Recovery
Results
Treatment Time
Aftercare
Treatment science score
The science of Hori Naevus Treatments
- Hori naevus is a common cause of pigmentation in Asian females
- It is often seen in the 30s to early 50s
- Picosecond lasers provide the best clearance
- Treatments are painless with little to no recovery time
The picosecond laser has revolutionized Hori Naevi treatments. Pigment is cleared twice as fast with much less side effects. Picosure Pro provides fast clearance without any downtime.
What is Hori naevi?
Hori naevus or naevi are brown to gray dots that appear around the eyes in Asian women. Hori starts at around 30 years of age & progressively darkens over the decades. The only way to treat Hori is with specific pigment lasers.
What is the best way to treat Hori naevus?
Pico lasers such as Picosure Pro are the best way to treat Hori naevi. Lasers offer fast, safe & effective removal of pigmentation, especially in Asian skin.
At The Melasma Clinic we employ both Picoway & Picosure Pro in our Brisbane & Sydney locations.
What results can I expect from a Pico lasers?
To date, this is the most effective laser for Hori, as over 92% of cases can be cleared with pico. Additionally, side effects such as hypo (skin lightening) or hyperpigmentation (skin darkening) is much less as compared with older nano lasers.
How many sessions will I require to clear Hori naevi pigmentation?
Though results can be seen within one laser session, we advise a series of 6 sessions, spaced 4-10 weeks apart.
For deeper pigmentation Hori will require several additional sessions for removal.
What is the treatment like?
Treatments are comfortable & fast, taking less than 2 minutes to perform. Picosure feels like tiny nettle flicks on the skin. On a pain scale of 1 to 10, it rates as a 1 to 2.
What is the recovery following Picosure Pro for Hori?
There are two settings we use to treat Hori (depending on your expectations & recovery time). These settings will be discussed with you prior to treatment.
- Slow & steady. This setting takes treatment recovery into consideration. Treatment recovery is uneventful with mild redness after the laser. You will require more pico laser sessions with this setting.
- Speedy & spotty. This may give you some mild but short lived increase in the pigment (only to spots) & redness that may last a few days. You will require less treatments with this setting. Post laser skin darkening may last weeks with this setting.
Our Gallery of Results
Can creams fade pigment due to Hori?
Creams have a marginal effect on Hori naevus as the pigment lies in the deeper layers of skin. We do however recommend pigment correctors after laser as –
- Hori naevi often occur with other forms of pigmentation such as melasma.
- Laser can occasionally activate pigment cells in the upper layers of skin.
The ideal cream formulation will be determined by your dermatologist.
This concept is grasped by only a handful of patients as most melasma patients can not see beyond pigmentation itself. Those who get it will have a much higher probability of long term remission 💯
.
👉Rate limiting factors: ability to understand the cause of melasma beyond pigment, the time required to remodel the dermis, especially in skin of colour, financial constraints as dermal remodelling goes far beyond ‘retinol-retinoids’, RFM, lasers & EBDs or the ubiquitous & over-rated Cosmelan peel
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#melasma #melasmatips #photoaging #melasmaclinic #celluaraging #drdavinlim
This concept is grasped by only a handful of patients as most melasma patients can not see beyond pigmentation itself. Those who get it will have a much higher probability of long term remission 💯
.
👉Rate limiting factors: ability to understand the cause of melasma beyond pigment, the time required to remodel the dermis, especially in skin of colour, financial constraints as dermal remodelling goes far beyond ‘retinol-retinoids’, RFM, lasers & EBDs or the ubiquitous & over-rated Cosmelan peel
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#melasma #melasmatips #photoaging #melasmaclinic #celluaraging #drdavinlim
Though we practice prescriptive methodology at The Melasma Clinic, we do adopt some aspects of natural medicine, in particular polypodium fern extract (usually in resistant cases of melasma). Additionally we prescribe the usual vitamin C, B, licorice root & azelaic acids especially during the maintenance phase of melasma treatment. For the primary treatment phase there are far better options (covered on our website & in previous posts)
.
