Treatment of Spots


Introduction

Skin spots are one of the most common asked questions at the dermatologists. If you have any kind of spot on the skin, it is important to have a correct diagnosis, by carrying out a study with dermoscopy and Wood’s lamp to see its deepness.

Stains may be caused by hormonal disorders, exhaustion of the body’s antioxidant capacity due to external agents (ultraviolet radiation, tobacco….), or internal agents (intestinal alterations, detoxification capacity alterations, stress…)

The treatment will be different according to the type of stain, being necessary to rule out before a pre-malignant or malignant lesion.

One of the most useful tools is laser. The most suitable technology will be chosen among the available arsenal of lasers for pigmented lesions. In this way, at Clinica Planas we have one of the most complete and modern platforms to treat these lesions.

On the other hand, it is necessary to emphasize that laser would not be indicated in some cases, such as melasma, hormonal spots, or in post inflammatory pigmentations. In these cases, there are other treatments available like chemical peelings and low-level light therapy, which can be associated to the personalized topical dermatological treatment.

We must not forget that sometimes stains may reflect another internal disease, which should be discarded.

On the other hand, we should take into account that visible stains are like “the tip of the iceberg” of the existing skin damage. All the skin should be evaluated and handled properly because many times there are non-visible lesions that may show later if not treated before.



Expert opinion

Dra. Cristina Schepers
Dra. Cristina Schepers

The spots on the skin may be due to different causes:

They may be actinic lentigines (which appear when the sun exposure has been excessive) or actinic keratosis, which besides being pigmented or pink, they are usually scaly (these are precancerous lesions and may evolve into skin cancer). On the other hand, there are melasmas that have a hormonal origin. In all cases it is important to rule out malignant melanoma, the treatment of which is surgical. Depending on the type of injury, it will be subsidiary to different treatments either laser, chemical peelings, dynamic phototherapy or surgery. In some cases several types of lesions coexist and should be treated with a combination of treatments. 

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