Skin Discoloration Explained: The Difference Between Melasma and Sun Spots
Noticing a new patch or spot on your skin can leave you wondering: Is it just a sun spot, or could it be something more, like melasma? Both conditions are common forms of skin discoloration, but they develop for different reasons and require different approaches to care. Whether it's hormonal changes or sun exposure to blame, understanding the differences between melasma and sun spots is the first step toward finding the right solution.
In this article, we’ll break down what sets these two types of discoloration apart, how they show up on your skin, and what you can do to prevent and treat them.
What is Melasma?
Melasma is a chronic skin condition that causes brown or grayish-brown patches, usually on the face. It’s common on the forehead, cheeks, upper lip, and sometimes forearms. Known as the "pregnancy mask," melasma often appears due to hormonal changes during pregnancy or from birth control use.
What Causes Melasma?
The exact cause of melasma isn’t fully understood, but common factors include:
- Hormonal changes (pregnancy, birth control, menopause)
- Sun exposure triggering excess melanin production
- Genetics – it’s more likely if others in your family have it
Triggers to Watch For
Certain things can make melasma worse, such as:
- UV rays – even minimal sun exposure can darken patches
- Heat – warm weather or saunas may intensify symptoms
- Hormonal shifts – pregnancy, menopause, or hormone therapy
Though melasma isn’t harmful, it can be persistent. Proper sun protection and professional treatment can help manage it effectively.
What are Sun Spots?
Sun spots, also called age spots or liver spots, are flat, brown spots that develop from prolonged exposure to ultraviolet (UV) light. Unlike melasma, sun spots are directly caused by cumulative sun exposure over time, including tanning beds. They’re especially common in areas that receive the most sun, like the face, hands, shoulders, arms, and back.
What Causes Sun Spots?
Sun spots form after years of exposure to UV rays, which cause melanin (the pigment responsible for skin color) to build up in certain areas. The most common causes include:
- Cumulative sun exposure from outdoor activities or sunbathing
- Use of tanning beds, which accelerate UV damage
When Do Sun Spots Appear?
Sun spots typically start showing up later in life, usually in your 30s or 40s, though they may appear earlier with frequent sun exposure. While they aren’t dangerous, many people seek treatments to reduce their appearance for cosmetic reasons.
Differences Between Melasma and Sun Spots
Though melasma and sun spots both cause discoloration, they differ in appearance, causes, and how they respond to treatment. Knowing these distinctions can help you identify the issue and find the most effective solution.
Color and Shape
Melasma appears as irregular, patchy areas with grayish or brown tones that blend into the skin. In contrast, sun spots are round, flat, and darker brown, making them more distinct.
Location on the Skin
Melasma typically forms on the forehead, cheeks, upper lip, and sometimes on the forearms. Sun spots, however, show up on areas frequently exposed to the sun, such as the hands, shoulders, and back.
Persistence and Treatment
Melasma tends to be more challenging to treat, often returning even after fading. It requires a combination of lifestyle changes and professional treatments to manage. Sun spots, on the other hand, respond well to treatments like laser therapy or chemical peels and are less likely to reappear once treated.
Treatment Options for Melasma
Treating melasma requires a multi-faceted approach, as the condition can be persistent and prone to returning. While no single solution works for everyone, a combination of topical treatments, cosmetic procedures, and lifestyle changes can help manage symptoms effectively.
Topical Treatments
At Pure Dermatology, we often recommend topical creams to lighten melasma patches over time. Common options include hydroquinone, tretinoin with corticosteroids, and azelaic acid or kojic acid, which work to reduce pigmentation gradually.
Cosmetic Procedures
For more stubborn cases, cosmetic treatments can be effective, but they should always be performed under the supervision of a dermatologist. Chemical peels can help exfoliate the skin and promote even tone, while laser therapies like Fraxel can target deep pigmentation. However, caution is needed—some lasers may worsen pigmentation if not used correctly.
Lifestyle Changes
Daily habits play a crucial role in managing melasma. Wearing a broad-spectrum SPF sunscreen every day, even when it’s cloudy, is essential to prevent flare-ups. Incorporating sun-protective clothing, like wide-brimmed hats and sunglasses, can further reduce exposure. Avoiding heat, including saunas and hot yoga, can also help minimize symptoms.
By combining these treatments and preventive strategies, many people see significant improvement in their skin’s appearance. Regular check-ins with a dermatologist ensure the best results over time.
Treatment Options for Sun Spots
Sun spots, though harmless, can be a cosmetic concern for many people. Fortunately, several treatments are available to lighten or remove these spots, ranging from topical solutions to in-office procedures.
Topical Treatments
Topical products can help fade sun spots gradually over time. Retinoids speed up cell turnover, promoting new, even-toned skin. Vitamin C serums are another popular choice, helping to brighten the skin and reduce pigmentation.
