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Thursday, July 22, 2010

Treating Age Spots

Photo Credit: GlobalHealthandFitness

All About Skin Lightening has been around for a year now and I cannot believe I haven't written an article on age spots. I've touched on this topic indirectly while discussing botanical skin lighteners, sunscreens and hydroquinone usage, but never have I given any expansive commentary on it. It's long overdue, so the time is now.

Age spots (or liver spots) are a form of sun induced hyperpigmentation. As we age, age spots become visible as all the sun damage begins to show. All sun damage is cumulative and shockingly, in majority of people, most of the heavy sun damage is acquired before the age of 20!

Age spots are the most common sign of sun damage. The enzyme tyrosinase over produces melanin in areas that were/are most prone to sun exposure (cheeks, nose, decloette, hands etc.) which leads to age spots.

Treating them is fortunatley a lot less difficult than other pigmentation issues since the root of the problem and various resources to correct the problem is well known to dermatologists. Tyrosinase inhibitors work exceptionally well at treating age spots, since stopping the initial formation of melanocytes can greatly reduce the amount of melanin that is transferred to other cells, resulting in fading of age spots.

If you are looking for a concise list of the various tyrosinase inhibitors out there (ingredients) please refer to the article I wrote, The Perfect Skin Lightening Regimen. I made a list of all common skin lightening ingredients and how each affects melanin.

There are products specifically designed for lightening age spots. I know a fantastic one from personal experience - the Neostrata Spot Lightener with gigawhite. This botanical spot lightener comes in a sponge tip applicator tube and is supposed to be directly applied to age spots as well as other dark spots. I used to apply it on my freckles and a few age spots I had on my decollete (I had HEAVY sun damage there from years of not using sunscreen and being out in the sun). Within 5 weeks the freckles I treated and the two age spots were GONE. Completley faded. Gigawhite is a great, very underrated skin lightening ingredient that is suprisingly only found in a few products unforutnatley.

I also heard of another one recently while reading a beauty magazine - Zax's Original Darkspot Cream. It's basically a botanical lightener (emollient one though judging by the inactive ingredients) that reduces the appearances of age/dark spots with Citrus Inshiu Peel Extract (strong antioxidant found in many asian brand skin whitening serums), niacinamide and licorice extract. It's always interesting to learn of a new botanical lightening product that is really inexpensive, if you are interested check out their site: http://www.darkspotcream.com/ 

Most botanical skin lightening serums that promise to lighten the overall complexion also lighten age spots as well. Many people wonder whether applying these lighteners will make a huge contrast from their 'regular' skin and age spots, but eventually the age spots will lighten and catch up in color to the rest of your skin.

Exfoliation always aids in making this happen faster. Alpha hydroxy acids like lactic acid, glycolic acid, mandelic acid, and malic acid work great at sloughing off dead melanin filled skin cells and to an extent inhibit tyrosinase. Specifically lactic, mandelic and malic acid do this.

I've found vitamin c (in the form of L-ascorbic acid) at 10-20% to work amazingly on localized regions of hyperpigmentation. I think most people who use great vitamin c serums can agree with this, since antioxidant acitivity affects melanin production immensly.

If you have age spots, before incorporating any treatments (skin lighteners, peels) I would advise to make a switch to higher PPD sunscreens. I cannot begin to comment on how many e-mails I've gotten where people tell me nothing is working for their hyperpigmentation or age spots, but only after switching to a higher PPD sunscreen they saw results. It's amazing and it makes sense, since the cause of age spots is from UVA/UVB rays. Protecting your skin not only prevents further darkening, but allows skin to lighten/heal.

I wanted to mention also that hormones have very little to do with age spot formation. Age spots are a sun damage issue. Other forms of hyperpigmentation such as larger surface areas of darker skin, dark acne marks and melasma are prime examples of hormonal pigmentation conditions.

Aside from general hyperpigmentation legions, age spots is the only other circumstance where I think hydroquinone can be used to achieve good results. Hydroquinone (2-4%) is designed to bleach localized regions and age spots are exactly this. In a regimen that has gentle, consistent exfoliation and high PPD sunscreen, hydroquinone can work REALLY well in fading age spots.

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10 Comments:

Anonymous Anonymous said...

Hey Mileena,

Is the Neurostrata spot remover effective if i use it on my lower arms? Its extremely tanned and I know it won't be economical but I just got my bday money and I am willing to splurge as long as it removes my tan.

Thanks,
bday girl

July 22, 2010 at 8:51 PM  
Blogger Mileena said...

Hi!

