Hori’s Naevus presents as benign (harmless) blue-grey to grey-brown patchy and spotty pigmentation on the prominence of the cheeks. The condition usually appears in adulthood and is most common in middle-aged Asian women.
The condition is often misdiagnosed as it may resemble or coexist with melasma. It’s also known as Acquired Naevus of Ota-like Macules.
Genetics and hormones play a role in the development of Hori’s Nevus. When melanin pigments are present in the dermal layer of the skin, it causes a condition known as dermal melanocytosis. Dermal melanocytosis is a spectrum of conditions and includes Mongolian spots, naevus of Ota, Hori’s Nevus and nevus of Ito.
Hori’s Nevus often appear on both cheeks symmetrically, appearing as small, greyish-brown to blue-grey spots. They are less likely seen over the temples, nose, eyelids and forehead.
Hori’s Nevus can be treated with the Q-switched Nd:YAG laser. Multiple sessions (at least 4) are usually necessary.
Temporary tanning of the skin (Post-Inflammatory Hyperpigmentation) may occur, however, this usually settles over time.
Pigmentation treatments are not generally contraindications against undergoing other non-abrasive or non-resurfacing treatments. This means that it is very common for patients to concurrently treat their dark spots, and also go for fillers, Ultherapy, Radiofrequency Skin Tightening and more, concurrently.
Hori's nevus is a type of skin pigmentation disorder characterized by blue-gray to brownish spots, usually appearing on the cheeks and around the eyes. It is more common in Asian populations and can develop in adulthood.
The exact cause of Hori's nevus is not well understood, but it is believed to be related to genetic factors, sun exposure, and hormonal changes.
There are various treatments available for Hori's nevus, including Q-switched laser therapy, PicoSure laser treatment, and topical medications. These treatments target the pigmented cells, breaking them down and reducing the appearance of the nevus over time.
Laser treatments, such as Q-switched and Pico lasers, are highly effective for treating Hori's nevus. They work by targeting and breaking down the pigmented cells without damaging the surrounding skin. Most patients see significant improvement after a series of treatment sessions.
The recovery time for Hori's nevus treatments is typically minimal. Patients may experience mild redness, swelling, or slight darkening of the treated area, which usually subsides within a few days.
The results of Hori's nevus treatments can be long-lasting, especially with proper sun protection and skincare. However, some patients may require maintenance treatments to prevent recurrence.
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