Cosmetic Surgery Tips

Laser For Periorbital Hyperpigmentation

Periorbital hyperpigmentation is a condition that causes dark patches on the skin around your eyes. It’s most common in people with darker skin tones, but it can also occur in people with fair skin. Periorbital hyperpigmentation can be caused by sun exposure, aging, genetics, certain medications and side effects from certain medications.

The good news is that there are effective treatments for periorbital hyperpigmentation that can help reduce the appearance of these dark patches. To learn more about effective treatments for periorbital hyperpigmentation, keep reading.

Laser For Periorbital Hyperpigmentation

 Periorbital Hyperpigmentation (POH)


  • POH is also called as periorbital melanosis, periocular pigmentation, dark circles, dark ring, or simply under eye circles.
  • It is one of the major cosmetic concern in both male and female patients and one of the commonest problems encountered by the dermatologists.
  • Other aesthetic changes such as thinning, wrinkling, loosening and sagging of skin, fluid retention, excess fat accumulation, pseudo herniation of fat occurring due to ageing, photoaging, gravity, etc. in the periorbital area give the patient old, sad, tired, unhealthy hangover look.


  • Exact etiology of POH is unknown and it is thought to be multifactorial in origin with no single factor predominating.
  • Presence of melanin (melanin etiology) and hemosiderin (vascular etiology) pigments in the affected sites are distinctive features in its etiopathogenesis.
  • There are two etiological types of dark circles: One with predominantly melanin and other with vascular etiology. Most commonly encountered is the mixed type (presence of both melanin and hermosiderin). Melanin hyperpigmentation is due to increase in the production of melanin and affects epidermis or the dermis or both.
  • The multifactorial causes that induce /contribute to /exacerbate this condition are as follows: genetic/ constitutional, PIH induced due to constant rubbing/ itching, secondary to atopic or contact allergic dermatitis, ageing thinning of skin, volume loss and atrophy of soft tissue, descent of mid face fat: leading to stretching, drooping, wrinkling of skin along with pseudo herniation of fat, prominence of infra-orbital, rim, and tear through formation).
  • Other contributing factors are subcutaneous edema such as under–eye bags due to fragile capillaries, leakage of plasma fluid with interstitial fluid accumulation, defective lymphatic drainage, inflammation and loss of support to cutaneous microvascular structure due to photoageing and disorders that give rise to fluid retention and palpebral edema (thyroid disorders, nephropathies, cardiopathies, pneumopathies etc.)
  • Deficiency of vitamin K (vital for the blood coagulation that can lead to repeated small hemorrhage), hormones (menstruation, pregnancy, OC pills hormone replacement therapies can act by stimulating melanogenesis), drugs (eye drops for glaucoma, antipsychotics, chemotherapeutic agents, gold, mercury, and silver salts), lifestyle (alcoholics, workaholics, and sleep deprivation can lead to vasodilatation, blood stasis, leakage, fluid retention, and puffy eyes), smoking (vasoconstrication effect of nicotine causes generalized pale appearance of the skin).


  • POH is defined as bilateral homogeneous macular or pigmented patches involving the lower eyelids and infra-orbital regions.
  • It can also extend to upper eyelids lateral nasal root, and sometimes surrounding eyebrows, temporal and malar area.
  • However, usually it appears as a curved band of brownish, slatish, or brownish bluish skin approximating the shape of the underlying inferior orbital rim.
  • It is a mere colour difference between the palpebral skin and the remaining facial skin.
  • POH usually presents along with one or more of the following three characteristics, contributing to the discolouration:


Diffuse or concentrated melanin deposits (hyperpigmentation). It is of brown or brownish slatish colour when superficial and involving epidermis.


Presence of erythema predominantly involving the inner aspect of the lower eyelids, with prominent dermal capillary network (telangiectasia) or presence of bluish discolouration of the lower eyelid secondary to the visible subcutaneous venous network. In dark skinned, this variety is more contributing and becomes more prominent when the overlying skin is stretched.


It is due to the changes in the contour of the lower eyelid (nasojugal groove). There is skin laxity due to ageing and photoageing. Along with it, there is volumetric loss and descent of soft tissue and fat of cheek with loss of subcutaneous fat and thinning of skin over the orbital rim area inducing depression (tear trough) centered over its medical aspect.


