{"product_id":"poikiloderma-van-civatte-ipl-den-haag","title":"Treat Civatte's Poikiloderma with IPL","description":"\u003cstyle\u003e\n\/* MEDICADERMIS — PDP | RED *\/\n.md-pdp{width:100%;line-height:1.75;color:inherit}.md-pdp *{box-sizing:border-box}.md-pdp p{margin:0 0 18px}.md-pdp h2{margin:42px 0 17px;font-size:1.4em;line-height:1.35}.md-pdp h3{margin:25px 0 10px;font-size:1.08em}.md-pdp a:not(.md-pdp-primary):not(.md-pdp-secondary){color:#0089cb!important;text-underline-offset:3px}.md-pdp a:not(.md-pdp-primary):not(.md-pdp-secondary):hover{color:#007bb7!important}.md-pdp-intro{margin-bottom:35px}.md-pdp-lead{font-size:1.1em}.md-pdp-note{margin:26px 0;padding:18px 21px;border-left:3px solid #0089cb;background:#f7f7f7}.md-pdp-note p:last-child{margin-bottom:0}.md-pdp-cta{display:flex;gap:12px;margin:26px 0 36px}.md-pdp-cta a{flex:1;min-width:0;min-height:52px;padding:13px 18px;display:flex;align-items:center;justify-content:center;text-align:center;text-decoration:none!important;font-size:.96em;font-weight:600;border-radius:3px;line-height:1.35}.md-pdp-primary{background:#0089cb!important;color:#fff!important;border:1px solid #0089cb!important}.md-pdp-primary:hover{background:#007bb7!important;color:#fff!important}.md-pdp-secondary{background:#fff!important;color:#222!important;border:1px solid #cfcfcf!important}.md-pdp-accordions{margin:35px 0 42px}.md-pdp-accordions details{border-top:1px solid #e2e2e2}.md-pdp-accordions details:last-child{border-bottom:1px solid #e2e2e2}.md-pdp-accordions summary{position:relative;cursor:pointer;padding:17px 35px 17px 0;list-style:none;font-weight:600}.md-pdp-accordions summary::-webkit-details-marker{display:none}.md-pdp-accordions summary::after{content:'+';position:absolute;right:8px;top:12px;font-size:1.35em;font-weight:400}.md-pdp-accordions details[open] summary::after{content:'−'}.md-pdp-answer{padding:0 12px 16px 0}.md-pdp-related p{margin-bottom:13px}.md-pdp-author{margin:40px 0 0;padding-top:22px;border-top:1px solid #e2e2e2}.md-pdp-author p{font-size:.96em}@media(max-width:640px){.md-pdp-cta{flex-direction:column;gap:10px}.md-pdp-cta a{flex:none;width:100%}.md-pdp h2{margin-top:36px}}\n\u003c\/style\u003e\n\n\u003cdiv class=\"md-pdp\"\u003e\n\u003csection class=\"md-pdp-intro\"\u003e\n\u003ch2\u003eTreating Poikiloderma of Civatte with IPL in The Hague\u003c\/h2\u003e\n\u003cp class=\"md-pdp-lead\"\u003eSee you \u003cstrong\u003ereddish-brown discolorations, fine blood vessels, and mottled skin\u003c\/strong\u003e on the sides of your neck or on your décolleté? That might suit \u003cem\u003epoikiloderma of Civatte\u003c\/em\u003e:  A common, benign, but often stubborn skin change in which blood vessels and pigment are visible together.\u003c\/p\u003e\n\u003cp\u003eAt Medicademis in The Hague, I assess the vascular and pigment components separately and in conjunction. The \u003cstrong\u003eLumenis M22 IPL\u003c\/strong\u003e Can treat both components if the indication is suitable. The goal is a more even skin appearance, not the complete removal of the underlying predisposition or previous sun damage.\u003c\/p\u003e\n\u003cdiv class=\"md-pdp-note\"\u003e\u003cp\u003e\u003cstrong\u003eImportant:\u003c\/strong\u003e Not every reddish-brown neck discoloration is poikiloderma of Civatte. The diagnosis, skin type, recent sun exposure, and possible other skin conditions are assessed before any potential light treatment. In case of doubt or suspicious skin changes, a referral for medical diagnosis is made first.\u003c\/p\u003e\u003c\/div\u003e\n\u003cdiv class=\"md-pdp-cta\"\u003e\n\u003ca class=\"md-pdp-primary\" href=\"\/en\/products\/eerste-afspraak-huidtherapeut-den-haag\"\u003eSchedule a free introductory meeting\u003c\/a\u003e\u003ca class=\"md-pdp-secondary\" href=\"\/en\/products\/video-consult-gratis-advies-van-de-huidtherapeut\"\u003eFree video consultation\u003c\/a\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003ch2\u003eWhat is Civatte's poikiloderma?