Why pigment spots appear on the face: causes of pigmentation, types of pigmentation and treatment

Red, scaly spots on the face appear both due to allergies and in the presence of serious skin, endocrine and viral diseases. Irritation therapy consists of a set of measures that includes diagnosis and treatment of the disease.

Red, scaly spots on the face appear due to allergies, skin problems or pathologies of the endocrine system

How is it formed

Every person from birth has a genetically determined skin color - the so-called permanent pigment.
When exposed to external and internal factors, an additional one is produced, which can be either a temporary physiological phenomenon (natural tanning) or a pathological one, difficult to remove even with special lasers (lentigo, vitiligo, etc.). The formation mechanism itself occurs in the epidermal layer. Here are located keratinocytes - epidermal cells. Their life cycle is up to 60 days, so they are constantly updated. To protect young and vulnerable cellular structures from sun exposure, melanocytes exist. They belong to the nervous system and are called upon to produce melanin, which absorbs ultraviolet radiation.

If the body is healthy, there is no overdose of solar radiation, melanocytes will produce a sufficient amount of protection. However, if there are failures, the “protectors” begin to be distributed unevenly, which leads to the formation of hyperpigmented areas.

Causes of hyperpigmentation

An increase in melanin production can be associated both with physiological changes occurring in the body and as a result of pathologies. The most well-known factors influencing the occurrence of stains are:

  • endocrine diseases;
  • hormonal changes during pregnancy or menopause;
  • diseases of the gastrointestinal tract and adrenal glands;
  • metabolic disorder;
  • vitamin deficiency or hypervitaminosis;
  • helminthic infestations;
  • severe intoxication of the body;
  • trauma or inflammatory processes;
  • prolonged exposure to the sun;
  • taking medications - antibiotics of the tetracycline group, gentamicins, erythromycins, as well as some NSAIDs, salicylic acid, antidepressants, diuretics, sleeping pills and sedatives, antihistamines, St. John's wort extract, etc.;
  • heredity.

Changes can also appear due to prolonged stress. Since melanocytes belong to the nervous system, any fluctuations and unstable conditions lead to serious pigmentation disorders.

Localization of spots

They can have different sizes, both with clear contours and blurry ones, merge together or not grow at all. Depending on the differential diagnosis and the type of hypermelanosis, they can be located both in certain areas and without specific boundaries, covering absolutely any area of ​​the body.

On the face

One of the most common sites of localization of many hyperpigmentations. This is due to the fact that the skin here is thin enough so that negative factors can attack them faster. Among the common phenomena are freckles, which can decorate the face all year round and also appear and disappear after exposure to the sun. They are also localized over the entire surface or located pointwise in the area of ​​the cheeks, eyes, and forehead.

Anti-age drugs

Bb Laboratories – Delicate oil for deep cleansing

Laennec – solution for injection

Bb Laboratories – Two-phase serum concentrate

Two-phase placental serum concentrate

On the body

Namely on the arms, shoulders, chest, back, groin area. For each individual disease, there are areas where pigment accumulation is observed. For example, senile hyperpigmentation is typically located on the hands, forearms, and upper back.

Types and symptoms of age spots

Let's consider the most characteristic signs of hypermelanosis, as well as control methods that are relevant for each specific type of pathology.

Freckles

The most common type of melanin accumulation. They are mainly located on the face, in the cheek area. In advanced cases, they can completely cover the entire surface of the skin with small distances between the spots. And also have a round or oval shape, small diameter, clear contours.

Genetic predisposition plays a major role, so freckles can appear in childhood. People with red and blond hair are most susceptible to them. This is due to the need for high melanin production to protect the skin.

Freckles can be easily distinguished from other types of spots by the complete disappearance of pigmentation in cold weather, and the appearance of a whole scattering on the face with the arrival of warmth. Therefore, to combat them, creams with maximum sun filters are used throughout the year, as well as lightening cosmetics.

Melasma

Spots without clear boundaries and endings, varying in shade from bronze to dark brown. They have the ability to stretch, grow, and merge with each other into huge pigmented areas that occupy a large surface of the body. The main provoking factor is considered to be hormonal disorders caused by menopause, pregnancy, and the use of oral contraceptives. Treatments include peeling methods and procedures that promote cell renewal. When the root causes are eliminated, the stains quickly disappear.

