Best Treatment for Dark Spots and Heavy Freckling?

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. Unprotected sun exposure will make any treatment less effective, and possibly harmful for your condition. Using a glycolic acid product daily, along with a broad spectrum SPF30 are good... more

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.

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 multiple laser treatments. If you have melasma that has returned after a series of Fraxel treatments, then I would recommend a peel masque such as Cosmolan or Melanange. You may also look... more