530: Hyperpigmentation, Hemosiderin Staining & How to Treat Them
Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon™
Kay Durairaj, MD, FACS @beautybydrkay
4.9 • 608 Ratings
🗓️ 13 June 2023
⏱️ 28 minutes
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| 0:00.0 | Well, hello, hello, guys. You're listening to Beauty Bites with Dr. K, Secrets of a Plastic Surgeon. |
| 0:20.3 | And today we're going to talk about |
| 0:22.6 | pigmentation. This is such a good topic, and I want to teach you the difference between |
| 0:27.5 | hyperpigmentation and hemocerine staining. I, myself, suffer from hyperpigmentation and was recently |
| 0:37.1 | in Cancun, and the heat of the tropical sun |
| 0:40.6 | created so much pigment activation from my melasma. And you know very often people think that |
| 0:47.7 | putting sunscreen on is the cure and the remedy. Well, it's not just that. I used a ton of mineral |
| 0:53.1 | sunscreen, 20% zinc oxide on my face, my cheeks, |
| 0:57.0 | and it's actually just the warmth and the heat that can trigger heat shock proteins that create |
| 1:04.0 | this cascade of inflammatory change, which then makes inflammatory hyperpigmentation. |
| 1:10.0 | So there are so many things that we need to talk about here. |
| 1:14.9 | Hyperpigmentation, melasma, and then a new one that you may not have heard of, |
| 1:19.6 | hemoes that are in staining. |
| 1:21.6 | And I'm talking about that because so many patients are coming in and calling |
| 1:25.9 | and asking questions about it. |
| 1:27.5 | They may have had procedures done. |
| 1:29.6 | Sometimes when you have a lot of bruising |
| 1:32.0 | or venous pooling or break down blood products in the skin, |
| 1:36.3 | you can develop hemo-citrin staining. |
| 1:38.9 | The red blood cells break open, |
| 1:41.6 | the hemoglobin and the byproducts of of the heem molecule are released, and this can |
| 1:46.4 | create that pigment stain. So hyperpigmentation and hemocetern staining are the two most common |
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