Cosmetic Procedures
For more immediate results, dermatologists may recommend cosmetic procedures. Laser treatments, such as IPL or Fraxel, can target pigmented areas, breaking down melanin. Cryotherapy uses freezing to remove stubborn spots, while chemical peels exfoliate the skin, encouraging new, healthier skin to surface.
At-Home Options
For those who prefer at-home care, brightening serums and over-the-counter exfoliants can help reduce the appearance of sun spots. While results may take longer, a consistent skincare routine can lead to gradual improvement.
Whether you opt for topical products, cosmetic treatments, or at-home care, consistency is key. Consulting with a dermatologist will ensure you choose the best approach for your skin type and goals.
Prevention Strategies for Both Conditions
While melasma and sun spots develop for different reasons, prevention plays a key role in managing both. Protecting your skin from UV exposure and incorporating smart skincare habits can reduce the likelihood of new discoloration appearing.
How to Prevent Melasma
Melasma is particularly sensitive to both sunlight and heat, making daily protection essential.
- Limit sun exposure, especially during peak UV hours (10 a.m. to 4 p.m.).
- Use mineral-based sunscreen containing zinc oxide or titanium dioxide, as these ingredients offer broad-spectrum protection.
- Wear physical blockers like wide-brimmed hats and sunglasses to shield your skin from direct sunlight.
- Stay cool by avoiding heat triggers such as saunas and hot yoga, which can aggravate melasma.
How to Prevent Sun Spots
Since sun spots result from cumulative UV exposure, protecting your skin daily can prevent them from forming.
- Apply sunscreen every day, even when it’s cloudy or during winter.
- Avoid tanning beds, which accelerate UV damage and lead to sun spots.
- Incorporate antioxidants like vitamin C into your skincare routine to neutralize free radicals and protect your skin from sun damage.
Developing these habits can make a noticeable difference over time, helping you maintain a clear, even complexion. Pure Dermatology offers a range of SPF products and antioxidants to support your prevention efforts—explore the shop to find the right solutions for your skin.
When to See a Dermatologist and How Pure Dermatology Can Help
If you notice sudden dark patches or if your discoloration worsens despite using sunscreen, it may be time to consult with a dermatologist. Professional care ensures that you receive an accurate diagnosis and explore the most effective treatment options for your skin type.
At Pure Dermatology, our team specializes in diagnosing and treating skin discoloration, including melasma and sun spots. We offer a range of treatments—from chemical peels to laser therapy—and create customized skincare routines to help you achieve lasting results. Whether you need guidance on managing melasma or solutions to fade sun spots, we’re here to help you regain confidence in your skin.
Book a consultation today and take the first step toward a clearer, more even complexion
Healthy Skin = Healthier Future
Healthy skin for a healthier future.
May is Skin Cancer Awareness Month. Although skin cancer is one of the most preventable types of cancer, cases are on the rise globally. Discover how we are fighting for healthy skin with awareness and treatments.
See below as we explore:
- Types of Skin Cancer
- Importance of Yearly Skin Exams
- Sun Protection Favorites With Science-Backed Results
TYPES OF SKIN CANCER
Basal Cell Carcinoma
Basal cell carcinoma is the most common form of skin cancer.
- Presents as what appears to be a harmless non-healing pimple, scar, sore, or scaly patch.
- Occurs most commonly in highly sun-exposed areas such as the face, neck, chest, arms, hands, and balding scalp.
- Highly treatable with a very low risk of metastasis of <1%.
- Treatments include Mohs micrographic surgery, excisions, topical chemotherapy and immunotherapy creams, and radiation.
Squamous Cell Carcinoma
Squamous cell carcinoma is the second most common form of skin cancer.
- Presents as a non-healing, red, crusted, or scaling bump or sore.
- Occurs most commonly in the highly sun-exposed areas such as the face, neck, chest, arms, hands, and balding scalp.
- Risk of spreading ranges from 1-10%, if detected early they are easily treated with Mohs surgery, topical treatments, or radiation.
Melanoma
Melanoma is less common but the most serious form of skin cancer.
- Presents as a new or changing mole or brown spot.
- More common on sun-exposed skin but can occur anywhere including the bottom of your feet, eyes, scalp, and other unexposed skin.
- If detected early, melanoma has a 99% cure rate. However, it can become life-threatening by spreading to the lymph nodes and internal organs.
- ABCDEs of melanoma help us detect which brown spots on our skin are concerning.
The first Monday in May is designated as Melanoma Monday by the American Academy of Dermatology. We are joining the cause to raise awareness of skin cancer and encourage you to examine your skin for suspicious spots. It's also important to schedule your annual full-body skin exam. At Pure Dermatology, our expert dermatologists, Dr. Ghiselli, Dr. Cera Hill, and Dr. Farahi, can perform skin exams to screen and detect skin cancer. We offer many options for treatments for skin cancers, including Mohs Micrographic Surgery.
