Best Peels for Brown Spots and Small Seborrheic Keratoses?

I am 60 years old and I have fair skin with brown spots on cheeks and forehead, plus scattered small keratoses that are flesh-to-brown colored, with a few in my hairline. What are the best chemical peels for this? Do I need two separate procedures? Will laser treatments destroy hair follicles?

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2 Doctor Answers | Asked by Jaysie in Chicago

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TCA Peel for Brown Spots

TCA peels can be used effectively to control brown spots and superficial seborrheic keratoses on your face and other area. . However different areas of the body have to be treated differently because the skin is much thinner over the hands either less coats or a less strength TCA is required than say your arms where the skin is thicker. It is key to make sure your Plastic Surgeon or Dermatologist has lots of experience to prevent complications; For example, it is important to... more

Seborrhic Keratosis

Given that you are fair and likely have sun damage over the years, you would do well with a medium depth peel such as 35% TCA. Laser resurfacing with Erbium laser or even IPL (Intense Pulse Light) treatments would give you the desired result. You can also use a prescription cream called Triluma for the spots. You should consult a dermatologist to see if you have any actinic keratosis which looks like seborrhic keratosis but can be pre cancerous. In that case you could treat your face with... more