Poikiloderma is a skin condition that causes a mottled combination of redness, brown pigmentation, and visible blood vessels, most commonly on areas that have received years of sun exposure. When it develops on the neck and upper chest, it is often referred to as poikiloderma of Civatte. Because both pigment and vascular changes may be involved, treating poikiloderma often requires a targeted approach rather than skincare alone.

At Dr. Kaga’s NJ practice, advanced laser technology can be used to address the visible redness and discoloration associated with poikiloderma and create a clearer, more even-looking complexion.

Poikiloderma on a woman's neck

How can The Kaga Institute help me treat poikiloderma?

Treatment options at Dr. Kaga’s practice include:

Excel® V+

Excel® V+ is a versatile laser system that allows treatment to be customized according to the vascular and pigment concerns present in the skin. Its multiple wavelengths and adjustable settings allow Dr. Kaga’s team to precisely target unwanted redness, visible vessels, and areas of discoloration while minimizing impact on the surrounding skin.

Because poikiloderma can include both vascular and pigmented changes, your treatment plan will depend on your skin type, the severity of the condition, and the specific characteristics of the affected area. Multiple sessions may be recommended for optimal improvement.

What causes poikiloderma?

Chronic sun exposure is one of the primary contributors to poikiloderma, particularly when the condition appears on the sides of the neck and upper chest. Years of ultraviolet exposure can affect both pigmentation and small blood vessels within the skin, creating its characteristic reddish-brown, mottled appearance.

Aging, genetics, hormonal changes, and certain medical or skin conditions may also contribute. Daily sun protection is important both for prevention and for maintaining results after treatment.

Can poikiloderma be related to an underlying health condition?

Most cases of poikiloderma associated with chronic sun exposure are primarily cosmetic. However, similar skin changes can occasionally occur with certain dermatologic or medical conditions.

If your discoloration is new, changing, or accompanied by other symptoms, Dr. Kaga can evaluate your concerns and determine whether additional medical assessment is appropriate before beginning aesthetic treatment.

Schedule treatments for poikiloderma in Marlboro or East Brunswick

If redness, visible vessels, and uneven pigmentation are affecting the appearance of your neck, chest, or other areas, schedule a consultation at The Kaga Institute. Dr. Kaga’s team will evaluate your skin and develop a personalized treatment plan based on your individual concerns. Request an appointment online or give us a call 848-8-DRKAGA (848-837-5242) to get started.


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Request an Appointment

Our mission at TKI is to provide exceptionally innovative, and highly individualized wellness and aesthetics. Your customized treatment plan begins with a consultation, which you can schedule in Marlboro or East Brunswick. We look forward to helping you feel better, not different.

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848-837-5242