Freckles

Freckles are patches on your skin that are tan or light brown in color. They’re made up of melanin-containing skin cells in clusters. Freckles are flatter than moles, which are elevated. Freckles aren’t hurtful or dangerous in any way.

Small brown dots that appear on the cheeks and arms are known as freckles. Freckles are very frequent and pose no danger to your health. They’re more common in the summer, particularly among persons with lighter complexion and light or red hair.

Everything you should know about Freckles


Freckles are clusters of concentrated melanized cells that are particularly evident in those with light skin. Freckles don’t contain an excess of melanin-producing cells or melanocytes, but rather melanocytes that overproduce melanin granules (melanosomes), affecting the color of the outer skin cells (keratinocytes). As a result, freckles vary from lentigines and moles, which are generated by an accumulation of melanocytes in a limited region, respectively. Freckles can emerge on people with a variety of skin tones.

According to their genes and skin type, some people are more likely to develop freckles than others. Exposure to sunshine can cause freckles to form if a person is genetically predisposed to them.

Freckles are prevalent in youngsters, and as they become older, they may fade or become less apparent.

Chemical peels for freckles can cost anywhere from Rs. 1500 to Rs. 3000, while laser treatment can cost anywhere from Rs. 4000 to Rs 7000. Topical treatments for freckle reduction might cost anywhere between Rs. 200 and Rs. 2000.

Depending on the intensity of the pigment and the kind of skin, many treatment sessions are necessary. After treatment, the treated region appears swollen, inflamed, and punctate bleeding in certain locations. This is referred to as treatment downtime, and it generally lasts 6 to 7 days. To avoid recurrences, strong photoprotection is recommended both during and after the surgery. On average, 5 to 6 sessions are necessary, with a 6-week break between them.

Unless you are exposed to too much UV radiation, the results are permanent; most of our patients do not have any recurrence if they properly care for their skin.

There are certain negative effects to every operation that involves needles, and the most prevalent are irritations; infections; allergy; swollen cheeks and nose; redness; itchiness; and tenderness in the treated region.

 

When melanin, the pigment that gives skin its color, builds up beneath the skin, freckles appear. Freckles can be brown, red, or tan.

Some people are more prone to have freckles as a result of sun exposure and hereditary factors:

  • Sun Exposure 

The extra melanin is produced by a person’s skin cells to protect the skin from sun damage. This is why freckles emerge after exposure to the sun. Freckles can cover a large area of skin and reappear or darken as the summer progresses. In the winter, when new skin cells replace old ones, freckles typically fade or vanish. They appear on the face, arms, neck, back, and chest, which are frequently exposed to sunshine.

  • Genetics 

Genetics also influence who is more prone to get freckles based on the kind of melanin produced by their bodies. Pheomelanin and eumelanin are the two forms of melanin produced by the body. Pheomelanin, unlike eumelanin, does not protect the skin from UV radiation. A gene called MC1R controls the kind of melanin produced in the body. Freckles are less prone to form in those who have dark hair, eyes, and complexion. People with red, blonde, or light brown hair, as well as light-colored skin and eyes, are more prone to get freckles.

Because we can’t modify the hereditary component of freckling, we focus our preventative efforts on sun avoidance and sun protection, which includes:

  • Use sunscreen with an SPF of 30 or higher (sun protection factor).
  • While out in the sun, reapply sunscreen every 2 hours.
  • When the sun's rays are at their strongest, avoid going outside (10 am to 4 pm).
  • Wear caps and apparel that protect you from the sun.

Rather than removing freckles, it is better to prevent them. Treatments for freckle removal are more challenging and rarely successful. People who have a family history of freckling should begin using sunscreen as soon as they are able. When youngsters are under the age of 18, they are exposed to a lot of sun and UV skin damage.

Freckles and moles do not constitute a hazard on their own. However, moles can indicate a higher risk of melanoma, or malignant skin cancer.

Examine your freckles and moles for the following things:

A - Asymmetry: Draw a line in the center to create asymmetry. It’s asymmetrical if the halves don’t match.

