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.
Retinoids are useful in some, but not all cases of melasma & pigmentation
.
👉Concept: though they are commonly prescribed in many combinations (eg. Triluma, Kligman’s, modified Kligman’s, stand alone ranging from retinol to retinoic acid), the rate limiting factor is skin irritation. Potentially this means less of what really matters- use of other more useful pigment correctors
.
☄️👌🏻Selective & gradual introduction of retinoids: Your clinician will discuss the timing of retinoids, in addition to the class & concentration, based upon your skin’s irritant threshold & background photodamage, taking into account co-prescription of other ‘skincare actives’
.
🎬Action: Brisbane patients, book a consultation with Alison @cutis_dermatology Sydney, few spots available next month, link in the bio.🙏🏼
.
The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#themelasmaclinic #melasma #dermatologistsydney #retinol #retinoids #retinolskincare #skincare #skincaretips #pigmentationtips #drdavinlim #davinlim #triluma
Retinoids are useful in some, but not all cases of melasma & pigmentation
.
👉Concept: though they are commonly prescribed in many combinations (eg. Triluma, Kligman’s, modified Kligman’s, stand alone ranging from retinol to retinoic acid), the rate limiting factor is skin irritation. Potentially this means less of what really matters- use of other more useful pigment correctors
.
☄️👌🏻Selective & gradual introduction of retinoids: Your clinician will discuss the timing of retinoids, in addition to the class & concentration, based upon your skin’s irritant threshold & background photodamage, taking into account co-prescription of other ‘skincare actives’
.
🎬Action: Brisbane patients, book a consultation with Alison @cutis_dermatology Sydney, few spots available next month, link in the bio.🙏🏼
.
The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#themelasmaclinic #melasma #dermatologistsydney #retinol #retinoids #retinolskincare #skincare #skincaretips #pigmentationtips #drdavinlim #davinlim #triluma
Your clinician will guide you through your specific protocol & pigment corrector. This only applies to potentially irritating agents, it is not a blanket guide for all topicals/pigment correctors
.
Still sensitive, even if short contact?
.
1️⃣Use half the amount (dilute in moisturizer)
.
2️⃣ moisturiser before & after
.
3️⃣Titrate use, ie. skip a day….or three
.
4️⃣Test spot for allergy (very rare, skin irritation more common). Use a tiny amount, apply to the inner arm, photograph 📸the reaction taking note of the time it takes to develop irritation. Show this to your treating clinician to interpret & they will guide you. Irritation is different from allergic reactions💯
.
👉🙏🏼Addition of topicals will be guided by your treating clinician, based upon your skin sensitivity, current topical use & treatment (peels vs lasers). Timing is important
.
The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#themelasmaclinic #melasma #dermatologistsydney
Your clinician will guide you through your specific protocol & pigment corrector. This only applies to potentially irritating agents, it is not a blanket guide for all topicals/pigment correctors
.
Still sensitive, even if short contact?
.
1️⃣Use half the amount (dilute in moisturizer)
.
2️⃣ moisturiser before & after
.
3️⃣Titrate use, ie. skip a day….or three
.
4️⃣Test spot for allergy (very rare, skin irritation more common). Use a tiny amount, apply to the inner arm, photograph 📸the reaction taking note of the time it takes to develop irritation. Show this to your treating clinician to interpret & they will guide you. Irritation is different from allergic reactions💯
.
👉🙏🏼Addition of topicals will be guided by your treating clinician, based upon your skin sensitivity, current topical use & treatment (peels vs lasers). Timing is important
.
The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#themelasmaclinic #melasma #dermatologistsydney
Dr Vee Mang is an Australian trained physician with extensive experience in skin, having worked in the field of dermatology. She’s a cosmetic physician who works with Dr Van Park & Dr Davin Lim in Woollahra, Sydney
.
👉Her interests: Pigmentation, neurotoxin, acne management, anti-aging
.
📖Bookings: Open for consultation, send your expression of interest at our website, melasmaclinic.com.au Yes, an expression of interest is required for the Sydney clinic.
.
The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#themelasmaclinic #melasma
Dr Vee Mang is an Australian trained physician with extensive experience in skin, having worked in the field of dermatology. She’s a cosmetic physician who works with Dr Van Park & Dr Davin Lim in Woollahra, Sydney
.
👉Her interests: Pigmentation, neurotoxin, acne management, anti-aging
.
📖Bookings: Open for consultation, send your expression of interest at our website, melasmaclinic.com.au Yes, an expression of interest is required for the Sydney clinic.
.
The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#themelasmaclinic #melasma
Dr Van Park is the co-founder of The Melasma Clinic. She’s a key opinion leader in the field of aesthetic injectables with her innovative & novel injection techniques with neuromodulators & soft tissue injectables
.
👉Rumor has it that Davin Lim fixed her melasma & hence why she founded this clinic.
.
📖Bookings: She’s closed her books, but occasional consults may arise
.
The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#themelasmaclinic #drvanpark #dvp #clinicdvp #cosmeticphysician
Dr Van Park is the co-founder of The Melasma Clinic. She’s a key opinion leader in the field of aesthetic injectables with her innovative & novel injection techniques with neuromodulators & soft tissue injectables
.
👉Rumor has it that Davin Lim fixed her melasma & hence why she founded this clinic.
.
📖Bookings: She’s closed her books, but occasional consults may arise
.
The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#themelasmaclinic #drvanpark #dvp #clinicdvp #cosmeticphysician
Davin Lim is a technician & co-founder. He comes up with the diagnosis, management plan & settings, nothing more. He fixed Van’s melasma & the rest is history☄️
.
