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There is often confusion between freckles and ephelides, because they are skin spots, both related to lighter phototypes, and visually they resemble each other, yet have a different nature.

Lentigines are very superficial melanin accumulations, are not limited to just the facial area or areas most exposed (neck, décolleté, and hands) from the sun, including mucous membranes, and are often present from birth.

Ephelides, on the other hand, appear only on areas of the body exposed to sunlight (usually face), triggering in summer and tending to almost disappear in winter. They are most common in people with red hair.

Lentigines are characterized by an increase in the number of very superficial melanocytes in the epidermis: hyperpigmentation is due to both melanin in the stratum corneum of the epidermis and the presence of melanophages in the dermis (the most superficial part of the dermis). Freckles, compared with ephelides that tend to fade when not exposed to the sun, are permanent, their appearance does not change when exposed longer to UV light, and they tend to be darker in regular shape.

In ephelides, on the other hand, more melanin accumulates in the basal layer of the epidermis but without an increase in melanocytes in the papillary dermis: in practice, melanocytes stimulated by the sun become overactive and produce more melanin.


ABSOLUTE PREVENTION: avoid the sun, equip yourself with glasses and hats;

In both summer and winter months, always apply a sunscreen with spf of at least 30 and that also contains antioxidants.

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