What is the best way to get rid of facial brown spots?

Hello,Thank you for your question. One of the best treatments for brown spots is IPL laser. You may need more than one session. It is best to consult with a local physician. Good luck!

Fraxel is a laser skin rejuvenation treatment that resurfaces your outer skin, erasing imperfections. It also encourages the production of collagen, a protein found in connective tissue.The result is clearly visible lines, folds and wrinkles. Fraxel laser skin rejuvenation is a non-invasive technique that affects only about 20 percent of the facial skin exposed to it. The most common side effects of Fraxel laser treatment are swelling and skin redness, which should subside within a couple of days. Other temporary side effects may include minor itching, dry skin, peeling or flaking, and a bronzed skin appearance. The risk of infection or scarring is very limited. You should stay out of the sun 2-4 weeks.

There is a couple different treatments you can do for this problem. The Sciton Profile BBL treatment works well in targeting melanin in the skin which causes the brown pigmentation. Another great option is the Permea laser by Clear and Brilliant. They are both quick and easy procedures, I recommend doing either in a series of 3or4 4-6 weeks apart.As always, wearing SPF45 or higher on a daily basis is very important.#sunspots. #brownspots. #agespots

Melasma and age spots are caused by a combination of factors, including:
AgeSun exposureGenetic factorsSkin color and typeEnvironmental influenceStressHormonesChronic inflammationThe treatment of age spots begins with rapid exfoliation and
correction of pigmentation. Benign sun damage responds well to Melarase
AM and Melarase PM creams + Melapads Daily Exfoliating Pads. Melapads
can gently replace chemical peels without the requisite peeling. I would
begin with Melarase creams and Melapads and follow up for IPL or BBL
(or similar laser) to help eliminate the remaining stubborn spots. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

There are several technologies available for removal of brown spots, and the choice of which modality depends on several factors. In general, avoidance of sun exposure and use of sunscreen, is important both to lessen the appearance of brown spots, as well as to prepare for treatment.  Lasers that target pigment like Alexandrite, or treatments with IPL (intense pulsed light) can very safely and effectively remove unwanted dark spots in 1-3 treatments. Make sure to consult with a board-certified plastic surgeon or dermatologist, with experience with laser- and light-based treatments.

Unwanted brown spots can be very aggravating & potentially can worsen with time. While some increased pigmentation is genetic and some is hormonal, many of these lesions are sun and time related. With each birthday, there seem to be more, usually on sun exposed areas. Once a determination has been made that these are not malignant or a changing mole (sometimes a biopsy is needed), the treatments may involve one of several different chemical peels, or use of one of the lasers. These use either chemical energy or thermal energy to affect the brown spot (lentigo) and hopefully lighten it. Sometimes there are many lentigos, on many parts of the body, usually areas that have been sun exposed and tanned. Don't forget that tanning beds are also guilty of damaging skin.    Early protection of skin is so important.

Thank you for your question. There are many modalities for the treatment of brown facial spots. I find pretreatment of the skin with Retin A and Hydroquinone 4% cream for one month followed be erbium laser is a great method for removing brown spots, irregular pigmentation and improving the overall skin texture. Fine lines are also significantly diminished with the laser. For continued improvement, I recommend continued use of sunblock and retinoid creams. I hope you find this helpful.

I suggest seeing a cosmetic dermatologist for an evaluation, as combination treatments with lasers and lightening would be very useful.  Best, Dr. Emer.

Without a photo, I can only comment in the most general terms. Treating so-called "liver spots" (aka solar lentigines, age spots, and sun spots) requires a three-pronged approach. The first is the diligent, daily use of sunscreen to prevent further sun damage, as well as to reduce further darkening of existing spots. The second thing is to treat existing spots. For this a number of different techniques have been tried. Personally, I prefer the use of varying concentrations of TCA (up to a maximum of 35%). Occasionally,as with the patient I literally treated only a few minutes ago, I simply numbed several of her more prominent spots and then very superficially electrodessicated them and literally wiped away the pigment. Healing generally takes about a week.The third step, once the sites have healed, is the use of a skin lightening agent for a few weeks to reduce the likelihood of postinflammatory hyperpigmentation.  Consultation with a board certified aesthetic dermatologist is the best way to determine which treatment or treatment combination is best suited to your particular needs. 

Laser resurfacing is a non-surgical procedure that uses laser beams to treat skin concerns like wrinkles, scars, and discoloration: How it worksLaser resurfacing uses short pulses of laser beams to heat the skin and create a controlled injury. The skin's melanin and water absorb the light energy from the laser, which then destroys the surrounding tissue. The body's healing response is triggered, which can improve the skin's color, texture, and tone. What it can treatLaser resurfacing can treat a variety of skin concerns, including: Acne scars Birthmarks Discoloration Fine lines and wrinkles Skin growths Tattoos Types of lasersThere are different types of lasers used for laser resurfacing, including carbon dioxide (CO2) and erbium lasers. A doctor will determine which type of laser is best for your skin. Recovery timeRecovery time after laser resurfacing can be up to two weeks. Laser resurfacing is most commonly used on the face.