- Mohs surgery is a specialized surgical and microscopic procedure that progressively removes thin layers of cancer-containing skin until the margin is clear of cancer. It allows the removal of as little skin as possible while attaining the highest cure rate. This procedure is performed at Pure Dermatology by board-certified Mohs surgeon, Dr. Samantha Ghiselli.
Schedule A Full Body Skin Check + Screening
SUN PROTECTION FAVORITES WITH SCIENCE-BACKED RESULTS
Living in Colorado we are all exposed to the sun daily and are at risk for skin cancer. Check out our favorite products (all available at Pure Dermatology for 20% off during May) to help protect you from the sun and reduce your risk of skin cancer.
SPF — ISDIN Eryfotona Actinica SPF 50+
- Eryfotona Actinica is more than a sunscreen, it can reverse previous DNA damage from the sun.
- Its innovative formula contains patented DNA Repairsomes®, clinically proven to help repair existing sun damage.
Dietary Supplement — Heliocare
- Heliocare is a dietary supplement that contains a unique extract from a Fernleaf plant called Polypodium leucotomos, which helps your skin protect itself from the free radical DNA damage caused by the sun. In addition to Nicotinamide, a derivative of Vitamin B3, that has been clinically proven to reduce the incidence of precancerous lesions called actinic keratosis by up to 23%.
- We recommend taking it any time you have extended sun exposure, whether on a tropical vacation, golfing, hiking, or watching your child's or grandchild's soccer game.
- Additionally, it is recommended for any patient with a history of precancerous skin lesions or skin cancer.
Vitamin C — Alastin C-RADICAL Defense
- Formulated with a novel form of Vitamin C (Sodium Ascorbate), which helps to defend against free radical damage while supporting the skin's ability to conserve elastin.
- 15 proven antioxidants to help neutralize free radicals, and protect against UV damage and other environmental stressors such as blue light and pollution.
Say Farewell to Acne ?
Acne is the most common skin condition in the United States. While acne usually begins in puberty or teen years, it can persist into adulthood as well. Dermatologists commonly treat teen and adult acne patients. Acne can regress or improve in adulthood, but may also worsen in some populations such as adult women and may be more severe in men. Approximately 15% of the US population has suffered from acne and, by some estimates, nearly 9 out of 10 adolescents are affected by this chronic skin condition.
Acne vulgaris is a skin condition that occurs when your hair follicles become plugged with oil and dead skin cells. It causes whiteheads, blackheads or pimples.
Acne skin lesions vary, and include:
- Whiteheads (closed plugged pores or comedones)
- Blackheads (open plugged pores or comedones)
- Small red, tender bumps (papules)
- Pimples (pustules), which are papules with pus at their tips
- Large, solid, painful lumps under the skin (nodules)
- Painful, pus-filled lumps under the skin (cystic lesions)
Following acne lesions, your skin can be left with discoloration (post inflammatory hyperpigmentation or erythema) or even permanent marks (acne scars) in some cases.
Four main factors cause acne:
- Excess oil (sebum) production
- Hair follicles clogged by oil and dead skin cells
- Bacteria
- Inflammation
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Acne typically appears on your face, forehead, chest, upper back and shoulders because these areas of skin have the most oil (sebaceous) glands. Hair follicles are connected to oil glands.
The follicle wall may bulge and produce a whitehead. Or the plug may be open to the surface and darken, causing a blackhead. A blackhead may look like dirt stuck in pores. But actually the pore is congested with bacteria and oil, which turns brown when it's exposed to the air.
Pimples are raised red spots with a white center that develop when blocked hair follicles become inflamed or infected with bacteria. Blockages and inflammation deep inside hair follicles produce cystlike lumps beneath the surface of your skin. Other pores in your skin, which are the openings of the sweat glands, aren't usually involved in acne.
Certain things may trigger or worsen acne:
- Hormonal changes. Androgens are hormones that increase in boys and girls during puberty and cause the sebaceous glands to enlarge and make more sebum. Hormone changes during midlife, particularly in women, and pregnancy, can lead to breakouts too.
- Certain medications. Examples include drugs containing corticosteroids, testosterone or lithium.
- Friction or pressure on your skin. This can be caused by items such as telephones, cellphones, helmets, tight collars and backpacks
- Diet & acne. Studies indicate that consuming certain foods — including chocolate and carbohydrate-rich foods, such as bread, bagels and chips — may worsen acne. Further study is needed to examine whether people with acne would benefit from following specific dietary restrictions. Low glycemic index diets, reducing inflammation may help (read more).
- Emotional health & acne. For many people who have acne, the skin disease affects more than their appearance. Acne can take a toll on one’s emotional health. Researchers have found in study after study that people with acne can also develop depression, anxiety, low self-esteem, poor self-image, and decreased quality of life. Treatment of acne may improve these as well (read more).
- Family history. Genetics plays a role in acne. If both of your parents had acne, you're likely to develop it too.