Melasma

The second name is melanosis. It can be acquired or hereditary, manifests itself in the form of an accumulation of melanin with uneven but clear boundaries and localization in open areas of the body. May occur as a result of Addison's disease, hemochromatosis, due to sensitivity to ultraviolet radiation, anthracene or acridine substances, diseases of the pituitary gland, ovaries, adrenal glands, syphilis, tuberculosis, malaria, treatment with hormones. Pigmentation is accompanied by redness, itching, peeling, and roughening of the skin.

To prevent progress, sunscreens are used, drug therapy is prescribed with steroid groups, retinoids, hydroacids, and vitamins B (1.6) and C are additionally used.

Becker's nevus

A characteristic defect in men, it is much less common in women. The first manifestations can be as early as 10 years of age. It is a hyperpigmented area protruding above the surface of the skin, on which dark long hairs grow. It occurs both as a result of genetic factors and can appear after sun exposure, changes in hormonal levels, in particular androgens. The location most often is the upper back and chest; it is not often found on the legs, groin, or head. It has a warty surface on which acne or comedones can be seen. Does not respond well to any cosmetic procedures or medications. An argon laser is used to minimize the aesthetic defect.

Secondary

Occurs at the site of mechanical damage. They can be either deep cuts, scratches, or acne, comedones, ulcers and other superficial causes that trigger the inflammatory process in the skin cells. There is an excess of melanin, resulting in staining. They are localized where the damage was and go away after the area returns to normal and the inflammation disappears. To speed up the lightening process, you can use special lightening creams or cosmetic procedures aimed at renewing the epidermal layer.

Age

As we age, the negative effects of ultraviolet radiation lead to increased melanin production in certain areas of the body. These are usually open areas that have been exposed to a lot of sunlight during their lifetime. With age, spots appear with a diameter of 1 to 5 cm, which are darker in color than the entire surface of the skin.

Berlocc's dermatitis

Refers to contact types of immune response to irritants. Usually due to contact with perfumes, colognes, and deodorants. It is located where the skin came into contact with the substance. Symptoms may include not only a change in the color of the dermal layer, but also itching, peeling, and swelling. It disappears quickly, just stop using perfume and in a few days everything will return to normal.

Chloasma

Large spots can merge into one large skin defect. They do not have a clear contour or boundaries and can grow and increase in size throughout life. Among the provoking factors are pregnancy and lactation, menopause, changes in hormonal levels due to diseases, stress, taking oral contraceptives, steroids, the use of hormone-containing ointments and some cosmetics.

Types of post-acne

  1. Stagnant spots

There are red, purple or blue.

Immediately after they occur, it is quite easy to remove stagnant stains, even on your own. Use lightening masks or cosmetic products containing alpha hydroxy acids.

If you do not get rid of stagnant spots in time, then all that remains is to contact a doctor who will prescribe individual treatment.

  1. Hyperpigmentation (brown spots)

This kind of defect is formed due to frequent exposure of the skin to ultraviolet rays. Melanin accumulates in darkened areas, which gives the skin a different shade. The most effective treatment is phototherapy, read about it below in this article.

  1. Whiteheads

They are also called millet and milia. They are white, dense, painless pimples.

They arise for various reasons: heredity, lack of vitamins in the body, improper care.

  1. Scarring

This is the most difficult defect to treat, so the best solution would be to contact a specialist who will prescribe the correct therapy. Some people may benefit from acid peels, others may benefit from laser resurfacing.

What causes pigment spots to appear on the face after sunbathing?

Most manifestations of hyperpigmentation occur after the negative effects of ultraviolet rays. Among those that immediately appear are freckles, various melasma and chloasma. There are also those that have a cumulative effect, for example, lentigo.

Also, if during the summer vacation there were inflammatory processes in open areas of the body, most likely after they heal, a change in shade can be clearly observed.

Prolonged exposure to the hot sun with the presence of existing tumors and increased pigmentation can be fraught with the degeneration of harmless spots into aggressive cancer - melanoma. Therefore, you should limit your tanning time and use special cosmetics for protection.

How to remove pigmentation on the face at home using cosmetics

If the spots are not intense and do not occupy large areas, you can make them lighter yourself. Pharmaceutical products and skincare products are suitable for this:

  1. Hydroquinone, lavender oil, hydrogen peroxide, and resorcinol have an exfoliating and keratolytic effect.
  2. Weak fruit acids, which can be used at home, work well to whiten stains. This is citric, ascorbic, and lactic acid of low concentration. These products are also suitable for preparing for salon chemical peels.
  3. Lightening cosmetic compositions marked Anti-Pigment. Creams, lotions and serums containing azelaine, kojic acid, vitamin C.

