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Latest Laser and Skincare Innovations for Hyperpigmentation with Suneel Chilukuri, MD, FAAD, FACMS

Key Takeaways

  • Innovative sunscreens with physalis angulata and pycnogenol can inhibit heat shock proteins, offering new options for hyperpigmentation management.
  • At-home devices, like microneedling rollers, and in-office treatments, such as picosecond lasers, are effective for hyperpigmentation.
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Chilukuri shared that 2 new sunscreen ingredients, physalis angulata and pycnogenol, can prevent heat-induced pigmentation, offering new options for patients.

In one of his presentations at the 5th Annual Elevate-Derm West Conference in Scottsdale, Arizona, Suneel Chilukuri, MD, FAAD, FACMS, covered the latest updates in hyperpigmentation. During his session, Chilukuri covered effective laser techniques for treating hyperpigmentation, in-office and at home tools for care, and shared pearls on current research into the topic.

TRANSCRIPT

Chilukuri: Hi, I'm Suneel Chilukuri, a board-certified dermatologist from Houston, Texas, and private practice at Refresh Dermatology. Thank you for having me! We just finished our talk on hyperpigmentation. What can we do to really change our patients' lives? There's so much more that we have now. We have better sunscreens. It's not just about using a tinted sunscreen for those patients who have melasma, but what other ingredients are inside there? Can we stop the heat shock protein? We know there's 2 different sunscreens right now that can actually stop the heat shock protein.One is an ingredient called physalis angulata, and the other 1 is actually from a company that just came out last year, and they're using something called pycnogenol that will stop that heat shock protein. We talked about what devices we can use. Inexpensive, at home, devices we can use such as a .25 millimeter roller to actually penetrate the skin and have that increased turnover of epithelium.We can use at home, peels we can use in-officepeels, we can use lasers in the office. Which lasers are safe? We know that we can use a picosecond laser at a low fluence get amazing results. Can we use IPL? We know that we can use IPL in the right hands, but you want to be cautious about heat generation. CO2s, in the past, we said CO2s couldn't be used. What we realize now is we can use certain ones that are sub 100 millisecond pulses to then go ahead, not create that much heat and create a cool peel type effect. Lots of things that we can share with our patients, lots of things that we can share with our colleagues, and I look forward to sharing more with you. Reach out if there's any questions I can answer at Elevate Derm here.

[Transcript has been edited for clarity.]

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