Dermal pigmented spots, appearing as bluish-gray spots on both sides of the cheekbones, are a prevalent skin pigmentation issue, particularly among East Asian women. Here, we explore the causes, symptoms, and treatments available for managing this condition.
Causes of Dermal Pigmented Spots
The appearance of these pigmented spots on the cheekbones is largely due to a genetic increase in melanin and melanocytes in the dermis. This condition is almost exclusive to East Asians and is widely believed to be hereditary, with a higher likelihood of occurrence in women during their childbearing years, influenced by hormonal factors.
Statistics on Dermal Pigmented Spots
- Age Group: Primarily affects women aged 20-40.
- Gender Prevalence: The condition is significantly more common in women than men.
Symptoms of Dermal Pigmented Spots
Pigmented spots on the cheekbones typically measure between 2-4mm and vary in color from gray to black and bluish hues. Over time, these spots may merge into larger plaques but generally do not affect the sclera of the eye, differentiating them from conditions like Ohta spots.
Treatment Options for Dermal Pigmented Spots
- Laser Treatment: Laser therapy is currently the most effective treatment to improve the appearance of these spots.
- Strict Sun Protection: Sun protection is essential to prevent further pigmentation and to support the treatment process.
Important Considerations for Laser Treatment
The zygomatic spots are benign, and treatment primarily focuses on aesthetic improvement. Given the depth of the pigment within the dermis, multiple laser sessions are typically necessary. It’s common for spots to appear darker following initial treatments; thus, applying strict sun protection and prescribed topical medications between sessions is crucial for optimal results.