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Not all black spots on the face can be treated with liquid nitrogen, the risk of bleeding and hypopogmentation

Written By Hanny & Melissa on Wednesday, May 01, 2019 | Wednesday, May 01, 2019

Flat spots on the facial skin that are formed due to an increase in melanin, or natural skin pigments, can be called ephelis (Black spots).

Black spots can also appear on other body parts, such as the arms, chest, or neck. These spots tend to be easily seen and easy in people with white skin.

Ephelis is a condition that is common in all ages, and usually does not harm or cause pain.

Because of Black Spots (Ephelis)

Ephelis arises because of increased production of melanin, especially after exposure to sunlight or Ultraviolet (UV) rays. Melanin is a pigment that determines the color of the skin, eyes, and human hair.

The part of the skin that has a lot of melanin will be darker than the surrounding skin, so it looks like spots. Increased melanin in a person's body, also related to genetic factors.

People with white skin, and having blonde or red hair experience this condition more often. Although most spots are black, this does not rule out the possibility of appearing with other colors, such as redness, yellowness, or brownish depending on the skin pigments of each person, but which are definitely darker than the surrounding skin.

Prevent Black Spots (Ephelis)

Black spots arise due to a combination of genetic inheritance factors and sun exposure or Ultraviolet (UV) light.

Genetic factors cannot be changed, but exposure to UV light can be prevented by :

1. Use sunscreen with SPF 30-50, especially for those who have white skin.

2. Avoid outdoor activities between 10 am and 4 pm, because UV exposure is still very high.

3. Use protectors such as hats, long sleeves, and other covers when outdoors.

Treat Black Spots (Ephelis)

Although most black spots can fade on their own, there are some treatments that are usually recommended if the patient feels disturbed or the condition is getting worse, including using :

1. Whitening cream.

This whitening cream is generally used to fade black spots and can be purchased freely. However, creams containing hydroquinone require recipes from experts (Doctors).

Next, consult experts if the patient experiences side effects such as skin inflammation, dry skin, skin feels like burning, discoloration of the skin, or peeling.

2. Retinoid cream.

Retinoid cream which contains the chemical compound vitamin A, can be used in conjunction with whitening creams and serves to fade black spots in a matter of months.

Some examples are tretinoin, tazarotene, and the possible side effects of using this cream are reddish, dry, irritated, sensitive, and flaky skin.

3. Laser therapy.

This laser therapy, using light waves aimed at the problematic skin. The study said, the laser is able to fade black spots up to 50%. Although safe, some side effects that might occur from this treatment method are skin itching, redness, swelling, infection, flaking, or changes in skin color.

4. Peeling.

Peeling action uses chemical liquids containing Glycolic Acid (GA) or Trichloroacetic Acid (TCA) which functions to remove damaged skin cells and create regeneration.

Some of the effects that can occur from this treatment method are the skin feels sore and red, irritation to the skin, swelling, and skin peeling.

5. Cryosurgery.

Cryosurgery is the act of removing black spots by using low-temperature liquid nitrogen to freeze and kill abnormal skin cells.

Although considered safe, it should be noted that not all types of black spots can be treated this way. Some side effects that are at risk are blistering, bleeding and hypopogmentation.


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