🍅Diet: Summarised as; eat lots of tomato salads, drizzle with olive oil, snack on #lentils or lentil dips & melonseeds. This diet high in antioxidants can reduce your risk of cardiovascular events & possibly increase your longevity. It can definitely reduce BMI & if you are lucky, melasma
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#melasma #melasmatips #melasmadiet #melasmafood #naturalmedicine #melasmanaturalremedies #melasmaclinic #melasmaskincare #melasmacure #polypodium
Though we practice prescriptive methodology at The Melasma Clinic, we do adopt some aspects of natural medicine, in particular polypodium fern extract (usually in resistant cases of melasma). Additionally we prescribe the usual vitamin C, B, licorice root & azelaic acids especially during the maintenance phase of melasma treatment. For the primary treatment phase there are far better options (covered on our website & in previous posts)
.
🍅Diet: Summarised as; eat lots of tomato salads, drizzle with olive oil, snack on #lentils or lentil dips & melonseeds. This diet high in antioxidants can reduce your risk of cardiovascular events & possibly increase your longevity. It can definitely reduce BMI & if you are lucky, melasma
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#melasma #melasmatips #melasmadiet #melasmafood #naturalmedicine #melasmanaturalremedies #melasmaclinic #melasmaskincare #melasmacure #polypodium
The use of antioxidants such as glutathione can lighten & brighten skin. Glutathione can be a useful adjunct in some cases of #melasma
.
🔫Pico lasers: can safely be used to treat various types of pigmentation. A series of 3-5 sessions produce the best results, however in this patient only one treatment was performed. Settings matter
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#sunscreen #picolaser #picosurepro #drdavinlim #davinlim #sydneydermatologist #themelasmaclinic #glutathione #skinlightening
The use of antioxidants such as glutathione can lighten & brighten skin. Glutathione can be a useful adjunct in some cases of #melasma
.
🔫Pico lasers: can safely be used to treat various types of pigmentation. A series of 3-5 sessions produce the best results, however in this patient only one treatment was performed. Settings matter
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#sunscreen #picolaser #picosurepro #drdavinlim #davinlim #sydneydermatologist #themelasmaclinic #glutathione #skinlightening
If the proper amount of sunscreen is used, anything over an SPF of 40 is fine (in the context of melasma). Other than SPF factor (a measure of UVB), UVA ratings & attenuation of visible light is super important in the management of pigmentary disorders such as melasma & post-inflammatory hyperpigmentation, especially in skin of colour
.
👉Cosmetic elegance & colour matching: is often the rate limiting factor
.
👉Why tint? Iron oxides protect against visible light, this band of light stimulates pigment
.
👉How to use? Two fingerlengths, twice daily, regardless of exposure💯
.
👉Our pick? Elta MD, acknowledging there are many good brands with a wider range of colour matching
.
Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#sunscreen #melasmatips #bestsunscreen #spf #drdavinlim #davinlim #sydneydermatologist #themelasmaclinic #elta #eltaMD #eltasunscreens
If the proper amount of sunscreen is used, anything over an SPF of 40 is fine (in the context of melasma). Other than SPF factor (a measure of UVB), UVA ratings & attenuation of visible light is super important in the management of pigmentary disorders such as melasma & post-inflammatory hyperpigmentation, especially in skin of colour
.
👉Cosmetic elegance & colour matching: is often the rate limiting factor
.
👉Why tint? Iron oxides protect against visible light, this band of light stimulates pigment
.
👉How to use? Two fingerlengths, twice daily, regardless of exposure💯
.
👉Our pick? Elta MD, acknowledging there are many good brands with a wider range of colour matching
.
Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#sunscreen #melasmatips #bestsunscreen #spf #drdavinlim #davinlim #sydneydermatologist #themelasmaclinic #elta #eltaMD #eltasunscreens
The peak of the #microcurrent trend was around 2 years ago, however there are new companies who herald microcurrent as an effective melasma treatment. Here are some facts-
.
👉Microcurrent does not treat melasma
.
👉Microcurrent has a very low potential of flaring up melasma
.
👉Microncurrent has a extremely low potential for collagen building
.
👉In a minority of cases it can ‘firm’ the skin for variable periods of time
.
👉There are many more effective treatments for #melasma
.
😎Dr Davin Lim
Dermatologist
Sydney, Australia🇦🇺
.