\u003c\/h2\u003e\n\u003cp\u003ePoikiloderma of Civatte is a chronic skin change that usually occurs on both sides of the neck and can extend to the upper part of the chest. The skin appearance consists of a combination of \u003cstrong\u003etelangiectasias\u003c\/strong\u003e (fine visible blood vessels), \u003cstrong\u003ehyperpigmentation\u003c\/strong\u003e (brownish discoloration) and sometimes a somewhat thinner or altered skin texture. The area directly under the chin often remains relatively unaffected.\u003c\/p\u003e\n\u003cp\u003eThe condition is primarily associated with prolonged UV exposure and skin aging. Sensitivity to fragrances or cosmetics may also play a role in some people. Poikiloderma is not contagious and is generally not dangerous, but it can be cosmetically bothersome.\u003c\/p\u003e\n\u003ch2\u003eWhy do you see both redness and pigment?\u003c\/h2\u003e\n\u003cp\u003eIn poikiloderma, multiple processes occur simultaneously. Small blood vessels become more visible, and the distribution of pigment becomes irregular. This results in a characteristic reddish-brown, sometimes reticular pattern. Treatment targeting only pigment may leave the vascular component intact; conversely, brown discolorations do not automatically disappear by treating only the vessels.\u003c\/p\u003e\n\u003ch2\u003eHow does IPL work for poikiloderma of Civatte?\u003c\/h2\u003e\n\u003cp\u003eIPL stands for \u003cem\u003eIntense Pulsed Light\u003c\/em\u003e.  The light pulses can be captured by, depending on the settings and filters used. \u003cstrong\u003ehemoglobin\u003c\/strong\u003e in small blood vessels and through \u003cstrong\u003emelanin\u003c\/strong\u003e in pigment. In this way, IPL can contribute to the reduction of both redness and brown discoloration in selected skin types.\u003c\/p\u003e\n\u003cp\u003eMedicadermis works with the \u003cstrong\u003eLumenis M22\u003c\/strong\u003e.  During the intake, I assess whether IPL is suitable for your skin, which component is primary, and whether a combined or phased approach is advisable. The exact treatment settings are not determined in advance based on a general webpage.\u003c\/p\u003e\n\u003cp\u003eIPL is not the only option. Results have also been described in the literature using, among others, pulsed-dye lasers and certain other vascular lasers. Which technique is appropriate varies depending on the skin type and treatment goal.\u003c\/p\u003e\n\u003ch2\u003eWhat can you expect from the result?\u003c\/h2\u003e\n\u003cp\u003eScientific studies show that IPL can reduce visible blood vessels and pigment changes in poikiloderma. For instance, a study in 175 patients reported improvement in both components after a series of treatments. Another study with 66 patients described an average improvement of 50–75% after approximately 2.8 treatments. These research outcomes are \u003cstrong\u003eno prediction or guarantee\u003c\/strong\u003e for an individual treatment with the M22.\u003c\/p\u003e\n\u003cp\u003eUsually, a series of treatments is required. The number of sessions and the intervals depend on skin type, severity, recovery response, and the chosen protocol. Because UV exposure can cause new changes, sun protection remains important even after a successful treatment.\u003c\/p\u003e\n\u003cdiv class=\"md-pdp-cta\"\u003e\n\u003ca class=\"md-pdp-primary\" href=\"\/en\/products\/eerste-afspraak-huidtherapeut-den-haag\"\u003eSchedule a free introductory meeting\u003c\/a\u003e\u003ca class=\"md-pdp-secondary\" href=\"\/en\/products\/video-consult-gratis-advies-van-de-huidtherapeut\"\u003eFree video consultation\u003c\/a\u003e\n\u003c\/div\u003e\n\u003ch2\u003eWhy does treatment of the neck and décolleté require extra attention?\u003c\/h2\u003e\n\u003cp\u003eThe skin of the neck and décolleté is different from that of the face and may react more sensitively to light and laser treatments. Possible reactions include temporary redness, warmth, swelling, darkening of pigment, and crusting. Less frequently, long-term pigment changes, blisters, or scarring may occur. Also \u003cstrong\u003ehypopigmentation\u003c\/strong\u003e (lighter spots) is a known risk with light and laser treatment of poikiloderma.\u003c\/p\u003e\n\u003cp\u003eRecent tanning, self-tanner, certain medications, active skin inflammation, or a skin type with an increased risk of pigment changes may be reasons to postpone treatment or choose a different approach. I assess these factors during the intake.