Myths:
- Stress. Stress doesn't cause acne, but if you have acne already, stress may make it worse
- Hygiene. Acne is not caused by dirty skin. Overwashing the skin may dry and irritate the skin, especially in dry climates like Colorado. We recommend washing your skin with either a gentle cleanser or acne cleanser if recommended by your dermatologist once to twice daily followed by a non-comedogenic moisturizer.
When To See Your Dermatologist
Acne may be managed at home with over-the-counter products, but some cases are more serious. If you don’t see a difference with careful skin care, changes in diet, and over-the-counter treatments within 6-12 weeks, you should make an appointment with our board certified dermatologists. Early treatment can help your confidence and prevent scarring.
Although acne is one of the most common skin disorders that dermatologists diagnose, it remains challenging to treat. Acne needs to be treated based on the subtype of acne–it’s not a one-size fits all type of pathology. Patients with hormonal acne often benefit from oral contraceptive pills, spironolactone, and over-the-counter and prescription topicals
Lasers and similar energy based therapies can be used safely to treat acne–photodynamic therapy has also been use in some of patients. Aesthetician performed facials with or without extractions and chemical peels are helpful in-office acne treatments.
Acne Treatments
Ready for results? Our team of board certified dermatologists and licensed medical aestheticians will create a plan to treat your acne concerns.
A teen facial can help get rid of acne and decrease acne breakouts on the face, chest, or back. Our aestheticians create effective plans to care for skin to promote continued results. Facials will properly treat the skin and remove clogged pores to lessen and help clear up acne lesions. Schedule an appointment with our licensed aestheticians, Katie or Ashli.Teen Facials with Extractions
Salicylic Acid Peel
Visibly reduce the appearance of mild to severe acne-prone skin while improving skin clarity, texture and tone. Light chemical peels are a great treatment for teens with acne and acne scarring. A solution is applied to the face that “peels” off the top layers of the skin. This helps even out the tone and texture of the skin, especially if acne scarring is present. It also makes it easier for acne medicines to penetrate and get into the pores where they have their effect.
Glytone Acne Treatment System
Glytone Acne Treatment System uses the best acne-fighting ingredients to heal and prevent blemishes. Formulated with salicylic acid, benzoyl peroxide, bakuchiol and more, this powerful system washes away excess oil and debris while gently exfoliating, unclogging pores and preventing breakouts.
Treat acne in 3 key blemish-fighting steps:
Cleanse: Acne Self-Foaming Cleanser
Hydrate: Acne Treatment Lotion:
Treat: Acne BPO Treatment Gel
Clinical Results: decreases severity of acne after 7 days of use.
Let's Explore Psoriasis
August is National Psoriasis Awareness Month
Types of Psoriasis
Plaque (plack) psoriasis - most common
Scalp psoriasis
Nail psoriasis
Guttate (gut-tate) psoriasis
Pustular psoriasis
Inverse psoriasis
Erythrodermic (eh-rith-row-der-mic) psoriasis
Psoriatic arthritis
Psoriasis Triggers
- Infection (such as strep throat)
- Skin injury (such as a sunburn or cut)
- Stress
- Cold weather
- Smoking
- Heavy alcohol consumption
- Medication use (beta-blockers, lithium, or antimalarial drugs)
1. Prescription and OTC creams and ointments
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- Rx topical steroids, vitamin D analogues, topical retinoids, and calcineurin inhibitors can calm down the inflammation.
- OTC products that contain salicylic acid, coal tar, zinc, selenium sulfide, and moisturizers can exfoliate and hydrate the skin.
2. Ultraviolet light
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- Skin exposure to natural sunlight or artificial UV light causes the hyperactive immune cells in the the skin to die, which slows down the cell turnover and calms down inflammation.
- Limited UV exposure to avoid sunburn and increased risk of skin cancer.
3. Systemic medications
-
- Rx oral or injectable medications, including immunomodulating medications (such as Otezla, Skyrizi, Cosentyx, Stelara, and more), retinoids, methotrexate, and cyclosporine can eliminate the skin and joint disease of psoriasis.
If you feel like you might be experiencing psoriasis or would like to explore a more comprehensive treatment approach to your symptoms, schedule an appointment with our board-certified dermatologists, Dr. Cera Hill and Dr. Ghiselli.
EltaMD Moisture Rich Body Crème
One of our favorites for patients with psoriasis or eczema or for anyone seeking extra hydration in Denver’s dry climate. Non-greasy, luxurious, ceramide-enhanced formula with enzymes to promote a healthy skin barrier. LEARN MORE
ISDIN Uradin Podos Gel Oil
Get that Summer Skin Glow ☀️
- Summer skin tips
- Wallaroo UPF Hats
- Our favorite facial treatments for summer
SUMMER SKIN TIPS
- SPF, SPF, SPF: It's the most important, fundamental, don't-leave-home-without-it tip, wear sunscreen. We recommend a broad-spectrum sunscreen of SPF 30 or higher. Don't forget about hands, feet, ears, and lips. Come by our office and let us help you find the perfect sun protection for you.