  • Proper diagnosis
  • Control of precipitating factors
  • Identification and therapeutic targeting of each contributing etiologic factors for an individual patient (customized), sunscreens, skin –lightening agents, topical retinoic acid, chemical peels, injection of botulinum toxin Injectable fillers, mesotherapy, Hair Growth Therapy, lasers, IPL, blepharoplasty, camouflage either as monotherapy or in combination.
  • Dietary supplements that contain soy extracts, fish, proteins, polysaccharides, extracts from white tea, grape seed, tomatoes, vitamins C and E as well as zinc from chamomile extract are found to be useful.
  • Change in lifestyle with adequate sleep and stress reducing strategies help in managing POH.

Perioral Hyperpigmentation

The term perioral refers to tissues around the mouth. Perioral pigmentation can be described as discoloration of the skin around the lips and mouth. So, what is perioral hyperpigmentation? This condition leads to darkening of the skin in the lips and mouth region, and is caused by excess generation of melanin.

The causes of perioral pigmentation include acne, pregnancy, razor bumps, insect bites, and hormonal fluctuations. Heredity could also be a reason for this skin condition. Perioral pigmentation is the result of melasma and sun spots caused by sun exposure in the lips and mouth region of the skin.

The symptoms of perioral pigmentation include black- or brown-coloured spots in around the lips and mouth, dark patches in this region and skin inflammation in the lips and mouth areas. How do you treat perioral pigmentation? Let’s find out.

Perioral Pigmentation Home Remedies

  • Potatoes are a good bleaching agent. Gently massage the affected skin with a slice of potato, to remove dark patches.
Perioral Pigmentation Home Remedies
  • The application of a turmeric mask, prepared using turmeric and rose water, serves as an effective treatment for perioral pigmentation.
  • An apple cider vinegar mask proves to be an excellent home treatment for perioral hyperpigmentation, as it acts as an exfoliator.
  • Aloe vera contains aloin, a depigmenting compound. Application of aloe vera gel in the perioral region helps reduce pigmentation.
  • A paste of raw papaya and rose water, if applied to the region around the mouth and lips, can help in getting rid of hyperpigmentation in this region.
  • An oatmeal scrub works to exfoliate the skin and thus helps combat perioral pigmentation while also leading to an even skin tone.
  • Milk and buttermilk are wonder ingredients when it comes to perioral pigmentation home remedies. Apply milk or buttermilk on the affected region and you will start seeing an improvement in the colour and tone of your skin.

Perioral Pigmentation Treatment

  • A cream which contains hydroquinone works well as a perioral pigmentation treatment. Use one prescribed by a dermatologist.
  • Skin brightening creams which can be bought over-the-counter are another good treatment for perioral pigmentation. Applying them leads to significant reduction in discoloration of the skin.
  • Acid peels are a good clinical treatment for perioral pigmentation. A dermatologist uses glycolic acid or salicylic acid to reduce dark patches in the lips and mouth region. It is not a permanent solution to hyperpigmentation around mouth, and after the treatment, you are required to protect the treated skin from the sun.
  • Chemical peels work well to remove skin discoloration in the perioral region. Strong concentrations of acids are used to remove the upper or upper and middle layer of the skin, thus removing dark patches. This procedure should be guided by a dermatologist.
  • Laser therapy works well to reduce hyperpigmentation. In laser treatment for perioral pigmentation, the generation of elastin and collagen is promoted, which leads to removal of dark spots on the skin. This treatment breaks down melanin-generating cells which leads to lightening of the lips.

This was an overview of perioral pigmentation home remedies vs clinical treatment, along with the causes and symptoms of this skin condition. Note that although home remedies for perioral pigmentation may work, it is always good to seek medical advice on this or any other skin condition. Perioral pigmentation treatment would also vary based on its cause, which is also why you should get the condition diagnosed from a dermatology expert.

For the best guidance related to perioral pigmentation treatment and home remedies, or any other skin condition, one of the best places to approach is Clear Skin, a skin clinic in Pune. They have a team of experienced dermatologists and excellent care facilities. The experts here will give you the correct diagnosis and treatment for your skin condition and help you achieve a healthy and beautiful skin.

