Neck Rejuvenation COLOR MISMATCH

COSMETIC DERMATOLOGY AND SKIN CARE FOR Plano, Frisco, and the Dallas Fortworth metroplex in Texas

Recommended treatments:

  • Skincare
  • Photofacial

Poikiloderma of Civatte is a chronic skin condition in fair-skinned adults, which is usually caused by long-term sun exposure. As well, photosensitizing chemicals in perfumes and cosmetics have been identified as a possible cause. It shows a specific mottled pattern of color changes in the skin of the front and sides of the neck, and occasionally on the cheeks. The mismatch of colors present with darkened skin color (hyperpigmentation) and lightened skin color (hypopigmentation) as well as a reddish/brown staining of the skin from iron that comes from red blood cells (hemosiderin). Fine blood vessels
(telangiectasia) in the skin are often seen as well. This condition is usually asymptomatic, although some people will report mild burning, itching and increased sensitivity of the affected skin. It is more common with women than men and more commonly effects middle-aged to elderly women.



There are no oral or topical prescriptive medications that can improve Poikiloderma of Civatte, but Dr. Wright does encourage you to use sun-protective measures. Broad-spectrum sunscreens (with SPF 30+ or greater) covering both the UVA and UVB spectrum should be applied regularly. Dr. Wright recommends a Zinc Oxide Sunscreen every day. If able, scarves or other clothing should be worn to cover the neck, and the use of perfumes and cosmetics should be limited.

Pigment-lightening products, such as prescription tretinoin, glycolic acid, and bleaching creams with hydroquinone(2-6%) can be used to reduce the brown pigmentation. Dr. Wright offers several options within her Fiona WRxIGHT MD Skincare line to address the various levels of skin sensitivities that her patients have. Our most successful and popular products are Radiance and Complexion Correction Lotion and Complexion Correction Pads with and without Hydroquinone.
Antioxidant skin care products enriched with Vitamin C (which also can lighten pigment by its own) can help to repair damaged skin cells and stabilize blood vessels, improving the overall appearance of your skin. Advanced Renewal Serum is rich in superior anti-oxidants, offers the most active forms of Vitamins C, E, and CoQ10, with Ferulic Acid to help slow down the effects of aging and fight the environmental stress that your skin faces every day.


Poikiloderma of Civatte, is a mottled discoloration consisting of broken blood vessels, brownish-red (hemosiderin) staining of the skin and brown pigmentation created by melanin deposited in the skin from sun damage. To effectively clear this problem the treatment needs to target all three of these things, plus sun protection. Photofacial( IPL- Intense Pulse Light) is the treatment of choice for clearance of this problem.


Intense Pulse Light (IPL) treatments, which also are called PhotoFacials are effective at reducing pigmentation and closing off any superficial capillaries causing the redness.  The light used in this treatment is absorbed by the pigmented areas and helps bring the pigment to the surface of the skin so it can flake off over a few days. Similarly the light can shrink blood vessels, thus reducing redness.  Additionally IPL treatments done regularly help stimulate collagen, which helps your skin with fine lines and wrinkles.

Cosmetic Skin Care Specialist Plano, TX