Sun Spot / Pigmented Lesion Removal FAQs

What causes pigmented lesions?

Pigmented lesions, birthmarks, brown spots, and age spots are created from an excessive concentration of melanin in the skin. Melanin is what gives our skin its color. Everyone has a different amount of melanin. Your physician will evaluate your skin and inform you of the specific type of skin lesion. High melanin concentrations can be caused by various factors. Some types are present at birth, but most occur with age or from overexposure to the sun’s damaging rays.

Which pigmented lesions can be treated with laser?

The most commonly treated conditions are solar lentigines (also known as age spots, liver spots or sun spots), café au lait birthmarks, and freckles. These benign pigmented lesions are caused by excess pigment in the skin, usually from sunlight exposure and congenital factors. Age spots may appear as enlarged light freckles on the face and hands. Café au lait birthmarks may appear as light brown markings anywhere on the body and can be quite large.

What are the alternatives to the procedure?

Pigmented lesions and age spots are cosmetic problems that do not require treatment for medical reasons. Topical therapies include tretinoin (Retin-A), topical vitamin C or fade creams. Topical therapies are an option, but results are unpredictable and response times can be 6 months or more for improvement. Makeup is also an option. Cryotherapy can improve pigmented lesions, but often leaves white unpigmented areas or small scars.

Are the results permanent?

Most pigmented lesions, if completely removed, will not return. At times, however, sun exposure may cause café au lait spots to return. Permanence cannot be guaranteed. You will also continue to develop more age spots and freckles with time, and the appearance of these new lesions should not be confused with recurrence.

Pigment: are there any side effects to treatment?

There is a high possibility of hair removal in the treatment area caused by uptake of light by melanin in the hair. Skin becoming darker immediately after treatment is a normal reaction. Crusting of the lesion can be expected, but will clear 1 – 2 weeks after treatment. In rare cases, temporary skin pigment changes may occur, but most patients experience fewer problems than they would after laser treatment.

How many treatments are required?

The number of treatments depends on the lesion being treated. Solar lentigines require 1 – 3 treatments whereas café au lait spots take up to 12 treatments. The recommended treatment interval is 1 month.

Is any post-treatment care necessary?

Patients with sensitive skin may benefit from a single application of glucocorticoid cream immediately after treatment and antiseptic cream (chlorhexidine 1%) for a few days. Patients should avoid sun for a month or so after treatment and should use a sunscreen (SPF 30) in this period.

Which lesions can be treated?

The laser is efficient in treatment of epidermal lesions such as solar lentigines, sun spots, age spots, and café au lait spots. It is extremely important to ensure that the lesion is benign, and to take specialist advice from a dermatologist if unsure.

Laser Facial Treatments FAQs

How many treatments will be needed?

You will have an initial series of five treatments about 2 to 3 weeks apart. Afterward, other follow‐up treatments may be recommended (clients may desire more, after seeing positive benefits). Often patients have follow‐up treatments at six‐month intervals to maintain a more youthful appearance. Clinical studies suggest regular touch-up treatments help sustain continued growth of new collagen.

How long do treatments last?

Treatments usually take from 20 to 30 minutes.

Who are the best candidates for skin rejuvenation?

Candidates usually have wrinkles and fine lines, red, flushed faces, fine blood vessels, sun‐damaged skin, hyper-pigmentation including age spots, melasma, or enlarged pores.

Are laser light photo rejuvenation treatments safe?

Yes. Advanced light systems have been used safely for millions of treatments worldwide. They treat only targeted areas, leaving surrounding tissues intact. In rare instances, bruising, blistering, scarring, and pigmentary disorders can occur with either hypo-or hyperpigmentation. No one can guarantee that no adverse reactions will occur, but the vast majority of patients experience little or no adverse reaction.

What does the procedure do?

Laser skin rejuvenation treatment uses lasers or light sources to rejuvenate your skin from the inside out. There are no chemicals or long recovery times, just younger-looking skin.

How does the laser skin rejuvenation procedure work?

Skin rejuvenation combines a cooling cryogen spray with a laser to give you optimal results with minimal inconvenience. The protective cooling spray is applied to the skin, allowing laser skin rejuvenation light to pass harmlessly through the upper layers of your skin, stimulating the cells deep below the surface that produce natural collagen. Collagen and elastin fibers multiply after your treatment, so you see improved results over the months ahead.

How is laser skin rejuvenation different from other anti‐aging treatments?

Your skin is not subjected to harsh chemicals or the intense after‐care of other procedures. Patented technology protects the sensitive surface layers of your skin, allowing the laser to penetrate to a deeper level and stimulate new collagen growth.

Is the procedure painful?

Laser skin rejuvenation treatment can be performed on any facial area – around the eyes, mouth, cheeks, chin ‐ with minimal discomfort. A topical anesthetic cream can be used on extra sensitive areas, but no injections are needed.

How long does a treatment take?

The procedure takes between 15 and 30 minutes, with rarely any side effects. Makeup may be applied right away, so many patients come for treatment during lunch hour.

Can it be combined with other procedures?

Absolutely, laser skin rejuvenation is an ideal complement to microdermabrasion, BOTOX®, and filler agents.

How long will it take to heal?

One of the most outstanding features of laser skin rejuvenation is virtually no downtime. After a session, the area may appear red for up to an hour. However, makeup can be applied immediately afterward. Since there is no wound, there is no healing time.