B - Border: Cancerous moles’ borders are often irregular, notched, or rough.

C - Color: A mole with a wide range of hues is a red flag.

D - Diameter: A mole that is larger than 1/4 inch (the size of a pencil tip) may be malignant.

E - Evolving: Tell your doctor if your size, shape, color, or elevation changes.

If your freckles, moles, or sunspots meet one or more of the above criteria, schedule an appointment with your doctor or dermatologist.

The two types of freckles are listed below:

  • Ephelides

The Greek word for freckle is Ephelides, which is also the medical term for it. This word refers to 1 mm-2 mm tan, slightly reddish, or light brown flat patches that occur throughout the summer months. They’re little, flat, tan-colored patches that only develop during the summer.

Although they may be present in persons of all skin tones, they are more noticeable in light-skinned persons. These freckles are more common in people with reddish hair and green eyes. Sun avoidance and protection, including the use of sunscreen on a regular basis, can assist to reduce the appearance of freckles.

  • Lentigines

The medical name for certain forms of bigger, solitary pigmented patches most typically found at the location of past sunburn and sun damage is lentigines, which derives from the Latin word for lentil. They’re also known as liver spots or sunspots, and they get darker over time as a result of years of sun exposure. Liver spots, unlike ephelides, are not seasonal and are more frequent among the elderly. They are sometimes a component of a rare genetic condition.

Lentigines are generally darker than a regular freckle and do not fade in the winter. Lentigo simplex, often known as solar lentigo, is a kind of spot. The quantity and appearance of melanocytes and melanosomes (cellular structures that carry melanin pigment) are both normal.

Two of the most frequent skin growths are moles and freckles. Simply feeling the growth’s surface is one of the simplest methods to discern between the two.

Freckles are usually flat, whereas moles are frequently elevated. You can tell if you’re looking at a mole or a freckle by looking at the pigment: the former is much darker, whilst the latter is often only a few shades lighter than your skin tone and often appears reddish or light brown. Freckles appear in bunches, whereas moles usually appear as a single spot.

The most important distinction between moles and freckles is that freckles seldom progress to skin cancer. Melanin overproduction is a condition in which the body produces too much melanin.

The most important distinction between moles and freckles is that freckles seldom progress to skin cancer. The overproduction of melanin that creates freckles usually only affects the skin on the surface.

More dangerous growths, such as moles, can, on the other hand, be signs of cancer or another disease. Cancer should be checked on moles that are bigger than a pencil eraser.

Allow me to dispel all of these fallacies (hopefully once and for all) so you don’t waste money, time, or effort on ineffective remedies. 

  • The use of lasers will cause your skin to thin 

This misunderstanding originates from the fact that there are several types of lasers available. Ablative lasers are the ones that really “peel” your skin (causing minor peeling of the outer layer) (e.g. CO2 fractional lasers for acne scars resurfacing). Regardless, the skin will mend entirely to its original thickness following therapy.

  • After you stop receiving laser treatments, pigmentations will return

Even after effective treatments, pigmentations (particularly melasma and freckles) might reappear. However, it has nothing to do with the completion of your laser treatments. Continuous exposure to the sun and hormones May cause pigmentation to return, but this can be avoided.

  • Lasers are required 

You don’t do it all of the time, at least not all of the time. You can just create a whole piece devoted to debunking this myth. Sure, several clinics and beauty salons promote lasers as a “one-stop” solution for treating all types of pigmentation, but this is false.

Only cells with an excessive amount of melanin are absorbed by the laser, resulting in the effective killing while leaving the surrounding tissue unharmed.

  • Q-Switch

The ruby laser, which has a wavelength of 694nm and is particularly attracted to melanin, is a Q-switched ruby laser. The melanin in freckles that absorb this laser energy is often eliminated. The laser energy pulses of the Q-switched ruby laser are exceedingly brief, lasting only a few nanoseconds apiece. The high-energy generation levels have a photo-acoustic impact on the melanin in the freckles throughout this brief period of time. The pigment particles are practically shattered as a result of this.

