Skin Pigmentation Care

Pigmentation & Melasma Treatment in Burnaby

Restore clarity. Break the cycle of pigment.

Pigmentation is excess or unevenly distributed melanin, triggered by UV, hormones, inflammation and sometimes blood-vessel changes. At Skin Art MD in Burnaby, BC, a physician-guided plan may combine PicoSure picosecond laser for surface pigment with Sylfirm X RF microneedling for stubborn melasma, plus strict sun protection. Melasma is chronic and can return.

2–6
Typical PicoSure sessions, about 4–6 weeks apart
Same Day
Most people resume normal activities; redness usually settles within hours to a few days
Daily SPF
Melasma can return, so sun protection continues after treatment
Identify Your Pigment

What Type Is It?

Correct diagnosis is critical. Treating Melasma like a standard Sun Spot can lead to rebound. Which type matches your skin?

Unsure? VISIA skin analysis can help show pigment and redness below the surface before the physician plans your treatment.

Root Causes

Why Does Pigmentation Happen?

Pigmentation isn't just one thing; it ranges from simple sun damage to complex hormonal conditions like Melasma.

1

UV & Heat Activation

Sun exposure and heat trigger melanocytes to produce pigment as a defense mechanism. This causes sun spots and can worsen melasma.

2

Hormonal Triggers

Pregnancy, birth control, and hormonal therapy can trigger Melasma. This is often deeper and more recalcitrant than sun spots.

3

Vascular Feeding

Abnormal blood vessels can 'feed' pigmentation, especially melasma, making it return even after successful laser treatments.

4

Basement Membrane Damage

A leaky skin foundation allows pigment to sink into the deeper dermis, where it becomes much harder to treat.

Skin Art MD Advantage

How We Approach Pigmentation

MD
Physician-led
3
Languages: EN · 中文 · 粤语
Metrotown
Burnaby clinic
1

VISIA Diagnostic Mapping

We use clinical imaging (VISIA) to map UV damage and visible vascular patterns before treating.

2

Pressure, Not Heat

PicoSure relies on a pressure effect rather than heat, which may reduce the inflammation that can lead to rebound pigment.

3

Physician-Guided Protocols

A physician oversees the protocol, with settings calibrated to your skin type and pigment depth.

4

Long-Term Control Focus

We don't just clear the spot; we educate you on triggers and maintenance to help results last.

Pigment FAQ

Common Questions

Sun spots (lentigines) are discrete marks from UV damage. Melasma is a chronic condition that appears as symmetrical patches and is influenced by hormones, heat, sun and blood vessels. It needs a gentler, more layered approach than sun spots, because heat-based lasers and IPL can make melasma darker. The physician chooses the device and settings after assessment.
Yes. Melasma is chronic. Many people see it fade noticeably with treatment, but it can return with sun, heat or hormonal changes, so ongoing sun protection matters. If a patch is new, changing, or one-sided, see your family doctor or a dermatologist first.
Isolated sun spots often respond within 1-3 sessions. Melasma is treated more gently over a longer course: a common PicoSure course is 2-6 sessions about 4-6 weeks apart, and Sylfirm X is often 3-6 sessions about 4-6 weeks apart, followed by maintenance. Treated spots may darken and flake over about 1-2 weeks, with lightening building over the following weeks. Results vary and are not guaranteed.
PicoSure is often described as a rubber-band snap, and numbing cream can be used on sensitive areas. Mild redness for 24-48 hours is typical, and treated spots may darken or flake briefly. Most people resume normal activities the same day.
Many people with Fitzpatrick III-V skin are treated with settings chosen to reduce the risk of post-inflammatory hyperpigmentation, but every laser treatment carries some risk. A physician assesses your skin and history first, and a test area may be suggested.
Treatment is usually postponed if you have a tan or recent strong sun exposure, an active cold sore or skin infection in the area, or are pregnant or breastfeeding, when pigment often shifts and treatment options are narrower. Tell us about any medicine that makes skin sensitive to light. Summer treatment is possible with strict sun protection, though many people find autumn and winter easier.
In-clinic laser and peel treatments are usually postponed until pregnancy and breastfeeding are over. Melasma that appears in pregnancy often lightens over the months after delivery, though not always. Meanwhile, daily mineral sunscreen, a hat and avoiding heat are safe steps. Many lightening creams are not used in pregnancy, so check any product with your doctor first.
Isolated sun spots often darken and flake over about 1–2 weeks after a session, then look lighter. Melasma changes more slowly: improvement usually builds across a course over several months, and progress is easier to judge with photos rather than day to day. Because melasma can flare with sun or heat during a course, steady sun protection affects how quickly it settles. Results vary.
Melasma is driven by triggers that do not go away: UV and visible light, heat, and hormones such as those of pregnancy or birth-control pills. Even after it fades, these can switch pigment production back on. Daily broad-spectrum SPF 30 or higher, a tinted mineral sunscreen that also blocks visible light, a hat and a maintenance plan help keep it lighter for longer.
Some types can. Brown marks left after acne, a rash or a burn (post-inflammatory hyperpigmentation) often fade over months, especially with sun protection. Melasma may lighten after pregnancy or after a hormonal trigger is stopped, but it often lingers. Sun spots usually stay unless treated. Knowing which type you have helps decide whether to wait or to treat.

Ready for a Clearer Canvas?

Book your VISIA Pigment Analysis and clinical assessment with a physician.

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