What is the Best Peel for Removing Age Spots on Hand/face?

Question

I have 2 age spots on face-one on nose & other above upper lip, which the best make-up d/not cover. I want to remove, not fade them. Also have lines above upper lip. Is AHA best for lines? Thx.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Houtan Chaboki, MD · Answer

Chemical peels are a great option for aging spots on the face. As others have mentioned, a TCA peel will help remove the age or sun spot to create a more rejuvenated appearance. The depth of peel varies with the concentration, among other factors. TCA peel treatments may need to be repeated, as necessary. Speak with a plastic surgeon or dermatologist to determine the appropriate option for you, and follow their pre and post peel instructions.

David Hansen, MD · Answer

A 25-35% TCA spot peel does great for removing age spots but sometimes needs to be done a 2nd time about a month later.  cost is roughly $150 for a couple of spots + the office visit.

Peter A. Aldea, MD · Answer

Using a caustic acid to remove Age Spots and all the skin adjacent to them is an outdated yet cheaper treatment. Intense Photo  Light SPECIFICALLY removes just the lesion by delivering a large amount just to the lesion. 

	I like and use the SCITON BBL IPL. Great results. Faster recovery. Happy Patients. What's not to like?

Darryl J. Blinski, MD · Answer

30 to 50% TCA gives a better result for a year but will need to be repeated. Also ILP laser can improve. AHA for lip fine lines is OK but use a named product like Restylane or Juvederm.

	From MIAMI Dr. B

Mary P. Lupo, MD · Answer

If you are an appropriate candidate (check with your dermatologist or a plastic surgeon), 25-35% TCA should be the best peel for this. Lighter peels will take months to give you the same result as one medium depth TCA peel. Be sure to get pre and post treatment protocols to improve results and prevent recurrence.

What is the Best Peel for Removing Age Spots on Hand/face?

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