First identified in 1923, Poikilodrema of Civatte is a common condition found more frequently in women than in men. It appears as patchy areas of hyperpigmentation and increased vascularity. It is typically seen on the sides of the neck and on the chest. It is also identifiable by a characteristic white area on the neck, below the chin. It is thought that there may be a genetic predisposition to this condition, but over exposure to ultraviolet light is undeniably the main cause.
The affected areas are usually mottled and appear reddened and slightly thinned, as in solar elastosis. Poikiloderma is not a disease and does not require treatment, although many seek products and treatments to minimize its appearance.
The irregular pigmentation can be addressed with the use of melanogenesis inhibitors, daily broad spectrum sun protection and other practices such as wearing wide-brimmed hats and avoiding unnecessary sun exposure during the hours of 10:00 am and 4:00 pm daily. Professionally applied blended chemical peels can also be effective for minimizing the appearance of the hyperpigmentation. The vascular component of this condition can typically only be improved with laser treatments, often IPL.
PCA SKIN recommends Sensi Peel®, Pigment Bar®, Pigment Gel®, Brightening Therapy and Perfecting Protection Broad Spectrum SPF 30 for improving the appearance of the affected areas.