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Best Treatment for Dark Spots and Heavy Freckling?

asked 3 years ago by pelusa 2 in pittsburgh, pa
Latest answer by Nissan Pilest, MD
Question viewed 1,521 times
Tags: dark spots, freckles

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?

3 answers to Best Treatment for Dark Spots and Heavy Freckling?

+2

IPL excellent for freckles and brown spots

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
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon
+1

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

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.
Nissan Pilest, MD

Irvine Dermatologic Surgeon
+1

Dark Spots and Heavy Freckling

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
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

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