\u003c\/p\u003e\n\u003ch2\u003ePreparation and aftercare\u003c\/h2\u003e\n\u003cp\u003eBeforehand, we discuss sun exposure, medication, skincare, and previous reactions to treatments. Avoid sun exposure and self-tanner around the treatment, in accordance with the personal preparation advice. After IPL, the skin may be temporarily warm and red, and pigment spots may initially darken before fading.\u003c\/p\u003e\n\u003cp\u003eCarefully protect the treated area from the sun, use suitable broad-spectrum sun protection, and avoid additional irritation or friction. After assessment, you will receive specific aftercare advice tailored to the settings used and your skin reaction.\u003c\/p\u003e\n\u003ch2\u003ePoikiloderma of Civatte or something else?\u003c\/h2\u003e\n\u003cp\u003eA reddish-brown neck can also have other causes, such as contact eczema, pigment disorders, or other forms of sun damage. If the skin appearance is atypical, appropriate medical assessment is advised first. This is important before pigment or blood vessels are treated with light.\u003c\/p\u003e\n\u003csection class=\"md-pdp-accordions\"\u003e\u003ch2\u003eFrequently asked questions about poikiloderma of Civatte\u003c\/h2\u003e\n\u003cdetails\u003e\u003csummary\u003eIs poikiloderma of Civatte dangerous?\u003c\/summary\u003e\u003cdiv class=\"md-pdp-answer\"\u003e\u003cp\u003ePoikiloderma of Civatte is usually a benign, chronic skin lesion. Assessment by a doctor is important for indistinct, rapidly changing, or abnormal-looking spots; not every reddish-brown discoloration on the neck is poikiloderma.\u003c\/p\u003e\u003c\/div\u003e\u003c\/details\u003e\n\u003cdetails\u003e\u003csummary\u003eHow do I recognize poikiloderma of Civatte?\u003c\/summary\u003e\u003cdiv class=\"md-pdp-answer\"\u003e\u003cp\u003eCharacteristic is a mottled pattern of redness, fine blood vessels, and brownish discoloration, especially on the sides of the neck and sometimes on the décolleté. The skin directly under the chin is often relatively spared.\u003c\/p\u003e\u003c\/div\u003e\u003c\/details\u003e\n\u003cdetails\u003e\u003csummary\u003eCan IPL treat both red and brown discoloration?\u003c\/summary\u003e\u003cdiv class=\"md-pdp-answer\"\u003e\u003cp\u003eYes, IPL can reduce both the vascular and pigment components in selected patients. The result depends on the distribution of blood vessels and pigment, the skin type, and the chosen treatment strategy.\u003c\/p\u003e\u003c\/div\u003e\u003c\/details\u003e\n\u003cdetails\u003e\u003csummary\u003eHow many IPL treatments are needed?\u003c\/summary\u003e\u003cdiv class=\"md-pdp-answer\"\u003e\u003cp\u003eStudies often describe treatment series of approximately three sessions, but this is not a fixed protocol for every skin type or for the M22. The number and interval are determined only after assessment.\u003c\/p\u003e\u003c\/div\u003e\u003c\/details\u003e\n\u003cdetails\u003e\u003csummary\u003eIs IPL on the neck and décolleté safe?\u003c\/summary\u003e\u003cdiv class=\"md-pdp-answer\"\u003e\u003cp\u003eThe neck and décolleté require extra care due to differences in skin thickness, healing capacity, and sensitivity to pigment changes. An appropriate indication, careful settings, and proper aftercare are essential. Even with correct treatment, complications are possible.\u003c\/p\u003e\u003c\/div\u003e\u003c\/details\u003e\n\u003cdetails\u003e\u003csummary\u003eCan poikiloderma come back?\u003c\/summary\u003e\u003cdiv class=\"md-pdp-answer\"\u003e\u003cp\u003eThe predisposition and effects of chronic sun exposure do not disappear with IPL. Improvement may remain visible for a long time, but new redness or pigmentation may occur. Daily sun protection helps limit further damage.\u003c\/p\u003e\u003c\/div\u003e\u003c\/details\u003e\n\u003cdetails\u003e\u003csummary\u003eWhat can I do myself?\u003c\/summary\u003e\u003cdiv class=\"md-pdp-answer\"\u003e\u003cp\u003eProtect the neck and décolleté daily from UV radiation, limit excessive sun exposure, and use mild, non-irritating skincare. Discuss any reactions to perfume or cosmetics during the consultation.\u003c\/p\u003e\u003c\/div\u003e\u003c\/details\u003e\n\u003cdetails\u003e\u003csummary\u003eIs the treatment covered?