Pigment and Vascular in Double Bay, Sydney | Longevity Lounge Esthetics
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What we treat, Pigment and Vascular

Pigment and Vascular

Pigment can have different causes, sit at different depths and respond very differently to treatment.

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Kelly McNamara in her Double Bay treatment room
Kelly McNamara Corneotherapist & laser therapist, Double Bay
I don't see pigment as simply "brown"

A brown mark is not automatically the same as another brown mark.

That is why I don't believe in putting every pigmentation concern under the same handpiece.

I want to understand what I'm looking at first.

Sometimes the right answer is laser. Sometimes IPL. Sometimes a different wavelength or approach. Sometimes the skin needs to be prepared before we treat the pigment.

And sometimes the smartest decision is to leave it alone.

The treatments in this hub

Before your first treatment, please have your GP or dermatologist check the spots you'd like treated, especially anything new, changing, crusty or bleeding.

Every treatment carries some risk. I go through the risks and the recovery with you at your consultation before we begin.

Pigmentation and Brown Spot RemovalIt is the visible result of melanin, the pigment produced by melanocytes, being overproduced or unevenly distributed within the skin. Redness and FlushingThis treatment is about calming down the look of redness, flushing and visible blood vessels, using the right laser or light technology for your skin. Facial Thread Vein RemovalFacial thread vein removal is where I use laser energy to target those little visible blood vessels, usually around the nose, cheeks and other areas of the face, and heat them so your body can naturally clear them away. Birthmark Removal IPL PhotorejuvenationI still call IPL my "cleanup man": it gives you a beautiful, clear palette by treating superficial sun damage, pigmentation and vascular irregularities, and depending on how we use it, it can also give you that gorgeous overall photorejuvenation glow. Fotona KTP 532Fotona KTP 532 is a green laser wavelength that I use to target superficial redness, visible capillaries, certain vascular spots and some types of pigmentation. Red Spot RemovalRed spot removal targets those little red vascular spots, such as cherry angiomas and spider veins.Also in Clearing and Removal Cherry Angioma RemovalCherry angioma removal uses laser to target the blood vessel within the angioma, causing it to fade and clear from the skin.Also in Clearing and Removal Dermaviduals FacialA Dermaviduals Facial is a skin treatment built around the biology of your skin.Also in Facials, Peels and Light MelaJadeMelaJade is my signature skin-polishing treatment for when you want your skin to look lighter, brighter, tighter and beautifully refined.Also in Facials, Peels and Light
The causes

Pigmentation is not simply a brown spot sitting on the surface of the skin.

Pigmentation can be caused or influenced by many different factors, including cumulative sun exposure, hormones, inflammation, ageing, genetics and certain medications.

Cumulative Sun Exposure
Genetics, illustratedGenetics
Inflammation, illustratedInflammation
Certain Medications, illustratedCertain Medications
Hormones, illustratedHormones

It can look completely different from one person to another, and you can even have several different types of pigmentation occurring on the same face.

Photograph of a woman lying back with her eyes closed, chin lifted, a shaft of late afternoon sunlight falling across the plaster wall behind her
Freckling, sun damage and surface vessels
Your Australian-sun survival plan

SPF 50+ every single day.

Living in Australia means I'm going to be very persistent about this one.

And don't stop at sunscreen.

Hat. Shade. Sunglasses. Avoid the harsh midday sun where possible.

The Australian sun is not something we can ignore when we're trying to keep redness and pigmentation under control.

The spray tan rule

Please do not spray tan.

There is one instruction I am particularly adamant about after pigmentation treatments.

I know it can be tempting, especially if you have an event coming up.

But after pigmentation removal, the skin can look completely clear on the surface while small amounts of residual pigment are still sitting underneath or continuing to clear.

A spray tan adds colour to the surface of the skin, and that colour can settle into recently treated areas and make previously subtle pigment look obvious again.

And this is the part people often misunderstand:

Washing the spray tan off does not necessarily mean you've undone the problem.

If the colour has settled into areas of recently treated skin, it can complicate what we are seeing and make it appear that pigment has returned when the original treatment may have been progressing perfectly well.

So when I tell you not to spray tan, it isn't me being difficult.

And if you choose to ignore that instruction, it may ultimately mean more time, more treatment and more expense to get you back to where we were.

I'm particular for a reason

I know I'm particular.

I'm particular about settings. I'm particular about timing. I'm particular about what goes on the skin afterwards. I'm particular about when we repeat something and when we don't.

But there is a reason for all of it.

I'm trying to protect the result.

I don't want to spend your money correcting something that could have been avoided with a little patience or by simply following the instructions.

Because I'm not trying to sell you a treatment. I'm trying to get you a result.

Call Kelly