Patches of your skin can become darker or lighter in colour due to age spots, sun spots, melasma, acne scars, and other factors.
Melasma or ‘pregnancy mask’ occurs when your skin produces too many cells that compose the colour of your skin, resulting in discoloured patches. It is caused by hormonal changes brought on by pregnancy, birth control, or medication. It can also be caused or aggravated by sun exposure.
Read on to discover our advanced treatments for Melasma and hyperpigmentation!
Our Melasma Treatments
PicoSure Laser
The PicoSure revolutionizing laser pigmentation treatment provides both gentler and more efficient diminishment of age spots, sunspots, and pigmented acne scars.
Your body’s natural healing processes are harnessed, allowing fresh, new skin cells to replace pigmented skin.
Chemical Peels
A wide variety of clinical facial peels gives us options to customize a treatment that is just right for you. Total Wrapture sells the full line of Image Skincare products here in Winnipeg.
Fractional Laser Resurfacing
Fractional laser is a non-invasive treatment that uses a specialized technology that divides the laser beam into columns of light to create microscopic displacements in the skin. This triggers the body’s natural healing process. As the skin heals, the darker skin cells are replaced with new, clearer, healthy ones.
Ideal for:
- Melasma
- Pigmentation: Acne scars, age spots, sun spots
Multiple treatments are typically necessary to achieve dramatic results.
OxyGeneo Facial
Oxygeneo stimulates natural skin oxygenation leading to immediately noticeable youthful, rejuvenated skin and a radiant glow.
I.P.L. Photofacial Treatment
Our I.P.L. treatment, also known as Photofacial, is an advanced laser treatment that helps clear undesirable pigmentation and vessels from your skin quickly, easily, and with minimal downtime.
Wrinkles & Pigmentation Treatment
Our wrinkles and pigmentation treatment, also known as ThreeForMe, laser treatment is the proven way to get rid of fine lines, wrinkles, age spots, sun damage and unsightly veins, all at the same time.
Microneedling
A microneedling treatment boosts collagen production and strengthens the skin’s elastin.
Needles displace the skin during the process, creating a micro-wound that seals within minutes of treatment. The surface of the skin is renewed and the texture, tone, and pigment of the skin are significantly improved.
Frequently Asked Questions
What is melasma?
Melasma is a common skin problem characterized by brown or grayish patches, usually on the face.
What causes melasma?
Skin specialists believe that melasma is caused by hormonal, environmental, and genetic factors:
- Hormonal: Melasma often develops during pregnancy or while taking birth control pills or hormone replacement therapy. These hormonal changes can stimulate the production of melanin, the pigment that gives colour to the skin, leading to the development of melasma.
- Sun exposure: Ultraviolet (UV) radiation from the sun can trigger the production of melanin, leading to the development of melasma. This is why melasma often appears on the face, which receives a lot of sun exposure. Your Total Wrapture skin technician was not joking about using sunscreen every day!
- Genetics and Medication: There may be a genetic predisposition to developing melasma, as it tends to run in families. In addition, some non-steroidal anti-inflammatory medication may also contribute to the cause of melasma.
Which treatments should I get for my melasma?
Laser therapy works wonders for melasma by targeting the melanin in the skin, which is responsible for the dark pigmentation associated with melasma. Different types of lasers can be used to treat melasma, including fractional laser and PicoSure laser.
Fractional laser: Specifically, fractional laser works by creating tiny columns of targetted heat in the skin, which triggers the body’s natural healing response and promotes the growth of new, healthy skin cells.
Picosure laser: PicoSure is a type of laser that emits ultra-short pulses of energy, breaking up the pigment in the skin without affecting the surrounding tissue.
What other types of hyperpigmentation do you treat?
We address various hyperpigmentations, including:
- Age spots
- Pigmented acne scars
- Sun spots
- Redness and rosacea
Which treatments are suitable for these hyperpigmentations?