Any product can be used only after testing for possible allergies. If the body accepts the composition calmly, without a negative reaction, you can begin the procedures according to the instructions for the drug.

Age spots and peeling

Melanin accumulation occurs in the upper layers of the epidermis. In order to remove unaesthetic problems, products that stimulate the renewal of the dermis are used. The most effective peelings are: chemical, mechanical, laser. They promote the regeneration of epidermal cells, forcing keratinocytes to produce new ones as quickly as possible, which will not have a large accumulation of coloring pigment. When eliminating the root causes of hyperpigmentation, there is a chance that you will forget about various spots for a long time.

Causeless manifestations

It happens that people try to protect their skin, use special sunscreens, but hyperpigmented areas still appear. It's like it happens for no apparent reason. However, for melanocytes to malfunction, even a small but prolonged stress or temporary hormonal imbalance is enough.

It is also worth noting the cumulative negative effect of ultraviolet radiation, which can manifest itself over the years on areas of the body that received sunburn in early childhood. Therefore, only at first glance it seems that hypermelanosis arose without provoking factors. In fact, he has hidden reasons.

Clinical researches

The effectiveness, safety and tolerability of La-Cri products have been clinically proven. The products are recommended by the Union of Pediatricians of Russia. During clinical studies, specialists were able to record impressive results.

It has been proven that La Cree cream for dry skin:

  • eliminates dryness and flaking;
  • retains the skin's own moisture;
  • protects skin from wind and cold.

In addition, it has been clinically proven that La Cree cream for sensitive skin:

  • reduces itching and irritation;
  • relieves skin redness;
  • moisturizes and gently cares for the skin.

Sources:

  1. Baumann Leslie, Cosmetic Dermatology. Principles and practice, MEDpress-inform, 2016.
  2. Ratner Desiri, Avram M.R., Avram M.M., Procedures in Dermatology. Clinical cosmetology, GEOTAR-Media, 2022.
  3. Sukolin Gennady Ivanovich, Clinical dermatology. A short guide to the diagnosis and treatment of dermatoses, Notabene, 2017.

Liver pigment spots

Deterioration in the functionality of internal organs can also lead to the formation of aesthetic defects. The liver plays the role of a filter, retaining and processing all dangerous substances, and then removing them from the body. In cases where she fails to cope with her duties, slow but sure intoxication occurs, which is manifested not only by internal, but also by external pathologies.

Metabolic processes in tissues are disrupted, including the normal distribution of melanin; it accumulates in certain areas. Most often it appears on the face. The contours of such spots are not uniform, they do not have a clear boundary. The color can also vary from light to dark brown.

What else can phototherapy help with?

Pulses of light will help get rid of many aesthetic defects.

  • Cuperosis;
  • Photoaging;
  • Uneven complexion;
  • Wrinkles;
  • Hyperpigmentation;
  • Acne;
  • Stagnant post-acne spots;
  • Gravitational ptosis (sagging);
  • Angiomas (red dots on the body);
  • Rosacea.

You will be prescribed effective treatment for these and many other skin defects at the Elena Malysheva Medical Center. We employ the best specialists in various fields of medicine. Sign up for a consultation!

Lentigo

The phenomenon is popularly known as “senile ripples.” Appears in older people in areas of the body that have been exposed to intense ultraviolet rays throughout their lives. The pigment usually appears on the arms from the hands to the top of the shoulders, upper back, décolleté, and face. It is distinguished by its small size, different diameters and chaotic arrangement of spots.

The first manifestations can be noticed after 40 years; they noticeably age the appearance, so many people at this stage turn to cosmetologists to eliminate the defect. During menopause, hormonal changes lead to an increase in the amount of pigment. Chemical, mechanical and laser peels are used for treatment. Cosmetics and whitening creams will not cope with the problem.

How to Avoid Worsening Skin Redness

When treating the underlying cause of your redness, there are irritants that you should avoid to avoid making the situation worse. For example, you may want to avoid wearing makeup for a few days to give your skin time to recover—you may also want to avoid direct sunlight and extreme temperatures.

Here are some other irritants you should avoid to help reduce redness around the nose:

  • Alcohol, caffeine and spicy foods, which make blood vessels more visible
  • Some skin care ingredients, such as alcohol
  • Artificial fragrances and other additives that may irritate the skin
  • Rough fabrics or fabrics that can damage or irritate the skin

If you want to reduce redness, it's important to give your skin time to recover and keep it hydrated. If you need a little extra help there are a number of skin care products you can try.

