Question 1

What is Poikiloderma of Civatte?

Accepted Answer

Poikiloderma of Civatte is a benign, chronic skin condition characterized by a triad of changes: mottled reddish-brown discoloration, visible telangiectasias (spider-like broken capillaries), and mild skin thinning (atrophy). It most commonly appears on the sides of the neck, upper chest in a V-pattern, and cheeks — areas chronically exposed to the sun. It is most prevalent in fair-skinned individuals and postmenopausal women.

Question 2

What causes Poikiloderma of Civatte?

Accepted Answer

Long-term UV exposure is the primary driver. Contributing factors include: cumulative sun damage over many years, use of photosensitizing fragrances or cosmetics on the neck, fair skin that is more susceptible to UV damage, hormonal changes (particularly low estrogen after menopause), and genetic predisposition. The area under the chin is typically spared because it is shielded from direct sun.

Question 3

How does Candela Nordlys® IPL treat Poikiloderma of Civatte?

Accepted Answer

The Nordlys® Selective Waveband Technology (SWT®) IPL uses dual light and water filtration to deliver narrowband pulses that are precisely absorbed by hemoglobin in blood vessels (reducing redness and telangiectasias) and melanin in pigmented cells (fading brown discoloration). The PR 530 and VL 555 handpieces are specifically FDA-cleared for Poikiloderma of Civatte, making Nordlys® one of the most targeted and clinically validated tools for this condition.

Question 4

How many sessions will I need?

Accepted Answer

Most patients see meaningful improvement after 3–5 sessions spaced 4–6 weeks apart. The exact number depends on the severity of the condition, skin type, and how consistently you protect the treated area from sun exposure between sessions. Maintenance treatments 1–2 times per year may be recommended to sustain results.

Question 5

Is there downtime after treatment?

Accepted Answer

Downtime is minimal. You may experience mild redness and warmth in the treated area for 24–48 hours, similar to a light sunburn. Some patients notice temporary darkening of brown spots before they flake off over 1–2 weeks — this is a normal part of the clearing process. Most patients return to daily activities the same day.

Question 6

Can Poikiloderma of Civatte be cured?

Accepted Answer

There is no permanent cure, as the condition can recur with continued sun exposure. However, a series of Nordlys® IPL treatments can produce significant, long-lasting improvement in color, texture, and vascular appearance. Consistent daily SPF 30+ use and sun-protective clothing are essential to maintain results and prevent recurrence.

Question 7

Is the treatment safe for the neck and chest?

Accepted Answer

Yes. The Nordlys® SWT® IPL is well-suited for the delicate skin of the neck and décolletage. Treatment parameters are carefully adjusted for these areas. A prescription-grade topical anesthetic is applied prior to treatment for maximum comfort.

Poikiloderma
of Civatte

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Dual-Action IPL

FDA-Cleared Indication

Minimal Downtime

Visible Improvement

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Common Questions

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