- Invest in a good vitamin C serum: Vitamin C is great year-round, but all the more important in the summer. Vitamin C helps prevent hyperpigmentation, improves the appearance of fine lines, and can help with collagen production. Layer a few drops on your skin between cleansing and your moisturizer.
- Don't forget to exfoliate: While we often remind patients not to over-exfoliate, in the summertime, 'tis the season to slough away. That doesn't mean a daily dose of all your favorite acids, but try slowly increasing the amount of days you exfoliate per week. Need some extra TLC? Schedule a complexion-enhancing facial with one of our aestheticians.
- What about vitamin D: The myths about vitamin D can be confusing. Is vitamin D important for our health? Absolutely! Can you get enough vitamin D, even if you wear sunscreen every day? The answer is yes! But instead of getting a daily dose of Vitamin D from the sun or tanning beds, turn to foods rich in vitamin D and supplements rather than risk the harmful rays of the sun.
- Schedule your skin check: Keep your skin healthy and detect skin cancer early with an annual skin check. Discuss any skin concerns you may have with your board-certified dermatologist, schedule today.
Wallaroo UPF Hats
As a leader in the sun-protective hat industry, Wallaroo has developed a line of functional, fashionable designs that can go with you on all of your adventures. Wallaroo hats are tested and rated according to the UV radiation blocking capabilities of materials used in the construction of each hat.
Pure Dermatology carries a wide variety of Wallaroo UPF Hats, stop by our office to shop the current styles. You are sure to find the perfect hat for all your summer plans.
Our Favorite Summer Treatments: HydraFacial and SilkPeel Dermalinfusion
HydraFacial
CHEMICAL EXFOLIATION
CUSTOMIZED BOOSTERS
COSMETIC GOALS
CONTINUOUS GOALS
all in one treatment to address acne prone, mature, or dry skin
ADDITIONAL FOCUS
END RESULT
SilkPeel Dermalinfusion
MANUAL EXFOLIATION
MEDICAL-GRADE SERUMS
CLINICAL GOALS
CORRECTIVE CARE
ADDITIONAL FOCUS
END RESULT
TWO NEW REASONS TO LOVE PURE DERMATOLOGY!
Introducing SilkPeel® Dermalinfusion
Welcoming our new licensed aesthetician, Ashli LaMadrid
SilkPeel® Dermalinfusion
SilkPeel® Dermalinfusion is more than a facial, it provides radiant results that last. Unlike traditional facial treatments, which rely on manual and chemical exfoliation to treat skin at a surface level, our new device contains a diamond tip wand that delivers a next-level resurfacing treatment that deeply cleans and rejuvenates the skin.
- Improvement in overall skin dryness and roughness providing a new glow to the skin.
- After only one session, skin clarity and luminosity is enhanced. Skin will be instantly dewy, brighter, and infused with nourishing serums.
- Positive results are seen immediately, and in the days following your treatment, with no peeling of the skin.
Book Your SilkPeel® Dermalinfusion
Introducing Ashli LaMadrid
We are pleased to introduce the newest team member at Pure Dermatology, licensed aesthetician, Ashli LaMadrid.
- Ashli is seeing patients now, schedule your FREE consultation today.
- Update your skin care regimen with the best medical grade skin care products specifically customized to you to maximize results and skin health.
- Understand which Cosmetic Services including Microneedling, Laser, PRP, Facials, Peels, Microdermabrasion, and more, are best for your skin. See a detailed list of cosmetic services available on our website.
Schedule an aesthetician treatment or consultation by calling our office at 303-333-7873 or booking via online scheduling.
Ashli LaMadrid, Licensed Aesthetician
Ashli is a licensed aesthetician with a decade of experience in the skin care industry. She is originally from Florida where she worked for a med spa and gained a passion for the aesthetic field. She moved to Colorado where she obtained her aesthetic license at The College of International Esthetics. Since then, Ashli has continued to expand her aesthetic knowledge and training working in the dermatology setting.
Ashli is trained and certified in a variety of laser treatments including IPL, laser resurfacing, and laser hair removal, microdermabrasion, dermaplaning, microneedling, chemical peels, and body contouring.
As an aesthetician, Ashli is passionate about skin health and loves educating her patients and helping them obtain their skin care goals. She enjoys working in conjunction with our board certified dermatologists, Dr Ghiselli and Dr. Cera Hill to create a customized treatment plan designed for the best outcome and results. Ashli has an excellent rapport with patients and prides herself on the long term relationship she builds with them.
When not working, she enjoys hiking with her husband and 2 dogs.
Melanoma Monday + Skin Cancer Awareness Month
Early detection saves lives!
