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Blotchy, Pigment-Challenged Skin

Understand It Better — Take Better Care of It


The colour of a person’s skin is usually determined by their phototype and how much sun exposure they get; areas frequently exposed to the sun are darker than those that are covered. Melanin is the natural pigment that controls skin colour, which the body secretes to protect skin from UV rays, leading to tanning. Pigmentation problems are linked to poor melanin functioning, which causes either hyperpigmentation (dark spots) or depigmentation (lighter spots) on the skin. The latter is usually related to a condition such as vitiligo or albinism, which requires medical care.

  1. What is pigmentation?
  2. How does pigmentation work?
  3. Spots linked to sun exposure and age
  4. Spots linked to hormonal changes and oral contraceptives
  5. Spots linked to phototoxic substances and skin lesions
Blotchy, Pigment-Challenged Skin

What is pigmentation?

The skin has a natural colour independently of sun exposure: this is its pigmentation.
This colour depends on skin cells called melanocytes, which are unique in that they produce pigments known as melanin. This melanin found in the skin offers natural protection against the ultraviolet (UV) rays emitted by the sun.
 There are two types of melanin:
1. Eumelanin
Better known as real melanin, it is black or dark brown and found in people with matte skin (it protects from UV rays). 
2. Phaeomelanin
This is also known as red or redhead melanin. It is present in people with fair skin or red hair. It doesn’t protect against UV rays; on the contrary, its synthesis generates free radicals that attack the skin. 
These two types of melanin are present in each individual in varying proportions. The amount is what determines a person’s natural skin colour and how well they tan when exposed to the sun.

How does pigmentation work?

Pigmentation is the result of a complex 4-stage process:
1. Ultraviolet rays and “biological mediators” (substances found in the skin’s cells) stimulate the pigmentation process and therefore the melanin-producing function of cells called melanocytes.
2. Melanin is produced by melanocytes.
3. The melanin thus produced is distributed through the two layers of the epidermis.
4. It then migrates to the skin’s surface through the ongoing renewal of cells in the epidermis.

Spots linked to sun exposure and age

UV rays cross through the epidermis and stimulate the skin’s pigmentation cells (melanocytes). Some melanocytes are continuously disrupted and start to secrete large amounts of melanin all the time. Spots appear when melanin production increases in an abnormal manner and when over-produced melanin isn’t uniformly distributed over the skin’s surface. This causes it to accumulate in certain spots and form unsightly marks.
Excessive sun exposure (too intense or too long) over time results in the over-production of melanin, leading to pigment spots or lentigos (small, round and flat spots that vary in size). That is why people who work outdoors (people in the marine industry, construction workers, etc.) tend to develop these spots earlier than other people.
Moreover, the risk of hyperpigmentation increases with cell ageing and generally affects the areas that are most exposed to the sun over time (face, neck, hands, etc.). The sun and age are the main causes of pigment spots. This is called either solar lentigo or senile lentigo.  Lentigo affects 90% of white people over the age of 50 years. All skin types are affected.

Spots linked to hormonal changes and oral contraceptives

Hormonal changes during pregnancy or when taking oral contraceptives can also cause hyperpigmentation.
In brown-haired women (with matte skin), hormonal changes may lead to the appearance of a brown mask on the face called "melasma" or a "pregnancy mask". This refers to spots located on the upper face, sparing the edge of the scalp. They become more pronounced in the summer. Their colour varies and darkens under the action of ultraviolet radiation. 
This common pigmentation appears suddenly but decreases or completely disappears after hormones have returned to normal (after the birth of a child for example). Residual pigmentation may however persist for another few months or another few years. 
In certain cases, a “pregnancy mask” sometimes appears even when a person isn’t pregnant or taking oral contraception.

Spots linked to phototoxic substances and skin lesions

When exposed to the sun, certain plant species (plant essences), fragrances and medicines can cause brown spots to appear after a photosensitisation (phototoxicity) reaction.
Furthermore, damaged or scarred skin (after-effects of burns, sunburns, healing of inflammatory lesions, particularly acne lesions) develops pigmentation marks more easily if exposed to UV rays.