👉In store: working on AI for ‘virtual Davin’, namely programmed AI bot for Q and A, coupled with AI video & virtual voice. Bot Q & A will be released in the next few weeks, virtual video & voice within 6 months (hopefully)
.
📖Bookings: handful of appointments available in Sydney every month, expression of interest via melasmaclinic.com.au
.
🏡The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#davinlim #drdavinlim #themelasmaclinic #dermatologistsydney #dermatologyclinicsydney
Davin Lim is a technician & co-founder. He comes up with the diagnosis, management plan & settings, nothing more. He fixed Van’s melasma & the rest is history☄️
.
👉In store: working on AI for ‘virtual Davin’, namely programmed AI bot for Q and A, coupled with AI video & virtual voice. Bot Q & A will be released in the next few weeks, virtual video & voice within 6 months (hopefully)
.
📖Bookings: handful of appointments available in Sydney every month, expression of interest via melasmaclinic.com.au
.
🏡The Melasma Clinic
Brisbane | Sydney🇦🇺
.
#davinlim #drdavinlim #themelasmaclinic #dermatologistsydney #dermatologyclinicsydney
Hori is a common cause of pigmentation in Asian females
.
🔫Treatments: straightforward, it is only a matter of persistence & correct end points. 4-8 sessions. We can get the job done with older tech, but hypo & hyper pigmentation rates are slightly higher compared to pico. 1064 for true dermal Hori, 755 for the recently described mixed Hori
.
👍🏻Outlook: good. They rarely recur, remission expected in most, unlike melasma. The caveat is that melasma + Hori are commonly seen together
.
🎬Action: Consult our clinicians @the_melasma_clinic in Brisbane or Sydney. For Sydney appointments please fill out an expression of interest form on our website, melasmaclinic.com.au Brisbane patients, book an appointment with Alison @cutis_dermatology 💯
.
😎Dr Davin Lim
Brisbane | Sydney🇦🇺
.
#hori #ethnicskin #pigmentationtreatment #skinlightening #drdavinlim #davinlim #dermatologistsydney #picoway #picosure
Hori is a common cause of pigmentation in Asian females
.
🔫Treatments: straightforward, it is only a matter of persistence & correct end points. 4-8 sessions. We can get the job done with older tech, but hypo & hyper pigmentation rates are slightly higher compared to pico. 1064 for true dermal Hori, 755 for the recently described mixed Hori
.
👍🏻Outlook: good. They rarely recur, remission expected in most, unlike melasma. The caveat is that melasma + Hori are commonly seen together
.
🎬Action: Consult our clinicians @the_melasma_clinic in Brisbane or Sydney. For Sydney appointments please fill out an expression of interest form on our website, melasmaclinic.com.au Brisbane patients, book an appointment with Alison @cutis_dermatology 💯
.
😎Dr Davin Lim
Brisbane | Sydney🇦🇺
.
#hori #ethnicskin #pigmentationtreatment #skinlightening #drdavinlim #davinlim #dermatologistsydney #picoway #picosure
IPL is awesome for non-melasma pigmentation but is often a cause of flare ups for melasma pigment. The reason is the excessive heat that is often associated with IPL. Exception to this rule is the use of exact filters in correct pulse widths with co-prescription of pigment inhibitors- medical therapy. It can be done, but the threshold for error is very thin💯
.
👉This patient: treated with old fashioned dermal toning with nano-lasers, Spectra by Lutronic, in addition to medical therapy
.
📆👉Timeline: 10 weeks. Pico lasers offer faster resolution, if performed correctly.
.
Dr Davin Lim
Dermatologist
Brisbane | Sydney🇦🇺
.
#drdavinlim #IPL #IPLtreatment #melasma #melasmacure #melasmasurvivor #melasmaskincare #themelasmaclinic #sydneydermatologist
IPL is awesome for non-melasma pigmentation but is often a cause of flare ups for melasma pigment. The reason is the excessive heat that is often associated with IPL. Exception to this rule is the use of exact filters in correct pulse widths with co-prescription of pigment inhibitors- medical therapy. It can be done, but the threshold for error is very thin💯
.
👉This patient: treated with old fashioned dermal toning with nano-lasers, Spectra by Lutronic, in addition to medical therapy
.
📆👉Timeline: 10 weeks. Pico lasers offer faster resolution, if performed correctly.
.
Dr Davin Lim
Dermatologist
Brisbane | Sydney🇦🇺
.
#drdavinlim #IPL #IPLtreatment #melasma #melasmacure #melasmasurvivor #melasmaskincare #themelasmaclinic #sydneydermatologist
Dermamelan & Cosmelan peels have arrived 💯
.
👉Novel peels: are a good option for primarily epidermal melasma and superficial pigmentation, albeit a downtime of 6-12 days
.
👌🏻Employ peels based upon diagnostic features of pigment and allowed recovery of the patient
.
🏡The Melasma Clinic Sydney-Brisbane 🇦🇺
#melasma #cosmelan2 #cosmelanmask #cosmelanpeel
Dermamelan & Cosmelan peels have arrived 💯
.
👉Novel peels: are a good option for primarily epidermal melasma and superficial pigmentation, albeit a downtime of 6-12 days
.
👌🏻Employ peels based upon diagnostic features of pigment and allowed recovery of the patient
.
🏡The Melasma Clinic Sydney-Brisbane 🇦🇺
#melasma #cosmelan2 #cosmelanmask #cosmelanpeel
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.
