Lichen Planus Pigmentosus (LPP)
Targeted pigmentation control for skin that is dark and uneven
The persistent pigmentation illness known as lichen planus pigmentosus (LPP) mainly affects those with darker skin tones. Dark brown, grayish, or slate-colored patches on the face, neck, upper arms, underarms, and other places that are exposed to sunlight or friction are the hallmarks of LPP, a kind of lichen planus. It usually appears gradually and, if left untreated, can last for years.
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Using topical treatments and cutting-edge dermatological technology, Rasa Derm provides individualized care for controlling LPP in order to restore the natural tone and health of your skin.
Although the precise origin of LPP is still unknown, the following elements are known to play a role in its development:
- A prior or underlying immune-mediated lichen planus is frequently linked to chronic inflammation.
- Sun Exposure: UV radiation can exacerbate pigmentation, particularly in people with darker skin tones.
- Friction & Heat: Constant rubbing or perspiration makes certain areas, such the inner thighs and underarms, more vulnerable.
- Allergic Reactions: Certain cosmetics, scents, and hair dyes can cause or exacerbate LPP.
Some people may be influenced by hormonal factors and genetic predisposition.
The Skin’s Reaction to LPP
- Slate-gray to diffuse or patchy brown pigmentation
- Areas that are neither uncomfortable or only somewhat so
- Typical locations include the upper torso, neck folds, underarms, temples, and sides of the face.
- symmetrical distribution in many cases
Precautions and Changes in Lifestyle
Managing lifestyle and environmental factors is crucial in reducing LPP:
- Sun Protection: Every day, especially on the face and neck, apply broad-spectrum sunscreen with an SPF of 50+.
- Avoid Triggers: Avoid hair dyes and cosmetics that include possible allergens, such as paraphenylenediamine (PPD).
- Gentle Skincare: For sensitive or pigmented skin, use fragrance-free, non-irritating products.
- Refrain from Scrubbing Too Much: Mechanical irritation can worsen pigmentation.
- Clothing for Protection: Put on broad sleeves and caps with large brims.
At Rasa Derm, we customize treatment regimens based on the distinct skin type and level of pigmentation of each patient. The following may be a part of your LPP management:
1. Â Topical Drugs
- Mild corticosteroids: Assist in lowering immunological response and inflammation.
- For sensitive areas like the face, calcineurin inhibitors (Tacrolimus/Pimecrolimus) are safer long-term solutions.
2. Agents for Depigmentation
- Azelaic Acid: A mild exfoliator that lowers the synthesis of melanin.
- Arbutin and kojic acid are plant-based substances that help lighten dark areas.
- When used topically, tranexamic acid serums reduce pigmentation associated with melanin and vessels.
3. Skincare Based on Antioxidants
- Serums containing resveratrol, vitamin C, and niacinamide aid in barrier restoration and the battle against oxidative stress.
4. Sun Protection
- Every LPP patient must wear sunscreen with an SPF of 50+ and reapply it every three to four hours.
- For better defense against visible light, we also provide tinted sunscreens that include iron oxide.
5. Nd:YAG Q-Switched Laser
- Targeted laser therapy aids in promoting uniform skin tone and removing deeper discoloration.
- Patients with chronic or obstinate spots that are resistant to creams will find it especially helpful
Why Opt to Treat LPP?
- Under the direction of Dr. Veenu Jindal, a well-known specialist in pigmentary skin conditions.
- Personalized treatment with little recovery time for Indian skin types
- Complete care that incorporates clinical knowledge, cutting-edge technology, and holistic skincare advice
Frequent check-ins to track development and prevent relapses.