Solarium - is it harmful?

It is also a mistake to think that sun tanning is harmful, and nothing will happen in specialized salons in a few minutes. On the beach, the skin gets a lot of heat, but this happens gradually. In the booths, a loading dose of ultraviolet radiation is given in a few minutes, which is difficult to obtain outdoors even in a whole day.

People with a fair skin type, with the presence of moles and nevi, freckles, existing aesthetic defects in the form of increased melanin production, need to get rid of the habit of visiting a solarium. The consequences can be expressed both in the progression of unsightly changes in the epidermal layer, and in their degeneration into malignant neoplasms.

Why retinoids

To effectively lighten the skin from age spots, the same three groups of products are needed: lightening substances - reduce the production of melanin, antioxidants - reduce the number of free radicals that provoke melanin hyperproduction and exfoliating substances - accelerate cellular renewal and remove colored cells from the surface of the skin.

Retinoids cope with all three tasks simultaneously, which reduces the number of products used to one.

IMPORTANT! Retinoids are involved in the activation of genes responsible for suppressing tumor growth.

Therefore, some retinoids are used as a local auxiliary drug in the treatment of skin manifestations of cancer. Thus, the use of retinoids is the prevention of degeneration of age-related neoplasms.

Read about how important retinoids are in correcting age spots remaining on the skin after acne - post-acne here .

Diagnostics

To accurately determine the type of hypermelanosis, as well as to identify effective means of control, you need to contact a dermatologist. At the initial visit, the doctor will collect the patient's medical history to determine the most likely internal and external factors that will indicate a certain type of disorder. He will examine the skin and also prescribe a number of tests:

  • AOK and OAM;
  • blood biochemistry;
  • Wood's lamp tests;
  • scraping;
  • biopsy.

If a malignant neoplasm or fungal infection is suspected, referrals will be given for the last two procedures on the list. As a result, the specialist will be able to accurately determine the type of illness and prescribe therapeutic or cosmetic procedures.

Anti-age drugs

Bb Laboratories – Hyaluron-elastin-collagen extract

Laennec – solution for injection

Curacen Essence (20 fl x 2 ml)

Two-phase placental serum concentrate

How to fight

Among the modern and effective methods of struggle, it is worth highlighting:

  • cosmetic preparations;
  • laser peeling;
  • phototherapy.

Depending on the variety, medications may be prescribed to address the underlying causes. However, to remove an aesthetic defect, it will be necessary to wait for the cell surface to renew itself, or to help it renew itself faster with the help of additional deep peeling and cosmetic photorejuvenation procedures.

Cosmetic preparations

Among the popular drugs that give noticeable results in the fight against hyperpigmentation are placental products with a high content of natural peptides, amino acids and hyaluronic acid, as well as vitamins, micro- and macroelements. Injection product Curacen (Curasen) and non-injection drug Curacen Essence (Curasen Essence) are the ideal choice of cosmetologists for triple action: brightening, moisturizing and eliminating wrinkles. You can also use specialized cosmetics from the Laennec Skincare brand - LNC. This line offers to transform the skin at the cellular level, eliminating and preventing hyperpigmentation.

Now you know about the main causes of pigmentation, as well as what causes the appearance of age spots on the face, and you can easily answer the question - what to do when pigments have already appeared. Dermatologists recommend not only limiting time spent on the beach and using sunscreen in summer, but also year-round use of skin protection from the negative effects of ultraviolet radiation. It is this that becomes the main catalyst, and in combination with internal disorders of the body can lead to serious changes in the epidermal layer.

Prevention

In order to avoid the appearance of ailments on the face, you need to:

  1. Carefully monitor your diet.
  2. Selecting cosmetics correctly (overusing them is also not recommended).
  3. Do not abuse alcohol or smoking , which is a negative factor not only for the condition of the face, but also for the entire body in general.
  4. It is also very important to spend time outdoors as much and as often as possible, go for evening walks or jogs, do morning exercises and be attentive to your health and body.
  5. Undergo regular examinations with a doctor , consult about your general condition, and receive recommendations.

In order to maintain good condition and youthful skin for many years, doctors and dermatologists strongly recommend not to be indifferent to your physical condition and well-being in general.

From an early age you need to start paying as much attention as possible to your body and being attentive to it and its condition.

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