Depending on your specific concern and skin tone, we offer:
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- Fractional laser or PicoSure laser for all skin tones, delivering the most dramatic results.
- IPL photo facial targeting redness, age spots on lighter skin tones, and broken vessels.
- Microneedling, suitable for all skin tones.
- Chemical peels for less pronounced hyperpigmentations or maintenance.
- Oxygeno super facial or BB Glow needle-free mesotherapy for regular facials for skin predisposed to hyperpigmentation.
Which treatment should I pick for other hyperpigmentation?
For Regular Hyperpigmentation:
Regular hyperpigmentation refers to mild to moderate dark spots or areas that might arise from sun exposure, minor injuries, or acne.
- Topical Treatments & Chemical Peels: Professional chemical exfoliation results in regenerated skin that is smoother and exhibits diminished hyperpigmentation. Skincare ingredients such as hydroquinone, AHAs, niacinamide, and retinol work by inhibiting melanin production or accelerating skin cell turnover.
- IPL Photofacials: This treatment targets melanin, breaking down the pigment in dark spots. It’s effective for sun-induced freckles and age spots.
For Stubborn or Widespread Hyperpigmentation:
Stubborn hyperpigmentation can arise from prolonged sun exposure, hormonal imbalances (melasma), or more severe instances of post-inflammatory hyperpigmentation (PIH) after skin injuries or acne.
- PicoSure Laser: Especially effective for more widespread or stubborn spots, this laser’s rapid pulse duration helps in breaking down pigment effectively.
- Fractional Laser: This laser is excellent for more persistent pigmentation, encouraging the skin to heal with a reduced appearance of dark spots.
- Professional Chemical Peels: Stronger peels can penetrate deeper into the skin, making them effective for more persistent hyperpigmentation.
For Different Types of Hyperpigmentation:
- Post-Inflammatory Hyperpigmentation (PIH): This occurs after skin injury or inflammation. Topical treatments, like retinol and AHAs, can help. For more stubborn PIH, consider fractional lasers or professional chemical peels.
- Melasma: Often linked to hormonal changes, melasma presents as brown or gray-brown patches on the face. It requires a multifaceted approach. Topical treatments such as hydroquinone can be beneficial, but PicoSure or fractional laser is very effective, especially for persistent cases.
- Freckles and Age Spots: Caused by sun exposure, these are best treated with IPL photofacials, which target melanin directly. PicoSure laser and chemical peels can also be beneficial.
- Lentigines: Similar to freckles but larger and darker, lentigines can be treated with lasers like the PicoSure or IPL treatments.
What are the best treatments for acne scars?
Atrophic scars create depressions in the skin, while pigmented scars are marked by darkened spots.
PicoSure Laser (best for pigmented scars): Laser is a revolutionary solution for pigmented scars. Picosure laser uses ultra-short pulses to break down pigment into minuscule particles, enabling the body to dispose of them naturally and fade your scars. Results are often achieved in fewer sessions compared to traditional methods. It is one of the most comfortable laser treatments for scars.
Fractional Laser (best for atrophic scars): Atrophic scars meet their match with fractional laser. This laser stimulates collagen production, restoring your skin’s natural texture and appearance. Gradually, the depressed areas fill in, leaving a smoother complexion. Fractional laser also treats pigmented scars and is a great option for treating both types of scars in the same appointment.
Microneedling (for both types): Microneedling is another option in the acne scar remedy game, and an alternative to laser for less pronounced scars. Tiny needles create controlled micro-injuries, igniting the body’s healing response and collagen synthesis. It is effective for both atrophic and pigmented scars.
Chemical peels are also excellent for treating less stubborn scars or for maintenance.
After each treatment session, your skin starts a healing and renewal process. It takes a few weeks for the new collagen to develop, and for your skin to fully regenerate. Over the weeks following a treatment, you’ll notice a progressive improvement in your acne scars as your skin goes through its natural cycle and incorporates the effects of the treatment.