See below as we explore:
- Types of Skin Cancer
- Sun Protection Favorites
TYPES OF SKIN CANCER
Basal Cell Carcinoma
- Presents as what appears to be a harmless non-healing pimple, scar, sore or scaly patch.
- Occurs most commonly in the highly sun exposed areas such as the face, neck, chest, arms, hands and balding scalp.
- Highly treatable with a very low risk of metastasis of <1%.
- Treatments include Mohs micrographic surgery, excisions, topical chemotherapy and immunotherapy creams, and radiation.
Squamous Cell Carcinoma
- Presents as a non-healing, red, crusted, or scaling bump or sore.
- Occurs most commonly in the highly sun exposed areas such as the face, neck, chest, arms, hands, and balding scalp.
- Risk of spreading ranges from 1-10%, if detected early they are easily treated with Mohs surgery, topical treatments or radiation.
Melanoma
Melanoma is less common but the most serious form of skin cancer.
- Presents as a new or changing mole or brown spot.
- More common on the sun exposed skin but can occur anywhere including the bottom of your feet, eyes, scalp, and other unexposed skin.
- If detected early, melanoma has a 99% cure rate. However, it can become life threatening by spreading to the lymph nodes and internal organs.
- ABCDEs of melanoma help us detect which brown spots on our skin are concerning.
- Mohs surgery is a specialized surgical and microscopic procedure that progressively removes thin layers of cancer containing skin until the margin is clear of cancer. It allows removal of as little skin as possible while attaining the highest cure rate. This procedure is performed by Dr. Samantha Ghiselli at Pure Dermatology.
SUN PROTECTION FAVORITES
Living in Colorado we are all exposed to the sun on a daily basis and are at risk for skin cancer. Check out our favorite products available at Pure Dermatology to help protect you from the sun and reduce your risk of skin cancer while still enjoying the outdoors.
UPF Hats & Clothing
Protect your face, neck and chest by wearing a wide-brimmed hat with UV protection. Pure Dermatology carries a large selection of our team's favorite sun protective hats from Wallaroo. Stop by our office to find the perfect hat for you!
Dietary Supplement — Heliocare
- Heliocare is a once-a-day dietary supplement that contains a unique extract from a Fernleaf plant called Polypodium leucotomos which helps your skin protect itself from the free radical DNA damage caused by the sun.
- We recommend taking it any time you have extended sun exposure whether that is on a tropical vacation, golfing, hiking, or watching your child's or grandchild's soccer game.
- For patients with a history of skin cancer, we recommend taking it on a daily basis.
Broad-Spectrum Sunscreen
- Different occasions call for different sunscreens.Some days call for a water-resistant SPF and others call for a light weight product.
- Pure Dermatology carries a wide range of broad-spectrum sunscreens from a range of professional skin care lines in many different formulations from creams, powders, sprays and sticks. Come in and we will help you pick the perfect SPF products for your skin for every occasion.
April is National Rosacea Awareness Month
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- Types of rosacea
- Triggers that may cause rosacea
- Treatments to minimize rosacea
- Featured rosacea skin care product
- Erythematotelangiectatic rosacea - Redness, flushing, visible blood vessels
- Papulopustular rosacea - Redness, swelling, and acne-like breakouts
- Phymatous rosacea - Skin thickens and has a bumpy texture, usually on the nose
- Ocular rosacea - Eyes red and inflamed, may feel dry and irritated
- Extreme hot or cold temperatures
- Excessive exposure to sunlight
- Drinking alcohol
- Eating spicy foods
- Certain ingredients in skin care products (alcohol, urea, fragrance, glycolic acid, sodium laurel sulfate, menthol, lactic acid, camphor)
- Prescription oral and topical products are effective and safe treatments for rosacea. Oral anti-inflammatory medication such as prescription doxycycline is effective in papulopustular rosacea and gold-standard treatment for ocular rosacea. Common prescriptions topical ingredients include anti-inflammatory medications such as metronidazole, and acaricidal agents such as ivermectin, and exfoliating ingredients such as azelaic acid.
- Over-the-counter anti-inflammatory products, including ingredients such as niacinamide
- Sun protection, daily SPF
- Surgical debunking of rhinophymatous changes of the nose
- Intense Pulse Light (IPL) laser-like treatments, typically recommended a series of treatments 2-4 weeks apart for significant reduction of redness and diminishment of blood vessels
1. Rosacea has Four Subtypes
Rosacea and acne can sometime become confused. Acne is mainly characterized by pimples, while the main characteristic of rosacea is redness. Additionally, acne usually begins at a younger age (between 15 and 25 years) while rosacea usually occurs after the age of 30. Both acne and rosacea sometimes have a chronic character, the right treatments and advice can calm the skin and make sure the symptoms stay away for a longer period of time. It is important that you visit with your board-certified dermatologist to be sure you have the correct diagnosis for proper treatment.