\u003c\/summary\u003e\u003cdiv class=\"md-pdp-answer\"\u003e\u003cp\u003eTreatment for poikiloderma of Civatte is usually cosmetic and is generally not reimbursed. Check with your insurer if you want certainty about this.\u003c\/p\u003e\u003c\/div\u003e\u003c\/details\u003e\n\u003cdetails\u003e\u003csummary\u003eScientific literature and background\u003c\/summary\u003e\u003cdiv class=\"md-pdp-answer\"\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/dermnetnz.org\/topics\/poikiloderma-of-civatte\" target=\"_blank\" rel=\"noopener\"\u003eDermNet – Poikiloderma or Civatte\u003c\/a\u003e:  clinical picture, causes and treatment options.\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18177401\/\" target=\"_blank\" rel=\"noopener\"\u003eRusciani et al. (2008)\u003c\/a\u003e:  IPL treatment in 175 patients with poikiloderma of the neck and chest.\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11335804\/\" target=\"_blank\" rel=\"noopener\"\u003eGoldman \u0026amp; Weiss (2001)\u003c\/a\u003e:  IPL in 66 patients with poikiloderma of the neck.\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10971554\/\" target=\"_blank\" rel=\"noopener\"\u003eWeiss et al. (2000)\u003c\/a\u003e:  Treatment of vascular and pigment components with IPL.\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17062040\/\" target=\"_blank\" rel=\"noopener\"\u003eMeijs et al. (2006)\u003c\/a\u003e:  attention to permanent pigment reduction after certain PDL treatments.\u003c\/p\u003e\n\u003cp\u003eThe studies investigated various devices and protocols. Their results cannot be directly applied to an individual M22 treatment.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/details\u003e\u003c\/section\u003e\n\u003csection class=\"md-pdp-related\"\u003e\u003ch2\u003eRead more at Medicadermis\u003c\/h2\u003e\n\u003cp\u003e\u003ca href=\"\/en\/pages\/roodheid-behandelen-in-den-haag\"\u003eRedness and vascular treatment in The Hague →\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"\/en\/blogs\/nieuws\/teleangiectasieen-harry-potter-woord-of-zichtbare-vaatjes\"\u003eTelangiectasias: visible blood vessels →\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"\/en\/blogs\/nieuws\/couperose-wat-is-het-en-hoe-ontstaat-het\"\u003eRosacea: what is it and how does it develop? →\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"\/en\/pages\/rosacea-behandeling-den-haag\"\u003eTreating rosacea in The Hague →\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"\/en\/collections\/red\"\u003eView the RED program →\u003c\/a\u003e\u003c\/p\u003e\n\u003c\/section\u003e\n\u003cdiv class=\"md-pdp-cta\"\u003e\n\u003ca class=\"md-pdp-primary\" href=\"\/en\/products\/eerste-afspraak-huidtherapeut-den-haag\"\u003eSchedule a free introductory meeting\u003c\/a\u003e\u003ca class=\"md-pdp-secondary\" href=\"\/en\/products\/video-consult-gratis-advies-van-de-huidtherapeut\"\u003eFree video consultation\u003c\/a\u003e\n\u003c\/div\u003e\n\u003csection class=\"md-pdp-author\"\u003e\u003ch2\u003eAbout the skin therapist\u003c\/h2\u003e\n\u003cp\u003eCharlotte de Deugd is a skin therapist and owner of Medicadermis in The Hague. In her practice, she guides and treats clients with conditions including acne, rosacea, pigmentation problems, scars, and edema. Her approach combines dermatological expertise, clinical experience, and current scientific insights. She pays special attention to appropriate skincare and carefully tailoring treatments to the individual skin.\u003c\/p\u003e\u003c\/section\u003e\n\u003c\/div\u003e","brand":"Medicadermis Huidtherapeutische Praktijk (Medicadermis B.V.)","offers":[{"title":"Neck","offer_id":63969537491274,"sku":null,"price":150.0,"currency_code":"EUR","in_stock":true},{"title":"Cleavage","offer_id":63969537524042,"sku":null,"price":200.0,"currency_code":"EUR","in_stock":true},{"title":"Combination","offer_id":63969537556810,"sku":null,"price":300.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0772\/2998\/2026\/files\/Zwevendezijdensluierinzachtepasteltinten.webp?v=1792323749","url":"https:\/\/www.medicadermis.nl\/en\/products\/poikiloderma-van-civatte-ipl-den-haag","provider":"Medicadermis Huidtherapeutische Praktijk (Medicadermis B.V.)","version":"1.0","type":"link"}