Melasma, Changes in Hormonal Levels

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The Magazine for Big Thinkers
Melasma
Melasma
Changes
Changes in
in Hormonal
Hormonal Levels
Levels
For Dr. John Shieh of RejuvaYou Medical Spa in South Pasadena, CA
For
Dr. John
Shieh of RejuvaYou
Medical
Spa
in those
SouthINPasadena,
CA
working
with celebrities
means that
he works
with
FRONT of the
working
means
he works
IN Kerri
FRONT
of the
camera,with
andcelebrities
those BEHIND
the that
camera,
as inwith
the those
case of
Kasem
a
camera,
and
those
BEHIND
the
camera,
as
in
the
case
of
Kerri
Kasem
a
well-known radio and TV host. For Kerri even though she is known as the
well-known
radio
and
TV
host.
For
Kerri
even
though
she
is
known
as
the
voice of radio, she still makes many public appearances and counts Dr.
voice
radio, she still
makes many
public
and
Dr.
Shieh’sofnon-invasive
approach
to health
andappearances
beauty among
hercounts
celebrity
Shieh’s
non-invasive
health
and
beauty
among
her celebrity
secret weapons.
Dr.approach
Shieh has to
been
a trail
blazer
in his
approach
to nonsecret
weapons.
Dr.
Shieh
has
been
a
trail
blazer
in
his
approach
to noninvasive anti-aging treatment, but where he really feels he is making
a
invasive
anti-aging
treatment,
but
where
he
really
feels
he
is
making
a
big difference is for those patients who suffer with melasma.
big difference is for those patients who suffer with melasma.
Dr. Shieh was excited when the FDA approved the LUTRONIC DualDr.
Shieh
was excited
whenSPECTRA™
the FDAlaser
approved
the LUTRONIC
pulsed
Q-switched
Nd: YAG
for melasma
and otherDualskin
pulsed
Q-switched
Nd:
YAG
SPECTRA™
laser
for
melasma
and other
conditions (including tattoo removal) as he was able to finally
offer skin
his
conditions
(including
removal)
he He
wasquickly
able to
finally offer
his
patients a solution
thattattoo
worked
and wasassafe.
adopted
this new
patients a solution
worked
and wasinsafe.
He quickly
thisused
new
technology
and it that
is paying
dividends
happy
patients.adopted
“We have
technology
and it isand
paying
dividends
happy
patients.
used
bleaching creams
other
topical in
skin
treatments
to “We
treathave
melasma
bleaching
creams
and
other
topical
skin
treatments
to
treat
melasma
but it has always been a struggle to obtain a good result. The Lutronic
but it has always
been
a struggle
to obtain
good
result.
Thea Lutronic
SPECTRA™
is ground
breaking
technology
and a
has
proven
to be
miracle
SPECTRA™
is ground
breaking
and has proven to be a miracle
worker
in my
practice,”
said Dr.technology
Shieh.
worker in my practice,” said Dr. Shieh.
Melasma is more prevalent in women than it is in men and also affects
Melasma
is more
in women
it is in men and
also African,
affects
people with
darkerprevalent
skin, such
as thosethan
of Latin/Hispanic,
North
people
with darker Asian,
skin, such
as those
Latin/Hispanic,
North African,
African-American,
Indian,
Middleof Eastern,
and Mediterranean
African-American,
Asian,
Middle
and
Mediterranean
descent.
People who
haveIndian,
a blood
relativeEastern,
who had
melasma
are also
descent.
People
a blood
relative
whoofhad
melasma
much more
likely who
to behave
at risk.
Although
causes
melasma
areare
notalso
yet
much
more
likely
to
be
at
risk.
Although
causes
of
melasma
are
yet
clear, the AAD (American Academy of Dermatology) says that not
it likely
clear, the
AADthe
(American
Academy
Dermatology)
says thatproduce
it likely
occurs
when
color-making
cells inof the
skin (melanocytes)
occurs
when
the People
color-making
in theare
skinmore
(melanocytes)
produce
too
much
color.
with skincells
of color
prone to melasma
too
muchthey
color.