Laser Teeth Cleaning Side Effects

Dental Lasers could have potential side effects. Choosing laser dentistry for dental procedures does have many advantages, but learning about the potential side effects can help patients make a more informed decision. 

  • Traditional methods of dentistry are still more common but have few advantages over laser dentistry. 
  • Laser dentistry has many benefits to the patient when performed by a well-trained dentist. 
  • Laser treatment side effects are minimal and easily mitigated. 

Laser Dentistry involves modern, innovative technology that provides many of the same services as traditional dentistry, but with more precision and less pain. If your dentist offers a laser dentistry option, learning more about the advantages of this technique can help you decide if it is right for you. When patients inquire about the use of lasers for dental procedures, the most common questions involve the benefits and the potential side effects of the technology. A high-quality dental practice lists potential side effects as well as advantages, so every patient can be well-informed before pursuing a specific procedure. 

Traditional Dental Procedures

Dental procedures performed with traditional methods are still the most common ones performed in most dental practices. These methods include the use of specialized dental tools, such as drills for cavities and scalpels for gum surgery. Some patients prefer traditional dentistry because the methods are familiar, and the patient has experienced similar procedures before. 


When a patient has the option to choose between traditional procedures or laser dentistry, there are a few reasons standard methods may win the competition. The most common reason is familiarity. Not all dentists offer a laser option, and some patients do not want to switch to a new practice for laser procedures. Additionally, some patients may be uncomfortable with the idea of laser surgery because they do not have enough information about how laser treatments work. Furthermore, due to the additional training that must be completed and new equipment that must be purchased, laser treatments can typically be more expensive than a similar procedure for the same condition. However, at All Smiles, laser treatment does notcost more!


Traditional treatments for dental issues have side effects that vary depending on the procedure. The most common negative side effect is pain. For the majority of these procedures, including the removal and filling of cavities, root canals, and surgery on gum tissue for gum disease, some sort of numbing agent or anesthesia is used. Numbing the area surrounding the dental work can involve topical gels, Novocaine, or lidocaine. For more extensive procedures, you may receive a pre-op oral sedative or nitrous oxide gas. With any sedative or numbing agent, there are potential side effects such as allergic reactions. 

Some dental surgeries require downtime and aftercare, such as stitches or packing. The more invasive the surgery, the longer the recovery may be, and the more follow-up visits may be required. Some dental work requires multiple visits to complete the entire process. This is the case with extractions and implants, as well as root canals and crowns. If you need any type of extensive dental work, it is important to find a dentist with experience and an excellent reputation to minimize the chance of negative side effects. Although most dentists perform surgical procedures regularly, finding a compatible dental professional can be the key to a more pleasant experience. 

Laser Dentistry Procedures

Although technology has been around for a long time, many dental practices have not yet moved to laser procedures. Laser dentistry requires expensive and highly technical equipment, as well as extensive professional training for the dentist. More dentists are making this commitment, which means laser treatment for procedures has gained popularity in recent years. If your dentist offers laser procedures, or if you need a procedure and are looking for a new dentist, consider the benefits of laser dentistry before making a decision. An experienced dentist will also inform you of any risks or potential side effects of laser treatment before proceeding. 


Laser dentistry uses innovative technology to complete many of the same dental procedures that patients have experienced before using traditional methods. Fillings, gum disease correction, and other surgeries can now be performed using lasers. Lasers are safe, accurate, and effective and provide many benefits to the patient.

Increased accuracy of the laser energy means less gum tissue and natural pieces of the tooth need to be removed to accomplish the surgery goal. Retaining more of the natural tooth or gums means less of a chance of a tooth breaking or cracking later. A major advantage of laser dentistry is the lack of anesthesia or numbing that is typically needed. Many patients do not need numbing at all before a filling, or only need a bit of topical anesthetic upon request for other surgeries. Since the laser also cauterizes wounds during a procedure, sutures are not typically needed. 

Recovery time after laser surgery is minimized because there is less damage to the tooth or tissue surrounding the surgical site. Due to the nature of lasers, the healing process can be much faster and easier than with traditional methods. This is a major benefit since many patients can return to normal activities immediately after the visit. 


