Poikiloderma of Civatte Treatment Perth | Absolute Cosmetic

Redness & Skin Fragility

Poikiloderma of Civatte is a chronic skin condition commonly caused by long-term sun exposure. It typically appears on the sides of the neck and face, sparing the shaded area under the chin. The condition is characterised by a combination of:

Mottled pigmentation (dark and light patches)
Telangiectasia (visible, dilated blood vessels)
Thinning or fragile skin texture

While more commonly seen in fair-skinned individuals, it can affect various skin types. Fragrances, hormones, and photosensitising treatments may also contribute to its development.

At Absolute Cosmetic, we understand that managing long-standing skin conditions like Poikiloderma requires a combination of targeted treatment and consistent at-home care. Our team develops individualised plans based on your skin health goals, supported by advanced imaging technology and evidence-based therapies.

Poikiloderma Treatments

We offer a comprehensive in-clinic and at-home treatment protocol for managing Poikiloderma. Treatment is typically staged over several months and includes skin-strengthening, vascular and pigment-targeting therapies, and long-term maintenance:

A consultation with one of our Nurses or Doctors will be required to diagnose this condition and recommend treatment.

Non-Surgical

IPL Photo Rejuvenation

Non-Surgical

Morpheus Lumecca Peak IPL

Non-Surgical

Healite II LED

Understanding Poikiloderma of Civatte

Poikiloderma of Civatte is a chronic skin condition that develops over time due to repeated sun exposure. It typically affects the sides of the neck and lower face, sparing the shaded area under the chin. The condition presents as a combination of:

Redness or flushing (due to dilated blood vessels)
Brown pigmentation or uneven skin tone
Thinning or fragile skin in the affected area

It is more common in individuals with fair skin and can be triggered by hormonal changes, photosensitising ingredients (such as fragrances), and certain medications. Although it is benign, many people seek treatment due to its noticeable appearance and the sensitivity it can cause.

Treating Poikiloderma of Civatte

Managing this condition often requires a staged and long-term approach. At Absolute Cosmetic, treatment typically begins with skin preparation to strengthen the skin barrier and reduce inflammation, followed by targeted therapies to address pigmentation and vascular changes.

Treatment may include:

Topical skincare: A regimen of treatments helps calm inflammation, strengthen the skin, and improve tone.
IPL (Intense Pulsed Light): Targets both the pigment and vascular components of Poikiloderma.
LED Therapy: Helps reduce redness, encourage healing, and support collagen production.

Following initial treatment, ongoing care and sun protection are essential. Annual reviews with photo documentation help track progress and guide any maintenance treatments that may be required.

Frequently Asked Questions

This condition is primarily linked to chronic UV exposure but may also be influenced by hormones, fragrance use, and certain medications or skin sensitivities.

While complete reversal is not always possible, pigmentation and redness can often be significantly reduced with consistent treatment and maintenance.

It usually presents as symmetrical red-brown discolouration and broken capillaries on the sides of the neck. A clinical consultation and imaging with Observe 520x can confirm the diagnosis and help plan treatment.

Untreated Poikiloderma can become more pronounced over time. The skin may appear more mottled, red, or fragile, particularly after further sun exposure.

Poikiloderma of Civatte Treatments

Non-Surgical

IPL Photo Rejuvenation

Non-Surgical

Morpheus Lumecca Peak IPL

Non-Surgical

Healite II LED

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Dr. Glenn Murray (MED0001196978) Medical Director | MBBS | FRACGP | MIT AI (Health) Cert. (AHPRA Registration MED0001196978) Registered Medical Practitioner,... Specialist General Practitioner (specialist registration in general practice). General disclaimer: Patient outcomes can vary due to factors such as genetics, diet, age, exercise, lifestyle, weight, and overall health. It’s essential to understand that all invasive surgeries come with inherent risks and require a recovery period and specific care regimen. Detailed information regarding surgical risks and complications is available here, but it is advisable to conduct thorough research and obtain a second opinion to ensure you are able to make an informed decision. Please note that the information provided is general in nature and does not constitute medical advice or establish a doctor-patient relationship. For real patient images, please visit our Before and After page. Please be advised that surgical outcomes vary, from patient to patient, and comprehensive research is crucial before making any decisions. This website contains imagery which is only suitable for audiences 18+.