Do complex skin discolorations pose a particular challenge?
Dr. Salama: We often see two types of skin discoloration after many years of vein disease: Stasis dermatitis and hemosiderosis. In the case of stasis dermatitis (blood accumulation due to insufficient venous return), a chronic inflammatory reaction leads to an overproduction of melanin. This leads to brownish discoloration. Hemosiderosis is caused by excessive iron deposits from destroyed red blood cells and manifests itself in characteristic reddish-brown spots.
What are the treatment options for skin discoloration?
Dr. Salama: Our unique, four-stage treatment approach at the LBCL Surgery & Vein Practice starts with cutting-edge technology using the Q-Switched Nd-YAG laser. It enables precise and gentle treatment of pigmentation. The ultra-short light pulses shatter the pigment particles without damaging the surrounding tissue! Fractionated radiofrequency is particularly effective in the treatment of lipodermatosclerosis (inflammation of the fatty layer under the epidermis). This deeply stimulates the production of collagen and improves the skin structure. The versatile Nd-YAG laser penetrates deep into the skin and stimulates the production of collagen. It is particularly effective in improving overall skin quality and elasticity. Our innovative use of exosomes and Nanofat fat transfer technology in regenerative medicine sets us apart from other practices. Exosomes are tiny messenger substances from stem cells that promote cell regeneration and collagen formation. Nanofat is a prepared form of the body's own fatty tissue that is rich in stem cells and growth factors. In combination with our laser treatments, we have achieved impressive results. A 60-year-old female patient with severe congestive dermatitis showed a 70 % improvement in skin quality and a significant lightening of pigmentation after the combined treatment.
