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?

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You may also be interested in reading a related question, Laser treatment for freckles?
3 answers to “Best treatment for dark spots and...”

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

Nissan Pilest, MD
By Nissan Pilest, MD - Orange County Dermatologist

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... more

A: IPL excellent for freckles and brown spots

Eric M. Joseph, MD
By Eric M. Joseph, MD - West Orange Facial Plastic Surgeon

Dear Pelusa, You will get lots of different answers to this question depending on what light system the doctor has. I have a Palomar StarLux, and freckles and brown spots respond very well after a series of 3 or 4 treatments. Darker brown spots respond the best, while lighter ones can be more persistent... more

A: Dark Spots and Heavy Freckling

Michael A. Persky, MD
By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Pelusa, The successful treatment of freckles and brown spots depends on multiple factors. Fraxel is very effective, but takes multiple treatments (4 to 6, with a yearly maintenance treatment). Pre-treatment with bleaching cream, avoidence of sun exposure, use of sun block and protective clothing, and... more

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