What skincare products should I use?
Your Total Wrapture laser technician can help you select skincare products for a daily routine that will support your laser melasma treatment results. They will likely recommend products that contain melanin suppressants which help inhibit the production of the pigment that melasma is made up of.
Key melanin suppressant ingredients to look for in skincare:
- Kojic Acid (from a type of mushroom)
- Vitamin C
- Retinoids
- Glycolic Acid (contained in Vivier’s Exfoliant Forte cream)
- Azelaic Acid
- Ferulic Acid (contained in Image MD Restoring Power-C Serum)
- Alpha Arbutin (contained in Vivier’s Radiance Serum)
- Hydroquinone: An experts-approved skin lightener, hydroquinone works by inhibiting the enzyme tyrosinase, which plays a role in melanin production. By doing so, it reduces the appearance of dark spots, offering a clearer complexion.
- AHAs (Alpha Hydroxy Acids): AHAs are naturally-occurring acids that exfoliate the skin’s surface layers. By promoting cell turnover, they help in bringing newer, less-pigmented skin cells to the surface, thereby lightening dark spots over time.
- Retinol: A derivative of vitamin A, retinol stimulates collagen production and accelerates cell turnover. As a result, it can diminish the appearance of hyperpigmentation, revealing a smoother and more even-toned skin.
- Niacinamide: A form of vitamin B3, niacinamide helps in reducing the visibility of dark spots by interfering with the process that leads to melanin production. Additionally, it boasts anti-inflammatory properties that further benefit the skin.
How frequently should I get treatments for melasma?
The frequency depends on the severity of your melasma and the specific treatment you are having.
Typically, laser treatments, are spaced out every 4-6 weeks and we recommend starting with 3 treatments or as advised by your skin technician according to your unique skin and melasma.
Once your treatment plan is completed, you can help maintain your results with the following facials:
- Oxygeno super facial or BB Glow needle-free mesotherapy for regular facials for skin predisposed to hyperpigmentation or melasma.
- Chemical peels
- Microneedling
Laser remains your best option for targeting any new melasma.
Can melasma be completely cured?
While our clients see a significant reduction in their melasma with laser treatments, melasma can be a chronic condition. Regular treatments, along with diligent sun protection, can help manage and reduce its appearance.
Once your treatment plan is completed, you can help maintain your results with the following facials:
- Oxygeno super facial or BB Glow needle-free mesotherapy for regular facials for skin predisposed to hyperpigmentation or melasma.
- Chemical peels
- Microneedling
Laser remains your best option for targeting any new melasma.
Should I get fractional laser or PicoSure laser?
Both PicoSure and fractional laser treatments are effective in treating melasma and hyperpigmentation. The best option for you will depend on a variety of factors, including the severity of your melasma, as well as your skin type and sensitivity.
PicoSure laser can be more effective for treating stubborn or resistant melasma and hyperpigmentation, as it emits ultra-short pulses of energy that can break up pigment more effectively than traditional lasers.
Fractional laser treatments can be customized to target specific areas of the skin, making it ideal for treating patchy areas of melasma.
Our Total Wrapture expert laser technicians will determine which laser treatment is right for you during your consultation, based on your unique skin, individual needs and goals.
What should I expect during my melasma/hyperpigmentation laser treatment?
Before: First, you will receive a thorough skin consultation with an experienced laser and skin technician to determine the perfect laser type and level of energy to use. Next, you will lie back comfortably while your skin is cleansed. During the treatment, you will wear protective eye goggles to shield your eyes from the laser light.
During: The laser will be applied to the affected areas of the skin, targeting the melanin in the skin cells that cause melasma. Laser therapy is safe and well-tolerated. The treatment may feel like a warm or hot sensation, or may be virtually painless. It is quick and only lasts for a few, short minutes.
