Treating red and brown marks on the face

WEDNESDAY, MAY 13, 2015
Treating red and brown marks on the face

My facial skin has red and brown patches and small spider web-like lines. Make-up cannot cover them up. What should I do?

Melasma, brown discoloration of the skin, is most common in women 20 to 50 years of age. It is caused partly by sun, genetic predisposition, and hormonal changes. It can be quite stubborn, and typical skin lightening lotion doesn’t really address this problem. The most common treatment is topical cream containing hydroquinone. However, products or treatments that irritate the skin may cause an increase in melanin production and accelerate melasma symptoms.
Spider veins are small vessels easily visible through the skin. They can be red, purple, and blue, and are typically visible on the legs and face. As we get older, many of us find these jagged lines spreading across our legs, and sometimes on the face. They affect up to 60 per cent of adults.
Normally the veins have a one-way valve to prevent backflow. However, when we get older, these valves may become defective and allow blood to flow backward and pool inside the vein. This causes pressure to build and the vessel wall weakens. As a result, the vein tends to bulge and twist.
The causes of spider veins on the face may differ from the causes on the legs or other areas. The red or bluish threads are injured veins or capillaries, possibly caused by prolonged inflammation, high blood pressure and obesity. Rubbing or washing the face too hard can also cause broken capillaries, especially around the eye area where the skin is delicate.
One of the easiest ways to treat spider veins and melasma is laser treatment, which is a non-invasive procedure that doesn’t require downtime. There are many laser treatments to consider today. However, different laser types yield |different results, and some can cause |discomfort and the results might not be satisfactory.
In treating problems with the vascular system, the wavelength must match the absorption curve, and the power density must be high enough to heat the blood vessel, while the spot size of the laser must be small enough to minimise collateral damage.
A new laser therapy was introduced a few years ago. Fast Edge Micropulse (FEM) technology is a combination of the right wavelengths, the right penetration depth, and the right power density that effectively treats various skin concerns. The laser produces 22,000 micropulses per second and creates a photochemical reaction in the dermis layer without damaging surrounding tissues.
This laser uses optimum yellow and green wavelengths to treat a range of skin conditions. The yellow wavelength output is 578nm, which exactly matches the peak absorption of hemoglobin in the blood vessels. The 511nm green wavelength output is absorbed by melanin contained within melanocytes. This technology provides long-term results of pigment and vascular lesion treatment.
Additionally, the treatment also helps increase the skin’s collagen production |and reduces melanin production. Thanks to its ability to reduce the appearance of wrinkles, the skin texture is better after |the treatment, and acne scars are reduced. It is an effective way of skin lightening |and rejuvenation.
After the treatment, the skin is pink and warm for a few hours, but you can |usually resume your normal activities. There’s no downtime, and no negative |side effects have been reported so far.
FEM Technology is relatively new in Thailand, but has actually been around for a few years. It is a well-known treatment in many countries, especially in Australia, where the technology originated. As with any technology, it is important to choose a dermatologist that you can trust, to ensure maximum safety and satisfactory results.

THANISORN THAMLIKITKUL MD |is a member of the American Society of Cosmetic Dermatology and Aesthetic Surgery and certified in dermatological laser surgery. Send your questions for her |to [email protected]