The Neostrata Spot Lightener is really effective, but I'm it may seem a little uneconomical to be used over your arms, even if it's just your forearms. It comes in a 15 ml tube and really is designed just for localized regions like freckles, acne marks and age spots. I'm guessing it would probably only last 4 weeks this way.

You can probably 'make it' economical by using only a pea sized amount and mixing that pea sized amount with an AHA lotion (Neostrata has a lot has glycolic acid lotions) to create a synergy (exfoliation + botanical lighteners).

Btw happy birthday! Birthday money is always awesome to get ;)

July 23, 2010 at 10:55 AM  
Anonymous Anonymous said...

Thanks so much Mileena! This is why I love your blog so much, you take the negative and turn it positive :) (I can see that you definitely make an excellent nurse)

July 23, 2010 at 12:33 PM  
Blogger Mileena said...

=) Thank you! That means a lot to me <3

July 23, 2010 at 1:02 PM  
Anonymous Anonymous said...

Hello Mileena :)

I hope I'm not bothering you lol. My mom has these dark patches of spots on both of her cheeks. She said she got it after having my brother which is many years ago lol. But she tried many "whitening products" and it still didn't leave. I know it's hard to diagnose over the internet lol, but I was wondering if it's age spots...or not...does the method in this blog still work? :)

& just wanted to let you know that I really appreciate your blog! Thanks for taking your time to write these posts to educate us readers. :)

KL

July 24, 2010 at 8:19 PM  
Blogger Mileena said...

Hi KL!

You aren't bothering me in the least bit. I love getting comments and connecting with my readers. =)

Age spots usually are usually very small - only slightly larger than freckles. They can also be a bit bigger, but generally larger dark patches (especially after pregnancy) are most likely melasma.

Melasma and age spots are very identical in the way that you treat them. Stopping it at the source, using high PPD sunscreens and exfoliating often and gently. Though I don't usually like hydroquinone, it is very good in the case of dark patches. USed for 6 months (at night time only) it can work very well at fading them.

Usually regular botanical lightening/whitening serums and creams do little for melasma patches. Using a stronger bleaching agent like HQ is definitley a good option. If used solely on the dark spots and for 6 months, with sunscreen used everyday she should see a complete fading of them.

If your mom doesn't feel comfortable trying HQ (and it's understandable, but for 6 months and only used on localized regions is perfectly fine. HQ was designed for small patches) she can try tyrosinase inhibiting lighteners like UNT EX WHITE 2, Makari Day Cream, Hypercreme Illumination Fluid or Arcona Skin Lightening Drops.

<3

July 24, 2010 at 8:26 PM  
Anonymous Anonymous said...

Hello
What would you recommend for age spots on my hands please? I am 61 years old.

Audrey

August 19, 2010 at 9:43 AM  
Blogger Mileena said...

Hi Audrey,

Sunscreen before sun exposure is very crucial to prevent further darkening of age spots and to a degree, can help fade the existing ones.

Apply before driving or when you know your hands will be in direct exposure.

Using an AHA (alpha hydroxy acid) product or toner on your hands can help exfoliate and fade them as well. AmLactin is a good body lotion that has lactic acid in it that can help even things out.

August 19, 2010 at 10:57 AM  
Anonymous Anonymous said...

Currently I'm starting to use the Neostrata Spot Lightener + Olay SPF 30 Defence complete with all day moisturizer(Been using this bottle for about 2 months already before I bought the spot lightener yesterday). How would I determine if this Olay bottle has a high PPD rating? Should I still continue using this? Or should I switch to another one.
Also, would it right to put the spot lightener on before going to school, then when it dries apply the olay spf 30 on my face?

Thanks

October 20, 2010 at 6:27 AM  
Blogger Mileena said...

The Olay has a pretty low PPD, but if it's working for you (not breaking you out, you're okay with the finish/look of the product on your skin) then it's fine. I always advocate cosemtic elegance over PPD, except in melasma cases where high PPD is a must.

The PPD of the Olay is around 5-6. Which isn't too bad for everyday wear, as long as you are not in excessive sun exposure.

The CIBA PPD calculator is a good site but it's not accurate. I do remember reading on a forum somewhere that the Olay Complete SPF 30 has a PPD of that range (4-6).

You can apply the sunscreen on top of the spot lightener after about 5 minutes. You don't need to wait until it's completely setled on your skin. A 5 minute wait is good enough. Apply sunscreen last with your skin care regimen and allow that at least 15 minutes to settle before applying any m/u on top.

=)

October 20, 2010 at 7:33 AM  

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