After: Once the treatment is complete, you may experience redness, swelling, or mild discomfort, but this usually resolves within 2-48 hours.
How can I maintain my results?
It is important to use sunscreen every day to maintain your improving results, regardless of the season. Our clients experience significant improvement in the appearance of their skin with each passing laser treatment (we recommend starting with 3).
You can continue enjoying your clear skin by protecting it from the sun, using skincare products recommended by your laser technician, and keeping your skin healthy with facials. Some of our clients come in for an occasional touch-up laser session to maintain their results after a particularly sunny summer.
Once your laser or microneedling treatment plan is completed, you can also help maintain your results with the following facials:
- Oxygeno super facial or BB Glow needle-free mesotherapy for regular facials for skin predisposed to hyperpigmentation or melasma.
- Chemical peels
- Microneedling
Laser remains your best option for targeting any new melasma or pronounced hyperpigmentation.
What skincare products should I use?
Key melanin suppressant ingredients to look for in skincare:
- Kojic Acid (from a type of mushroom)
- Vitamin C
- Retinoids
- Glycolic Acid (contained in Vivier’s Exfoliant Forte cream)
- Azelaic Acid
- Ferulic Acid (contained in Image MD Restoring Power-C Serum)
- Alpha Arbutin (contained in Vivier’s Radiance Serum)
How many hyperpigmentation treatments will I need?
Depending on the severity of your hyperpigmentation, you may need 3-5 treatments to fully remove or fade it significantly. Each treatment is spaced about 4-6 weeks apart to allow a full skin cycle to produce fresh, less marked skin cells.
The gradual improvement in acne scar reduction is closely tied to the natural cycle of your skin and how your treatments interact with it.
Your skin naturally goes through a constant cycle of renewal. Old skin cells are shed, and new ones come to the surface. This cycle takes around 4 to 6 weeks.
When you receive treatments such as laser therapy or microneedling, they stimulate a new cycle as well as your skin’s natural healing processes. This includes the production of collagen, which is a protein that helps your skin become smoother.
A complete, monthly skin rejuvenation: A bonus effect of receiving hyperpigmentation treatments for a few months is that they do more than just reduce your scars. Laser and microneedling have the added benefit of smoothing out the appearance of large pores, making your overall skin tone more even, and fighting premature signs of aging such as fine lines and sun damage.
What causes other types of hyperpigmentation?
Sun Exposure: Ultraviolet (UV) rays from the sun can stimulate melanocyte cells to produce more melanin. Over time, this can lead to freckles, age spots, and other forms of hyperpigmentation.
Skin Inflammation: Post-inflammatory hyperpigmentation (PIH) occurs as a response to skin injury or inflammation. Common triggers include:
- Acne lesions
- Wounds
Aging: As the skin ages, it can develop age spots, also known as liver spots or solar lentigines. These are often a result of accumulated sun exposure over the years.
Genetics: Some people are genetically predisposed to develop certain types of hyperpigmentation, such as freckles.
Chemical Exposure, medications, skin irritations, and medical conditions can also cause hyperpigmentation.
Hormonal Changes: Melasma or chloasma spots are similar in appearance to age spots but are larger areas of darkened skin that often occur as a result of hormonal changes, such as pregnancy or the use of oral contraceptives.
How can chemical peels help with hyperpigmentation?
Chemical peels for hyperpigmentation can be remarkably effective, especially for lighter-coloured pigmented spots or more superficial discolorations.
However, they demonstrate their utmost efficacy when combined with laser or microneedling treatments for more pronounced discolorations.
Chemical peels act as a potent enhancer, amplifying the results of these advanced treatments by further boosting collagen production and skin renewal.
Their benefits aren’t confined to just treating discoloration! If your skin is prone to acne, chemical peels are an optimal choice for your routine professional facials.
Owing to their capability to exfoliate and refine the skin texture, they help manage uneven skin tone and sustain a clear, luminous complexion.
