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Skin Pigmentation Care

Pigmentation & Melasma Treatment Richmond, BC

Restore clarity. Break the cycle of pigment.

Pigmentation is excess or unevenly distributed melanin, triggered by UV exposure, hormones, inflammation and sometimes blood-vessel changes in the skin. At RAAC in Richmond, BC, a physician-guided plan may combine PicoWay picosecond laser for surface pigment with Sylfirm X RF microneedling for stubborn melasma, plus strict sun protection. Melasma is chronic and can return, so expect several sessions.

Pico
Picosecond laser option
1-3 Days
Typical mild redness
Dual
Vascular + Pigment protocol
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? Dr. Jiang uses VISIA skin analysis to reveal exactly what lies beneath the surface.

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.

RAAC Advantage

How We Approach Pigmentation

VISIA
Skin analysis before treatment
29+
Years clinical experience
Dual
Vascular + pigment protocol
1

VISIA Diagnostic Mapping

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

2

Pressure, Not Heat

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

3

Physician-Guided Protocols

Dr. Jiang 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.
Melasma is chronic. Many people see it fade noticeably with treatment, but it can return with sun, heat or hormonal changes, so there is no permanent fix and 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 commonly takes 4-6 sessions about four weeks apart, followed by maintenance. The plan depends on pigment depth, skin type and how your skin responds; results are not guaranteed.
PicoWay 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. Dr. Jiang assesses your skin and history first, and a test area may be suggested.
It is often easier in winter, but summer treatment is possible with strict mineral SPF and sun avoidance. If you have an active tan, treatment waits until it fades.

Ready for a Clearer Canvas?

Book your VISIA Pigment Analysis and clinical assessment with Dr. Jiang.

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