Age Spots on Arms: Fraxel Alternatives

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Fraxel Dual is the best laser that I have seen for treating brown spots on the arms and hands.  In fact it has replaced the IPL for this particular indication (I still love my IPL for redness).  Your lack of results may be due to sun exposure between treatments, settings on the laser used for your treatments or perhaps your doctor has the older laser (not the Dual).  It seems that you doc is trying hard to accomplish your goal with complementary treatments and Liquid N2 ( still an excellent way to remove a few big spots).  I think you are on the right track, not everyone gets the best results and your do is giving you good alternatives.

The q-switched alexandrite laser made by Candela is our favorite tools for treating age spots on the arms. If performed by a skilled dermatologist, you should see significant improvement in one treatment. Dr. Liz Tansey and Tina Alster are excellent and located close to you.