Whether used independently or in synergy with more rigorous hyperpigmentation treatments, chemical peels are integral in your path to achieving even-toned, radiant skin.
How does microneedling help with hyperpigmentation?
Microneedling, also known as collagen induction therapy, is a minimally invasive procedure that involves the use of a device equipped with fine needles. These needles create controlled micro-injuries in the skin, which prompts the body’s natural wound healing process. Here’s how microneedling can help with hyperpigmentation:
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Collagen and Elastin Production: The skin’s healing response from the micro-injuries stimulates the production of collagen and elastin, the essential proteins responsible for skin’s elasticity and firmness. This leads to a more even skin tone and reduces the appearance of hyperpigmentation.
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Cell Turnover: The controlled injury encourages the skin to regenerate, promoting faster cell turnover. This helps in pushing the melanin-infused skin cells to the surface faster, which can then be exfoliated away, reducing the appearance of pigmented spots.
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Improved Product Absorption: Post-microneedling, the skin can absorb skincare products more efficiently. This means that brightening serums or creams designed to combat hyperpigmentation can penetrate deeper into the skin, amplifying their effects.
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Breaking Down Pigment: The process can also help break up pigment particles, dispersing hyperpigmentation and promoting a more even distribution of melanin.
Proper aftercare, including protection from the sun, ensures the best results and helps minimize further hyperpigmentation.
How does popping my own pimples cause future hyperpigmented acne scars?
Results of At-Home Extractions
If you are not a trained skin technician, at-home extractions can intensify or cause dark-spot acne scars , also known as post-inflammatory hyperpigmentation (PIH). Popping without proper prepping triggers skin inflammation, a major factor in PIH development, particularly in darker skin tones.
Extracting without the right preparation and aftercare can push bacteria deeper or spread it, elevating PIH risk through increased inflammation. Pimples popped at home can also heal more slowly, prolonging inflammation and intensifying PIH. The inflammation can prompt melanocytes to produce extra melanin, resulting in darkened skin spots and a higher risk of lasting scars.
How Professional Extractions Minimize Risks
When extractions are performed by trained skin technicians during a facial, several measures are taken to mitigate the risks associated with popping pimples and to ensure the process is as safe and beneficial as possible:
- Preparation: The skin is usually prepped using a gentle steam treatment or warm towels. This softens the skin and opens up the pores, making extractions easier and reducing the potential for skin trauma.
- Sterilization: skin technicians use sterilized tools and ensure their hands are clean and often gloved. This reduces the risk of introducing new bacteria into the skin.
- Technique: Professionals use specialized extraction techniques that minimize trauma to the surrounding skin. They’re trained to recognize which blemishes can be safely extracted and which should be left alone.
- Aftercare: Post-extraction, soothing and antibacterial products are applied to calm the skin and minimize the risk of infection. This step also aids in reducing inflammation, which can lead to PIH.
- Guidance: If a blemish is deemed too risky to extract (because it’s too deep, for example), the skin technician will typically advise against extracting it and might provide advice on alternative treatments.
- Experience: Skin technicians have seen a variety of skin types and conditions. Their experience enables them to gauge the level of pressure to apply and to determine the best extraction methods for each individual.
- Tailored Treatments: Often, facials are tailored to the client’s specific skin type and concerns. A skin technician can choose products and treatments that not only aid in the extraction process but also help in the healing and prevention of future breakouts.
How soon after experiencing acne can I treat my acne scars?
You can begin treating your acne scars with laser treatments or microneedling once your open blemishes or active lesions have healed. Having an occasional pimple or a couple of outlying pimples that can be avoided during the scar treatment will not necessarily prevent you from beginning the scar treatment process.
Our expert skin technicians will thoroughly study your skin during the pre-treatment consultation and give you information based on your unique skin. They will also recommend appropriate active acne facial treatments and acne skincare products to help manage your current acne. By addressing active acne effectively, we also minimize future scar removal.