Hori’s Naevus, also known as acquired bilateral naevus of Ota-like macules (ABNOM), is a benign pigmentary disorder characterized by bluish-gray or brown patches on the skin. These patches typically appear symmetrically on the cheeks, nose, forehead, and sometimes around the eyes. Hori’s Naevus most commonly affects middle-aged individuals, particularly those with Asian or darker skin tones. While the condition is not harmful, it can cause cosmetic concerns for those affected.
Hori’s Naevus is generally classified based on the distribution and extent of pigmentation:
- Melanocyte Migration:
An abnormal accumulation of melanocytes in the dermis leads to pigmentation.
- Sun Exposure:
Ultraviolet (UV) radiation can exacerbate the condition, making pigmentation darker and more noticeable.
- Genetic Predisposition:
A higher prevalence in certain ethnic groups and families suggests a genetic component.
- Hormonal Influences:
Hormonal changes, particularly during middle age, may trigger or worsen the condition.
- Skin Aging:
Natural skin aging processes may contribute to the appearance of Hori’s Naevus.
Effective management requires professional dermatological care.
For tailored advice and effective treatment options, organise a referral from your GP to streamline a consultation with our dermatology team today. Let us help you achieve clearer, more even-toned skin.
At-Home Care
- Sun Protection:
- Daily use of a broad-spectrum sunscreen (SPF 30 or higher) is essential to prevent further pigmentation.
- Wear wide-brimmed hats and avoid peak sun hours.
- Skin Care Products:
Use products containing tranexamic acid or brightening agents like vitamin C, niacinamide, or licorice extract to help even skin tone.
Professional Treatments
- Laser Therapy:
- Pico lasers (CANDELA POICOWAY) are the gold standard for treating Hori’s Naevus. These lasers target and break down the pigment in the dermis without damaging surrounding skin.
- Fractional lasers (LUTRONIC ULTRA 1927, ALMA HYBRID, CANDELA NORDLYS 1550 &1940, ACCLARO ULTRACLEAR) may also be used for deeper pigmentation.
- Chemical Peels: Superficial or medium-depth peels can help improve pigmentation over time.
- Topical Prescription Medications: Hydroquinone or tretinoin creams may be recommended to lighten pigmentation.
Lifestyle Modifications
- Avoid Triggers: Minimize UV exposure and avoid skin irritants that could exacerbate pigmentation.
- Maintain a Healthy Diet: Incorporate antioxidant-rich foods to support skin health.
Ongoing Care
- Regular follow-ups with a dermatologist are crucial to monitor progress and ensure optimal outcomes.
- Maintenance treatments, such as periodic laser sessions or prescription creams, may be necessary to prevent recurrence.
For a personalised treatment plan and to explore advanced options like iontophoresis or Botulinum Toxin, organise a referral from your GP to streamline a consult with our dermatologist today.
