% of cases.

 

The 15% failure rate? Combination of recalcitrant disease, deep dermal melasma, poor photo protection- compliance or contraindication to topicals (sensitive skin) or medical C/I to oral t.acid.

Treating melasma is a marathon & not a sprint. The most successful treatments are gentle, over a period of weeks to months.

 

Not all melasma can be treated or improved. Deep melasma or dermal melasma will not improve with creams or peels.

Fortunately the majority of cases are ‘mixed’, namely superficial and deep, and hence the majority of cases can be improved. The key to treating this condition is with a mixture of tablets to reduce vascular input, appropriate lasers in the correct settings, & also creams that ‘turns off’ the pigment producing cells.This is a specifically designed program called Pigment Precesion Program whose target is to treat mixed melasma cases with appropriate superficial and deeper treatment to reduce melanin in skin.

 

If laser is performed, it has to be gentle and not agitate the pigment cells known as melanocytes, or melasma will worsen. For deep melasma, with topical therapy such as t.acid, we also employ the resurfacing laser to help exfoliate pigment in the dermal layer. This is called the ‘melanin-shuffle’ theory.

  

The aim of melasma treatments is to find the correct formulation for each patient & to treat them with rotational therapy. The duration of each treatment cycle is individualised.

Pigment Precision Program for Skin Pigmentation

The Pigment Precision Program is a highly advanced and targeted approach to treating skin pigmentation. It is designed to address pigmentation at both the epidermal (surface) and dermal (deeper) levels through a combination of treatments. This program is personalized to meet the individual needs of each patient, based on the depth of pigmentation, skin type, and specific concerns. By employing advanced aesthetic procedures and dermatological expertise, the Pigment Precision Program aims to achieve a clearer, more even-toned, and radiant complexion.

How the Pigment Precision Program Works

1. Assessment of Pigmentation

•During the initial consultation, a thorough evaluation is conducted to determine:

•The type of pigmentation (melasma, sunspots, freckles, post-inflammatory hyperpigmentation, etc.).

•The depth of pigmentation (epidermal, dermal, or mixed).

•The patient’s skin type, lifestyle, and overall expectations.

•Based on these factors, a customized treatment plan is developed.

2. Dual-Level Approach

The Pigment Precision Program combines treatments that target pigmentation at two levels:

A. Epidermal Level (Surface Pigmentation)

Treatments at this level focus on removing pigmentation from the outermost layer of the skin. These include:

•Chemical Peels:

•Exfoliates the top layers of the skin, removing pigmented cells and promoting the growth of new, healthy skin.

•Commonly used peels: Glycolic acid, TCA, or lactic acid peels, depending on the skin type and concern.

•Laser Toning:

•Gentle lasers such as Q-switched Nd:YAG laser are used to break down melanin clusters, reducing pigmentation and brightening the skin tone.

•Microdermabrasion:

•A non-invasive procedure that removes dead skin cells, helping to lighten surface pigmentation.

•Brightening Serums and Antioxidants:

•Vitamin C and other topical agents are prescribed to inhibit melanin production and maintain results between sessions.

B. Dermal Level (Deeper Pigmentation)

For stubborn, deeper pigmentation, advanced treatments penetrate the lower layers of the skin:

•CO2 Laser or Fractional Lasers:

•Targets deep-seated pigmentation by creating micro-injuries that stimulate the skin’s natural healing and collagen production processes.

•Microneedling with Depigmentation Serums:

•Creates microchannels in the skin to deliver active ingredients that break down pigmentation at the dermal level.

•Microneedling Radiofrequency (MNRF):

•Combines microneedling with RF energy to effectively treat deeper pigmentation while tightening the skin.

•Plasma Infusion:

•Infuses growth factors directly into the dermis, promoting cell regeneration and improving skin tone.

How It Works on the Skin

1.Breakdown of Melanin:

•All treatments aim to target melanin, the pigment responsible for dark spots, freckles, and uneven skin tone.

•Surface treatments break down melanin clusters, while deeper treatments work on inhibiting overactive melanocytes (pigment-producing cells).

2.Skin Renewal:

•Exfoliation, peels, and laser treatments promote skin renewal by encouraging the turnover of pigmented cells.

•New, healthy cells replace pigmented ones, leading to a brighter complexion.

3.Collagen Stimulation:

•Deeper treatments like microneedling and lasers not only reduce pigmentation but also stimulate collagen production, improving skin texture and elasticity.

4.Inhibition of Melanin Production:

•Post-treatment products and serums are prescribed to suppress melanin production, ensuring long-lasting results and preventing recurrence.

Benefits of the Pigment Precision Program

•Reduces the appearance of dark spots, melasma, sun damage, and post-inflammatory hyperpigmentation.

•Targets both superficial and deep pigmentation for comprehensive results.

•Improves skin texture, tone, and brightness.

•Minimizes the risk of recurrence by addressing the root cause of pigmentation.

•Tailored to individual skin types, concerns, and goals.

•Non-invasive to minimally invasive procedures with minimal downtime.

How to Enroll in the Pigment Precision Program

Enrolling in the Pigment Precision Program is simple:

Schedule a Consultation:

•Call 9816025252 to book an appointment at Smart Skin Solutions, House No. 1, Sector 10, Panchkula.

•During the consultation, our expert dermatologist, Dr. Swati Garg, will assess your skin and design a personalized treatment plan.

Why Choose Smart Skin Solutions?

•Expert Care: Dr. Swati Garg brings years of expertise in treating pigmentation with advanced dermatological procedures.

•Customized Treatments: No two skin types are the same. Every patient receives a plan tailored to their unique needs.

•Comprehensive Approach: The dual-level treatment ensures that pigmentation is addressed at its root cause.

•Cutting-Edge Technology: Our clinic employs state-of-the-art equipment and techniques for safe, effective, and lasting results.

Take the First Step to Flawless Skin

Pigmentation can be a challenging skin concern, but with the Pigment Precision Program, you can achieve a clearer, brighter, and more even complexion. Don’t let pigmentation hold you back!

Call us at 9816025252 or visit Smart Skin Solutions, Sector 10, Panchkula, to book your consultation and start your journey to radiant skin today!

Pigment Precesion Program At A Glance

• Best Results 2-10 treatments

• Treatment Recovery 0-7 days

• Procedure Time 30 min

• Skin Specialist: Dermatologist

• Duration of Results months to years

• Anaesthetic Nil Required

• Back to Work Immediately to 5 days

Book Appointment NOW!

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