People
skinmelanocytes
of color arethan
more
prone
melasma
because
have
morewith
active
those
withtolight
skin.
because they have more active melanocytes than those with light skin.
Common Causes of Melasma
Common Causes of Melasma
Sun Exposure: Ultraviolet (UV) light from the sun stimulates the melanocytes.
Sun
Ultravioletof(UV)
from the
sunmake
stimulates
the melanocytes.
EvenExposure:
a small amount
sunlight
exposure
can
melasma
return after
Even
a which
small amount
of summer.
sun exposure
canthe
make
return
after
fading,
is worse in
It is also
mainmelasma
reason why
it returns
fading,
which
is worse in summer. It is also the main reason why it returns
again and
again.
again and again.
A Change In Hormones: Pregnant women often get melasma, which is
A
Change
Hormones:
often get
melasma,
which
is
also
called Inchloasma
or Pregnant
the mask women
of pregnancy.
Birth
control pills
and
also
called
chloasma or
the mask
pregnancy.
Birth control pills and
hormone
replacement
medicine
alsoofcan
trigger melasma.
hormone replacement medicine also can trigger melasma.
Cosmetics: Skin care products that irritate the skin may worsen melasma.
Cosmetics: Skin care products that irritate the skin may worsen melasma.
In addition to treating melasma, Dr. Shieh says his individualized approach
In
to treatinginmelasma,
Shieh
says his
his individualized
approach
to addition
skin rejuvenation
general isDr.
what
keeps
celebrity patients
in the
to
skin
rejuvenation
in
general
is
what
keeps
his
celebrity
patients
in the
public eye. “In many instances, cosmetic treatments have become
“a
public
eye.
“In manyupon
instances,
have
“a
la carte”
depending
whichcosmetic
cosmetictreatments
counter you
visit,become
rather than
la carte” depending
uponaswhich
cosmetic
counter stated
you visit,
“personally
individualized”
we offer
at RejuvaYou,”
Dr. rather
Shieh. than
“personally individualized” as we offer at RejuvaYou,” stated Dr. Shieh.
It’s no wonder that Dr. Shieh’s practice continues to be popular among
It’s
no wonder
that Dr.
Shieh’s
continues with
to bea popular
among
a growing
clientele.
Using
the practice
right technologies
comprehensive
a
growing isclientele.
the right technologies with a comprehensive
approach
a formulaUsing
for success.;
approach is a formula for success.;
Dr. Shieh offers the “RejuvaYou 5 Star” approach to
Dr.
Shiehcamera
offers the
“RejuvaYou 5 Star” approach to
getting
ready:
getting camera ready:
1. Discoloration: remove/reduce brown spots, red capillaries,
1. Discoloration:
remove/reduce
brown spots, red capillaries,
fine lines with appropriate
lasers.
fine lines with appropriate lasers.
2. Laxity: loss of elasticity causes sagging. Restoring
2. Laxity:
lossvia
oflaser,
elasticity
sagging. Restoring
elasticity
light,causes
and radio-frequency
energy
elasticity
laser, light, and radio-frequency energy
treatmentvia
is vital.
treatment is vital.
3. Deeper Lines and Wrinkles: are removed with
3. Deeper
Lines and
Wrinkles:
removed
with
deeper peeling
agents
andare
laser
treatments.
deeper peeling agents and laser treatments.
4. Volume: loss of volume ages the face.
4. Volume:
of volume
agesand/or
the face.
Volume isloss
restored
with fillers
fat
Volume
transfer. is restored with fillers and/or fat
transfer.
5. Prevention: Sunscreen and Botox® are
® are
5. used
Prevention:
Sunscreen to
and
Botoxfuture
as preventatives
control
used
as and
preventatives
to control future
wrinkles
sun damage.
wrinkles and sun damage.
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