Lasers, IPL, and bleaching creams can help with pigmentation and freckling

Nissan Pilest, MD answers: Best treatment for dark spots and heavy freckling?

What's the best treatment (Laser, IPL, etc.) for dark spots and heavy freckling? I have tried Fraxel, which worked for a while before browning came back. I'm ready to try it again or better yet, other options. I have a medium tone skin (not fair skin); what options do I have?


Editor's note
You may also be interested in reading a related question, Laser treatment for freckles?
Nissan Pilest, MD
5 months ago

There are a number of different lasers that can help with pigmentation.

Fraxel is one of the best however Alexandrite lasers and Diolite can also be used as well as IPL.

No matter which of these modalities are used,  in order the decrease the recurrence of the the brown spots you will need to use bleaching cream on a nightly basis as well as daily use of sun block.

Post your question

Fraxel Laser: 297 reviews

55% said it was worth it

Fraxel Laser before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.