#themelasmaclinic #melasmaclinic #melasma #skin #drdavinlim #sydneydermatologist
#microcurrent #foreobear #foreo #micocurrentdevices
The peak of the #microcurrent trend was around 2 years ago, however there are new companies who herald microcurrent as an effective melasma treatment. Here are some facts-
.
👉Microcurrent does not treat melasma
.
👉Microcurrent has a very low potential of flaring up melasma
.
👉Microncurrent has a extremely low potential for collagen building
.
👉In a minority of cases it can ‘firm’ the skin for variable periods of time
.
👉There are many more effective treatments for #melasma
.
😎Dr Davin Lim
Dermatologist
Sydney, Australia🇦🇺
.
#themelasmaclinic #melasmaclinic #melasma #skin #drdavinlim #sydneydermatologist
#microcurrent #foreobear #foreo #micocurrentdevices
Antioxidants offer the second layer of defence against UV, visible light & environmental damage. Being second in line means that in the context of protection, they are way behind sunscreens💯
.
👉Tip: spend your time, effort & money getting photoprotection correct, from there you can move to antioxidants. If you have not mastered the basics of melasma treatment, go back to your foundations, namely how to effectively protect your skin
.
👉Antioxidants: our pick? Ascorbic acid, tocopherol & ferulic acid in the one convenient serum mix
.
😎Dr Davin Lim
Dermatologist
@the_melasma_clinic
Sydney, Australia🇦🇺
.
#themelasmaclinic #melasmaclinic #melasma #skin #drdavinlim #sydneydermatologist
#melasmaskincare #antioxidants #spf #melasmasunscreen #ceferulicacid
Antioxidants offer the second layer of defence against UV, visible light & environmental damage. Being second in line means that in the context of protection, they are way behind sunscreens💯
.
👉Tip: spend your time, effort & money getting photoprotection correct, from there you can move to antioxidants. If you have not mastered the basics of melasma treatment, go back to your foundations, namely how to effectively protect your skin
.
👉Antioxidants: our pick? Ascorbic acid, tocopherol & ferulic acid in the one convenient serum mix
.
😎Dr Davin Lim
Dermatologist
@the_melasma_clinic
Sydney, Australia🇦🇺
.
#themelasmaclinic #melasmaclinic #melasma #skin #drdavinlim #sydneydermatologist
#melasmaskincare #antioxidants #spf #melasmasunscreen #ceferulicacid
Groundhog day. Without adequate photoprotection, your chances of improving melasma is markedly reduced. Over 90% of melasma patients prioritize ‘ skin treatments’ over adequate sun protection
.
👍🏻Best sunscreen: one that matches your skin tone, preferably SPF 50+, has to be TINTED (protects against visible light), however the key is the application frequency (at least twice daily) & the amount, namely two fingerlengths
.
👉Pigment correctors: invest in theses, after sunscreen. Mentioned in previous posts in great detail
.
👉Antioxidants: our pick? Ascorbic acid
.
👉Anti-aging: comes last. If you prioritise your usual over-rated topicals such as retinols over pigment inhibitors, chances are you will over shoot your skin’s irritant threshold, leading to compromise in skin barrier. This means you can’t use your antioxidants & pigment correctors💯
.
👉Tips: keep it simple
.
😎Davin Lim, Dermo
@the_melasma_clinic
Sydney, Australia🇦🇺
.
#themelasmaclinic #melasmaclinic #melasma #skin #drdavinlim #sydneydermatologist
#melasmaskincare
Groundhog day. Without adequate photoprotection, your chances of improving melasma is markedly reduced. Over 90% of melasma patients prioritize ‘ skin treatments’ over adequate sun protection
.
👍🏻Best sunscreen: one that matches your skin tone, preferably SPF 50+, has to be TINTED (protects against visible light), however the key is the application frequency (at least twice daily) & the amount, namely two fingerlengths
.
👉Pigment correctors: invest in theses, after sunscreen. Mentioned in previous posts in great detail
.
👉Antioxidants: our pick? Ascorbic acid
.
👉Anti-aging: comes last. If you prioritise your usual over-rated topicals such as retinols over pigment inhibitors, chances are you will over shoot your skin’s irritant threshold, leading to compromise in skin barrier. This means you can’t use your antioxidants & pigment correctors💯
.
