There are various types of hyperpigmentation, and it can develop in all different skin types – that’s why we have all the bespoke protocols to treat them. Below is information on our different types of chemical peels that can be used to treat them.

Pigmentation fundamentally is caused by inflammation which can be internal or external and is produced by the skin to protect it from damage and melanocyte cells manufacture it and transfer it to surrounding epidermal cells where the pigment wraps around the nucleus of the cell to protect it. Hormonal changes can make otherwise previously stable skins become more reactive to minor inflammation. Normally the inflammation is from UV rays, but injury or skin treatments can also trigger the same response. When produced in excess, this is known as a hyper response, and while there are various ways to slow down this production, it is important to control inflammatory triggers that may be driving it. This is typical of sun damaged skin.

Sometimes the pigment is not transferred to epidermal cells but is released into the lower dermis where it will remain and never come to the surface, which is more difficult to treat; many pigmentation problems are a combination of epidermal and dermal. Quite often companies claim great results in dermal pigmentation like melasma but with investigation, it usually transpires that they have reduced only the epidermal component, meaning the skin appears lighter but the dermal pigmentation still remains.

Although EnerPeel® Jessners Revised forms the core of the pigmentation solution, we understand each case of pigmentation can be different. When you combine other skin issues like dark marks and lines and wrinkles around the eyes, or chrono and photo ageing, as well as the many different ethnicities and Fitzpatrick types, it’s clear to see that there is no such thing as a one-size-fits-all treatment.

As part of the advanced medical SkinMed® training every clinic goes through to be able to supply our treatments, clinics learn how to provide bespoke treatments to clients for a range of issues and skin types.

Here are some other EnerPeel® systems in combination with, or instead of, the EnerPeel® JR, providing maximal results, with minimal downtime for every kind of patient that walks through the door.

EnerPeel® Jessners Revised (JR)

EnerPeel JR jessners revised

How does EnerPeel® JR work?

Tyrosine is the raw material used to make melanin and is an amino acid created by the skin as and when it wants to make melanin. Inflammation causes it to be produced and the enzyme tyrosinase which lies dormant activates and facilitate the increased conversion of tyrosine to melanin, resulting in dark marks. Resorcinol attracts tyrosinase away from converting tyrosine as the enzyme has a much greater affinity to bind with resorcinol.

Lactic acid blocks the tyrosinase active part of the molecule so the enzyme cannot bind with tyrosine to melanin. Salicylic acid is used to reduce surface oil on the skin, further increasing the delivery of resorcinol and lactic acid. The solution also acts as an exfoliant, breaking down the darkened skin and bringing lighter skin to the surface.

EnerPeel® JR utilises 20% lactic acid as well as 15% salicylic and 14% resorcinol, suspended in a patented EnerPeel® carrier solution. This EnerPeel® carrier solution enables us to deliver the ingredients deep into the skin to target melanocytes directly for maximum efficiency.

EnerPeel® Mandelic Acid (MA)

EnerPeel MA Mandelic Acid

Some skin types are hyperreactive to low levels of inflammation and in these skin types, the Enerpeel JR ingredients’ inflammatory properties may overwhelm it, and the pigment reducing properties and could actually exacerbate the pigmentation.

This is where Enerpeel MA comes in; ideal for mild pigmentation, it is the peel to be used on darker skin types as it is a superficial peel.

MA, containing 40% mandelic acid and calming MSM, was designed to target pigmentation in hypersensitive skins and also in skins with a high post-inflammatory pigmentation risk. We recommend a course of two to six MA peels, or to use MA on potentially reactive skins before moving onto a JR, to treat:

  • Inflammatory pigmentation
  • Build skin tolerance before the JR

This is the most widely used peel in the Indian sub-continent and we have a variety of techniques in using it in pigmented skin. We also combine it with dermal needling for deep dermal pigmentation, using the needling to break up the deep-seated pigmentation to stimulate the body to remove it and take it away.

EnerPeel® Pyruvic Acid (PA)

EnerPeel PA pyruvic acid

Pyruvic acid, encapsulated in an Enepreel carrier, goes deep into the skin and is less inflammatory than glycolic but is still very effective at skin remodelling. It penetrates oil and so is ideal for those who also suffer from oily skin as well as pigmentation, targeting two skin issues with one peel. Pyruvic acid converts to Lactic acid in the skin and so can have a powerful impact in slowing down pigmentation. It tends to be used in lighter skins with resistant pigmentation whose skin is not hyperreactive to inflammation, to improve:

  • Resistant pigmentation
  • Mild actinic keratosis
  • Chrono and photoageing

To find out more about all our different peels and protocols, or to ask any questions about pigmentation, please call us on 0333 247 2474, or email clinical1@skinmed.co.uk

 

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