Pigmentation

There are a number of conditions known to cause patchy dark changes in the colour of the skin, resulting in areas of ‘hyperpigmentation’. These are typically areas that appear over time and following exposure to certain agents or skin conditions. Birth marks can also cause patches of darker looking skin but arise before or shortly after birth.

If you suffer with darker patches of skin, it is important to consult an experienced medical professional to ensure that it is a benign skin lesion and does not require any additional monitoring or treatment.

Mr Ioannis Goutos is a London-based plastic surgeon with extensive experience in looking after individuals with a wide variety of aesthetic problems and treatment goals. He offers a range of surgical and non-surgical procedures, including full assessment and post-procedure care. Mr Goutos has an excellent academic and clinical reputation in the field of treating individuals with scars and burns and places particular importance on holistic and tailored care for each patient.

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About this condition

The tone of the skin is dependent on the amount of pigment that is produced within the skin cells. This pigment is known as ‘melanin’. If there is more melanin present, the skin will appear darker in colour and vice versa. In some instances, as we get older and are exposed to factors such as skin injury, sunlight or hormonal changes, the amount of melanin in parts of the skin can change, resulting in patches that appear darker from the surrounding skin. Common examples include:

Melasma – appear as patches of darker skin, most commonly on the face and neck. They can occur in anyone but are more common in women and typically associated with changes in hormone levels such as in pregnancy or when taking hormonal-based medications, including the oral contraceptive pill.
Sun spots – also referred to medically as ‘solar lentigines’, are most common in individuals with paler skin tones over the age of 40. They occur as a result of long term sun exposure, so are more likely to appear in areas such as the face, neck, hands and the top of the feet.
Age spots – usually look like dark blemishes or large freckles, mostly occurring on the face and hands. Age spots are also referred to as ‘lentigos’ or ‘liver spots’
Post-inflammatory hyperpigmentation – can occur as a long term result of healing following injury or inflammation in the skin, such as a wound, acne or eczema. This phenomenon is more typically seen in darker skin tones.

Pigmentation associated with injury or scarring may also be the result of old iron pigment left behind from old red blood cells.

Good general skin care can be helpful in preventing and reducing the appearance of areas of pigmentation. For example, ensure regular moisturisation of the skin and having a healthy lifestyle by eating well, drinking plenty of water and not smoking. Avoiding direct exposure to sunlight is also key, by either wearing appropriate clothing, or applying sun screen with a minimum 30 SPF when going into the sun. This is of particular importance in areas of skin that are more exposed to sunlight, such as the face, hands and arms.

Patches of pigmentation in the skin do not generally have a negative impact on physical health, however some people may feel particularly troubled by their appearance and feel self-conscious. There are a number of treatment options available that help to reduce the appearance of darker patches of skin, to make the skin look smoother and more even. These include:

Topical treatments
Laser-based therapies
Intense pulse light therapy
Needling

If you are thinking about having any of the above procedures, it is important to seek the advice of an experienced clinician to ensure that you are getting the right treatment for you, your skin type and your cosmetic goals. Some procedures carry risks of causing hypopigmentation (lightening) of the skin and are not suitable for all skin tones.

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

    
 
 
       Posted on Google  
    Louise Steel 
 
 
 
  Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation,  through surgery, and now my 3-month follow-up, I have nothing but good words to say.
  
 
      Posted on Google  
    Luke Ward 
 
 
 
  This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable.

All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour.

I wish nothing but the best for this man, and the best results for his future patients.
  
 
      Posted on Google  
    Mauricio Lucas 
 
 
 
  Outstanding Doctor - Exceptional Expertise

I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner.

Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients.

What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears.

One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession.

Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process.

Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.
  
 
      Posted on Google  
    Kashmala Khan 
 
 
 
  Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!
  
 
      Posted on Google  
    Javier 
 
 
 
  Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many.

I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.
  
 
      Posted on Google  
    Ieva Lihovida-Yarlett 
 
 
 
  We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus  was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!
  
 
      Posted on Google  
    Amy Munson 
 
 
 
  We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone!
The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field.  Can't thank him enough.
  
 
  
  
 
 
   Google rating score: 4.7 of 5, based on 26 reviews