👉Tips: keep it simple
.
😎Davin Lim, Dermo
@the_melasma_clinic
Sydney, Australia🇦🇺
.
#themelasmaclinic #melasmaclinic #melasma #skin #drdavinlim #sydneydermatologist
#melasmaskincare
Skin quality & the ‘glow’ is achievable if you break down what is required to get there💯
.
👉Pigment: best addressed with lasers & peels, with helping hand from skincare
.
👉Vessels: addressed with laser
.
👉Hydration: Polynuclotide & HA injectables, skin care, hydrators & humectants
.
👉Shadows: fillers
.
👉Blemishes: medical therapy including creams & tabs, lasers for raised lesions
.
👉The road to ‘the glow’ depends what each patient has that requires correction, as always, a tailored program will give best outcomes
.
😎Davin Lim
Dermatologist
The Melasma Clinic
Sydney🇦🇺
.
#glowingskin #picosure #picolaser #drdavinlim #davinlim #sydneydermatologist #themelasmaclinic
Skin quality & the ‘glow’ is achievable if you break down what is required to get there💯
.
👉Pigment: best addressed with lasers & peels, with helping hand from skincare
.
👉Vessels: addressed with laser
.
👉Hydration: Polynuclotide & HA injectables, skin care, hydrators & humectants
.
👉Shadows: fillers
.
👉Blemishes: medical therapy including creams & tabs, lasers for raised lesions
.
👉The road to ‘the glow’ depends what each patient has that requires correction, as always, a tailored program will give best outcomes
.
😎Davin Lim
Dermatologist
The Melasma Clinic
Sydney🇦🇺
.
#glowingskin #picosure #picolaser #drdavinlim #davinlim #sydneydermatologist #themelasmaclinic
Will Hori naevus return after treatment?
Once cleared the chances of recurrence is low, however most patients will have pigmentation due to other causes such as melasma & age spots. Simple skin care & sunscreen will help reduce recurrences.
The Melasma Clinic treats all forms of pigmentation
Our specialist clinic is overseen by dermatologists who have extensive experience in the treatment of darker skin types, including management of Hori & Ota naevi. Our doctors have spent many years lecturing in Asian countries on the topic of pigmentary disorders. Combined with the very best in laser technology they deliver outstanding results in the shortest possible time.
Are there any side effects of Picosure laser?
Side effects are rarely seen with pico lasers as they offer a precise way of pigment removal in Asian skin. In some cases we can expect transient & short lived (weeks to months) hyperpigmentation, especially if higher power is used. You will be forewarned if this setting is used.
Dr Davin Lim
645K subscribersHow to treat PIGMENTATION
If I can identify the cause of pigmentation, chances are I can treat it. This can only be achieved with careful real time examination…
More of our mostFrequently asked questions
How does Picosure differ from Picoway for Hori?
How does Picosure Pro clear up pigment?
Will Picosure be effective for all cases of Hori?
How does Picosure Pro compare to older pigment lasers?
Who performs the procedure?
A SummaryTreating hori naevus
Dr Davin Lim | Dermatologist
The Melasma Clinic, Brisbane | Sydney
Hori naevus are commonly encountered causes of pigmentation that often occur with mixed dyschromia & melasma. It affects Asian women & usually starts in the mid 30s to late 40s. Though it can be treated with nano Q switch lasers, picosecond lasers offer better clearances with less chances of skin color changes.
Laser parameters are tiered towards the patient as there are 4 protocols used-
- Low level pico laser. This no downtime protocol takes 15 to 18 sessions to complete. Sessions spaced 3-8 weeks apart. Risk of PIH is very low (almost never seen)
- Medium level: most frequently used, takes 4-7 sessions, risk of PIH is low with pico lasers.
- High level treatment with pico lasers: takes 3-5 sessions, higher risk of PIH, faster clearance but more risks.
- Mixed laser settings with medium energy with two wavelengths- 595 & 1064-755; novel laser settings to address newly reported epidermal> dermal Hori.
Unlike other forms of pigmentation, Hori, once treated with lasers, do not usually recur, hence the effects are long term. The caveat is that it is associated with other forms of pigmentation, including melasma & dermal dyschromia. Ongoing pico maybe indicated for these conditions.