2. Rosacea Triggers
3. Dermatologist Recommended Treatments for Rosacea
Intense Pulsed Light (IPL) to Treat Rosacea
IPL uses controlled light in specific wavelengths to alleviate the inflammation, redness, pimples and uneven skin tones caused by rosacea. By treating the blood vessels causing rosacea the vascular response is diminished. We have seen dramatic results for patients with rosacea even in patients suffering with stinging and burning sensations. Depending on the severity of the symptoms results can be seen in 1-3 treatments.
See our board-certified dermatologists, Dr. Cera Hill or Dr. Ghiselli, for diagnosis and treatment options of rosacea.
Featured Product: Senté Dermal Repair Cream
Lightweight, deeply hydrating, and post procedure approved! Dermal Repair Cream is formulated with sensitive skin in mind. During the month of April, buy any Senté product with HSA and receive one mini two-week supply of Dermal Repair Cream or Dermal Repair UltraNourish as a gift from us.
Clinical trials show reduced visible redness and sensitivity after only 4 weeksDeeply hydrate and renew skin Promotes healthier, more even-looking skin Improvements in the appearance of fine lines and wrinkles Recommended by 500+ dermatologists
Tips For Keeping Skin of Color Healthy and Looking Great
COMMON SKIN CONCERNS FOR DARKER SKIN TYPES
- Dark Spots
- Dark spots have multiple different causes including sun damage, post inflammatory hyperpigmentation, and melasma. Skin of color is more prone to these common skin conditions.
- Treatments for dark spots include procedures such as IPL, Microneedling and Peels.
- OTC and Rx products can also help lighten these spots. These include:
- SPF 30 or >
- Hydroquinone
- Cysteamine
- Retinoids (tretinoin, adapalene, tazarotene or retinols)
- Heliocare
- Azelaic acid
- Glycolic acid
- Kojic acid
- Vitamin C
- Post-Inflammatory Hyperpigmentation
- Following injury to the skin, darker skin types are at a higher risk for dark spots on the skin known as post-inflammatory hyperpigmentation (PIH) and may last 6-8 months.
- Common skin conditions such as acne, eczema, and burns often cause PIH.
- Treatment of PIH starts with treatment of the underlying condition.
- Fading the pigmentation can then be achieved with a combination of OTC and Rx topical products and treatments done in our office such as chemical peels and microneedling.
- Melasma
- Melasma is a pattern of irregular dark patches primarily on the face, often on the forehead, upper lip, and cheeks but may be on other sun exposed areas as well.
- Melasma is more common in women, skin of color, with exposure to hormones, ie. on oral contraceptive pill, pregnant or recently given birth.
- Treatment is difficult and often requires multiple different approaches including daily sun protection with sunscreen and hats, Rx creams containing topical hydroquinone, OTC products, oral Rx and dietary supplements and in office treatments including peels, microneedeling and lasers.
- Be careful! Laser treatments can sometimes worsen melasma due to the light and heat.
- Vitiligo
- Vitiligo is a condition where depigmented (lighter) patches of skin form on various parts of the body.
- The cause is unknown but thought to be an autoimmune and genetic condition.
- While any skin tone can develop vitiligo, it is more noticeable in skin of color.
- Treatment includes topical Rx medications and light therapy both prescribed by your dermatologist.
- Ingrown Hair & Razor Burn
- Folliculitis or ingrown hairs is a common concern in all skin types, but are much more common for men and women with darker skin types and curly hair.
- When hairs regrow and get trapped beneath the skin they form red, irritated bumps. In darker skin types as these bumps heal they leave dark pigmented spots, in lighter skin types often red marks.
- Prevention is the best treatment for folliculitis. By making changes to shaving habits, ingrown hairs may often be avoided or minimized.
- Your dermatologist may treat folliculitis with oral and/or topical antibiotics, steroid creams, topical retinoids, or laser treatments.
TREATMENT OPTIONS AVAILABLE FOR PIGMENTATION AT PURE DERMATOLOGY
Microneedling for Melasma
Lasers are great for most pigment, however the heat they generate can potentially make melasma worse.
By contrast, microneedling mechanically breaks up the pigment and generates no such heat.
Through a series of clean, controlled micropunctures, microneedling is able to reach the deeper dermis that is affected by melasma. The healing mechanisms triggered essentially force the surrounding skin to make brand new skin that has not yet been agitated by hormones or the sun.
Best results are seen when cosmeceutical grade skin lightening agents are applied post procedure to penetrate into these micro channels.
Call today to schedule a consultation with our aesthetician, Katie, to discuss treatment options for your melasma!
The Perfect Derma™ Peel
The Perfect Derma™ Peel is safe, effective medium depth peel for all skin types and ethnicities. This product is virtually painless, with no pre-peel skin preparation and little downtime. The Perfect Derma™ Peel is the only peel that includes the powerful antioxidant Glutathione, which lightens and brightens the skin, slows down the aging process and helps prevent wrinkles.
