Poikiloderma of Civatte

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Poikiloderma of Civatte:

Appears as red-brown discoloration
Usually affects the sides of the neck and upper chest
Sometimes affects the cheeks, side burn area and ears
Usually does not affect the area directly under the chin which has been partially shielded by the sun
Is caused by sun exposure years or decades prior to the appearance of the changes in the skin
Occurs because damage from ultraviolet light causes:
- Small abnormal vessels to grow
- The skin to become abnormally thin
- Abnormal pigment to form
Is not cancerous
Does not develop into cancer
Is not dirt trapped in the skin

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Prescription Tretinoin creams my lead to improvement after several months or years of use
Topical therapy with creams is frequently not effective
IPL treatments (Intense Pulsed Light, Photofacials) are the most effective treatment available

IPL (Intense Pulsed Light)

What is Intense Pulsed Light?

Intense Pulsed Light (IPL) also known as photo-facials, fotofacials, and photo rejuvenation is a state-of-the-art system and the latest technique in photofacial therapy
The IPL system delivers high intensity, smooth and powerful pulses of light (not lasers) that greatly enhances the results of your skin rejuvenation
For skin therapy, IPL stimulates new collagen growth resulting in smoother, more even, healthier skin

How Does it Work?

A highly advanced computer regulates the light pulse to a specific wavelength range, which in turn heats a portion of the skin
This removes the unwanted tissue or pigment, while it spares or avoids the surrounding healthy or “normal” tissue
The penetration depth and degree of heat is highly controlled to minimize complications
With IPL fotofacial rejuvenation, the light pulses are directed at, and improves:
- Brown freckling
- Enlarged pores
- Sun damage
- Skin collagen
- Redness caused by broken capillaries
All of these lead to smoother, younger looking skin and reduced redness at the same time

Please click here to watch a video clip in which Dr. V discusses IPL

IPL-Fotofacials can be combined with a medication called Levulan in a procedure called Levulan PDT-Photodynamic Skin Rejuvenation
Levulan-PDT is the ideal treatment for moderate to severely sun-damaged skin
Also, if you have pre-cancerous skin lesions (Actinic Keratoses), Levulan-PDT is an excellent way to improve your skin

How can you prevent Poikiloderma of Civatte?

Wear a hat with a broad brim and protective clothing (e.g. long sleeves)
Avoid the outdoors when the sun is strongest between the hours of 10 am to 3 pm
Use a sunscreen year round with an SPF of at least 30
Wear a sunscreen which resists water and sweating and which protects against both UVA and UVB
Reapply sunscreen every hour if you are in water or sweating heavily
Wear sunscreen even if you are in the shade, it is still possible to burn
Avoid tanning beds
The ultraviolet light from tanning beds causes skin cancer

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