Urban clinics unique approach to treat Freckles

Listed below are some revive clinics’ unique approaches to treat freckles.

  • Broad-spectrum sunscreen 

Your doctor will prescribe broad-spectrum sunscreen, which provides the best protection against UVA and UVB radiation. To get the benefits of this supplement, you must follow your doctor's instructions in the letter.

  • Carbon Facial 

A carbon facial is a facial that originates in Asia. A carbon facial, also known as a charcoal facial or a charcoal peel, is a cutting-edge non-invasive laser treatment that leaves skin brighter, softer, firmer, and smoother. When a patient has freckles, greasy skin, and open pores, a carbon facial is recommended. Carbon face addresses both issues at the same time.

  • CO2 Superficial resurfacing 

​​​​​​​In the treatment of tough skin flaws, the Pixel CO2 Laser has been recognized to provide some of the most spectacular, age-defying outcomes. For freckles, a CO2 laser with low power settings can be utilized to provide superficial resurfacing.

Therapies

Treatments with therapies and lasers

There are a few laser techniques to efficiently cure freckles. Most individuals can get rid of their freckles after one or two laser sessions.

  • Fraxel laser

Fraxel laser freckle removal involves the insertion of small columns of laser light into the skin. The Fraxel laser protects the skin in between the columns, allowing for more effective freckle treatment with less danger and downtime. Fractional lasers may cure a wider range of skin types than non-fractional lasers. The Fraxel laser efficiently treats darker olive skin types with decreased risk of pigmentation issues after treatment.

  • Cooltouch

Freckles can be removed using the Cooltouch laser therapy. The technique begins with a cooling mist, followed by the application of pulses to the skin. The process takes 30 minutes, however, freckles must be removed over numerous sessions.

Topical medications

Freckles are perfectly safe and pose no danger to your health. Many people are content with their freckled look, but others dislike the aesthetic of freckles and prefer to have them removed or lightened. There are numerous freckle removal treatments available for such individuals.

  • Cosmelan Skin Lightening System 

A topical treatment called the Cosmelan Skin Lightening System is one of the finest freckle removal procedures. The technique includes an in-office application of hydroquinone and retinoid mask by a specialist. The first mask is left on the skin for 5-10 hours, depending on the skin type of the patient. The patient is then instructed to continue utilizing a variety of over-the-counter follow-up creams to keep the skin lightening. Freckles, as well as other dark patches and pigmentation, are removed with the Cosmelan method. An obvious and considerable change in the skin may be visible within one week after commencing the therapy.

  • Fading cream for the skin

Fading cream, often known as bleaching cream, is accessible without a prescription and over the counter. Hydroquinone, a chemical known to decrease melanin production and lighten darker regions of skin, is found in several fading creams. Topical hydroquinone cream has the potential to induce the side effects such as inflammation, dryness, burning, blistering, and skin discoloration.

  • Retinol cream for the skin

Vitamin A retinoid cream is a kind of vitamin A. It’s used to lighten freckles and enhance sun-damaged skin. Retinoids may provide photoprotection by absorbing ultraviolet B radiation, according to a 2014 review. This may help prevent the formation of new freckles.

With or without a prescription, retinoid creams are available. There are common side effects including redness, dryness, skin irritation, peeling, and sensitivity.

Oral medications

Treatment with oral medications for freckles include:

  • Retinoids

Vitamin A is closely connected to retinoids, which are a family of chemical substances. By promoting cell turnover in your skin, retinoids can help to reduce the appearance of freckles. Retinoids can help with pigmentation disorders like freckles by sloughing off existing pigmentation areas while preventing additional melanin formation. Retinoids come in a variety of strengths. Retinol, which may be available in a variety of over-the-counter skincare treatments, may help patients with lighter freckles. Retin-A (Tretinoin), which must be prescribed by your dermatologist, may be required for darker, more prevalent pigmentation.

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