BENEFITS
- Improve the overall clarity, tone and texture of the skin
- Reduce or eliminate hyperpigmentation, sun damage and melasma
- Improve acneic skin conditions and reduce acne scars
- Stimulate the production of collagen, resulting in firmer, more youthful skin
- Reduce the appearance of pore size
Top Tips to Help Men Develop Healthy Skin Care Routines
When it comes to skin care, men have traditionally kept it simple. Today, it is more common than ever for men to pursue healthier, younger-looking skin and hair. To help those just getting started, we've put together our top tips for a healthy men's skin care routine!
1. Wash your face daily and after exercise.
- Regular bar soap often contains harsh ingredients that can be drying to the skin.
- Wash your face with a mild facial cleanser and lukewarm — not hot — water.
2. Watch your shaving technique.
- Multi-blade razors can work too well or shave too closely to your skin. If you often experience razor bumps, razor burns, or ingrown hairs, use a single- or double-blade razor instead and do not stretch your skin taut while shaving.
- Before you shave, wet your skin and hair to soften it, and shave in the direction of hair growth.
- If irritation persists schedule an appointment with our board-certified dermatologists to help with treatment.
3. Moisturize daily.
- Moisturizer works by trapping water in your skin, which can help reduce the appearance of fine lines and make your skin look brighter and younger.
- After washing and/or shaving use a daily moisturizer with SPF in the morning and one without in the evening.
4. Wear sunscreen whenever outdoors.
- Use SPF 30 or greater on a daily basis.
- Daily SPF helps prevent sun damage that can lead to wrinkles, age spots and skin cancer.
5. Check your skin regularly.
- This is an extremely important part of any men's skin care routine. Non-healing spots or moles that itch, bleed, or change color are often early warning signs of skin cancer.
- Skin cancer is common in men over age 50.
- We recommend skin checks every 1 to 2 years depending on your risks.
- Schedule your skin check now with Dr. Cera Hill or Dr. Ghiselli.
TREATMENT OPTIONS AVAILABLE AT PURE DERMATOLOGY
Platelet- Rich Plasma (PRP) Hair Loss Treatment
Consider PRP scalp injections for treatment of hair loss. Treatment can be done alone or in combination with prescription oral medications, topical medications, or oral supplements to maximize hair growth in both men and women. Schedule an appointment with Dr. Cera Hill or Dr. Ghiselli to develop the best hair treatment plan for you.
How it works: Three step process when your blood is drawn, spun to retrieve the platelet-rich portion, then injected into the scalp. PRP injections are an effective, alternative, natural treatment of hair loss.
- Duration of procedure: 60 minutes
- Recommended # of treatments: 3+
- How long does it last: Permanent, 1-2 maintenance treatments per year
- Recovery time: 2-3 days of scalp tenderness, swelling and bruising is possible
- Pain: Low
- Results: Increased hair density in 70% of patients, in 12 weeks
Platelet- Rich Plasma (PRP) Hair Loss Treatment
Combat fine lines, wrinkles, and volume loss. Cosmetic injectables for men include Botox, Dysport, and fillers. Whether you’re looking for more facial definition, brighter eyes, angled jawline, or to smooth your skin’s appearance and restore a more youthful look, Dr. Cera Hill and Dr. Ghiselli offer non-surgical treatments to help you reach your aesthetic goals.
- Neurotoxins: ie Botox and Dysport, address wrinkles and fine lines. Results last 3-4 months.
- Fillers: define, lift and restore volume to areas with hollowing or sagging, such as the cheeks and temples, jawline and under eyes. Results last 6-24 months.
- Excessive perspiration: armpits, hands and/or feet. A single treatment may last up to 6 months.
Laser Hair Reduction
Laser hair reduction (LHR) is non-invasive and reduces unwanted facial, neck and body hair. LHR is done in a series of 6 treatment sessions every 4-6 weeks. Schedule with our Aesthetician today and be ready for summer! Treatment areas include:
- Neck
- Shoulders
- Chest
- Back
Men's Clinical Facial
Facials are great skin care maintenance to keep your face skin soft, healthy and youthful! Facials don't have to be fussy to get results! A man’s skin can quickly become damaged just from normal daily activities like your shaving routine and being out in the sun. A facial will help to deep clean skin and soothe irritation.
- Facials improve skin texture, and improve acne.
- Exfoliation removes dead skin cells, improves skin tone, reduces the appearance of pore size, and helps the products you’re using penetrate deeper and work better.
- Schedule a Clinical Facial now. Customized facial including cleansing, dermaplaning or microdermabrasion, exfoliating enzyme, extractions, and treatment mask. Leaves your skin smooth and glowing!
Intense Pulsed Light (IPL)
IPL is a laser-like treatment that is an excellent option for men. The procedure can be completed over a lunch break in 30-60 minutes.
IPL is a great solution to treat skin discoloration such as:
- Red or brown spots
- Broken capillaries
- Rosacea