Although there are many benefits to dental lasers, with any type of procedure, there is always a possibility of side effects. Lasers effectively reduce pain and recovery time, so compared to traditional methods, the chance of side effects is minimal. If a problem arises during laser treatment, it is usually either damage to surrounding gum tissue or injury to the tooth pulp. 

Gum tissue injury is a potential side effect with any type of dental work, including both traditional and laser methods. Although a well-trained dentist with a laser can isolate gum tissue well during surgery, there is some risk that the heat from the laser energy can also affect nearby tissue. Laser treatments encourage blood clotting after gum surgery and naturally disinfect the area, so the risk is minimal. Another potential side effect is damage to the tooth’s pulp during cavity removal, root canal, or other tooth procedure. This risk is smaller than with the use of a drill bit is not eliminated. 

One of the disadvantages of choosing laser treatment for your teeth and gums is the fear of the unknown. If you are a patient who is used to a specific type of treatment for cavities or gum disease, the idea of lasers can be difficult to accept. If this is the case, you can feel assured that lasers in dentistry are excellent treatment options for periodontal disease, cavities, and other concerns. Once you give laser surgery a try, you may find that you never want to return to traditional methods of dentistry. 

Benefits of laser gum treatment

Lasers are used regularly in dental care for many reasons, including laser gum surgery. Whether you want to prevent gum disease or improve your smile, a laser is the best alternative to traditional, invasive surgeries.

The skilled professionals at Bahia Dental Group in Pittsburg, California, are experts in addressing oral health issues using laser treatments. Laser gum surgery is gentle, requiring no stitches and minimal downtime. This makes the choice easy if you’re seeking alternative cures for your dental needs. 

What is laser gum surgery?

Laser gum surgery is a modern surgery alternative where light energy is used to improve your oral health and your smile. It’s a method used to kill bacteria and stimulate bone growth around your existing teeth. Laser dentistry treats hypersensitivity, gum disease, and tooth decay, and it can even reshape gum tissue to reduce a “gummy” smile.

What are 5 benefits of laser gum surgery?

The goals of laser gum surgery are to reverse the damaging effects of bacteria and to help you maintain a healthy mouth. There are many other benefits as well.

1. Less invasive

Laser surgery is far less invasive than older methods of gum surgery. Traditional gum surgery requires medical instruments that slice into the gum tissue, leaving painful wounds that require stitches and healing time. Because the laser never cuts into your gum tissue, it offers a decreased risk of infection, sensitivity, and bleeding after the procedure. This also means the risk of complications is low. Because laser treatment is so gentle, many patients are less afraid to get their oral health problems fixed.

2. Treats gum disease

Gingivitis leads to gum disease when not treated in time, and gum disease leads to tooth loss if it’s never treated. Patients with advanced gum disease can save their natural teeth with this laser treatment. Gum disease leaves you with deep pockets of bacteria that regular dental cleaning can’t fix. A laser is more likely to eliminate all the harmful bacteria, even when they’re stuck in deep pockets.

3. Improves smile

Straight white teeth help you feel confident in your smile. Gums also play an important role in your self-esteem. Do your teeth feel “short,” or do you think your smile is too “gummy”? If you feel the proportion of gum tissue to teeth is unbalanced, it could make you self-conscious about your smile. Laser gum surgery contours the shape of your gums and trims the excess tissue, giving you the beautiful smile you’ve always wanted.

4. Lasers are precise

No healthy gum tissue is damaged during laser gum surgery. The specialists at Bahia Dental Group use the laser to fix damaged tissue and stimulate new, healthy tissue growth. This method is extremely accurate and precise. The laser itself distinguishes healthy gum tissue from harmful gum tissue. Additionally, it won’t affect bones or teeth.

5. Fast recovery

Traditional gum surgeries require weeks of recovery that include pain, swelling, and a liquid diet. The recovery time for laser gum surgery lasts 24 hours, and patients typically only feel mild discomfort. Because there’s no cutting or stitching involved, the laser process offers quick recovery with minimal downtime. By not using traditional surgical tools such as scalpels, your doctor removes less tissue, causing less pain, bleeding, and inflammation. 

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