Brown Spots on Face Treatment Advice

OTC are good for superficial pigment but for good long lasting results we recommend laser treatments.  Lasers that we and many others have seen good results in are Fraxel Dual, Clear+Brilliant, 755nm Alexandrite, and IPL. For our patients with solitary age spots we recommend the 755 Alexandrite laser.  These lasers have different downtimes and associated costs. Usually we recommend at least four to six treatments depending on your response at a month a part.   In addition to lasers would recommend a prescription retinol product (e.g. tretinoin

Thank you for your question.  CO2 laser skin resurfacing treatment is very beneficial for making acne scars diminish, removing age spots, increases collagen and elasticity production.  This is done by removing deeper layers of damaged skin and stimulating the regeneration of healthy skin underneath. This treatment is also beneficial for uneven pigmentation, photodamage, fine lines and wrinkles, precancerous spots, and a host of other skin imperfections and benign lesions. If you believe you may be a candidate for CO2 laser skin resurfacing treatment, a qualified cosmetic surgeon or dermatologist can carefully analyze your skin and determine if the procedure is right for you

Most machines are "skin specific" and by that I mean your genetic background will often dictate which treatments are best for you and won't cause increased hyperpigmentation. And yes, it does happen!
Because there are many options, having the most at your disposal at one office provides a more certain success. To give examples:
BBL is an accelerated type of photofacial similar to IPL, but in our experience is superior both in the level of effectiveness and how few treatments you need to get good results. Targets red, brown and improves collagenFraxel DUAL is a laser with a specific wavelength that targets brown pigmentA vascular laser can be used to zap larger facial veins that are caused by sun exposureHalo Hybrid laser has very little downtime and you can see improvement quickly with little discomfort and low downtimeLaser Genesis is a nice way to keep things clear after you've taken care of the heavy duty problemsThese are not the only devices, but some of what we use routinely - often combined - to get the best results for any one patient with multiple issues.

A medical-grade topical bleaching skincare product and in-office treatment would be the best approach. For treating brown spots, our best solution that gets results is with either a BBL (Broad Band Light Therapy) or HALO Fractional Laser.  We are also able to treat red spots with the BBL and HALO.  You will get results faster with the HALO Fractional Laser (2 treatments suggested); however, great results are achievable with one treatment. Using a topical Vitamin C in the morning (SkinCeuticals or Revisions) with a sunscreen daily, in addition to, a Retinol and a hydroquinone at night. There are also products using Kojic Acid instead of Hydroquinone. We require a consultation to ensure that you are a candidate for the procedures and also for the products. We make sure that proper documentation is made using a VISIA for photos to track your progress.
Hope this helps!

Hello,Thank you for your question . A photo facial treatment would be the best option for you. It will treat the brown spots, redness, and capillaries. We use a palomar laser, and can switch between different handpieces to get the best result. For instance the wave lengths of the green handpiece works best of reds and capillaries. While the wavelength of the yellow handpiece works best on the brown. It is just as important to make sure that the doctor is qualified and experienced with this level of work. Good luck!

There is no single best treatment for brown spots and redness as everyone's skin is different and the depth of hyperpigmented lesion will vary.  For treating browns and reds, IPL's, in particular newer IPL's are a good place to start.  I like Lumecca as it seems to focus its energy on browns and reds more specifically than other IPL's.  Other treatments can include a variety of lasers including Nd:YAG, q-switched lasers, chemical peels, etc.  Find a provider with experience and a variety of lasers to effectively treat your condition.

Perméa is the
latest technology utilizing a low-power 1927 nm non-invasive fractional
laser for rejuvenation and pigmentation. The Clear + Brilliant Perméa is
designed to address early signs of aging and help to prevent them.The results
of the treatment are both immediate and progressive. A few days after the
treatment, your skin will start to feel softer, look brighter and show more
even tone and reduction of brown spots.#Permealasertreatments    #ClearandBrilliant    #brownspottreatments

I would recommend a consultation with a board-certified dermatologist.  Choosing an appropriate treatment will depend on your skin type and the types of spots you have.   The most important part of your decision-making process is choosing the right person, with enough knowledge and experience, to help you with your goals.  Choosing the right device and adjusting the settings is an art, as well as a science.

You should look into laser treatments with Spectra. Spectra is a dual mode Q-switched laser with four wavelengths. The versatility for treatment is possible with 532, 585, 650 and 1,064 nanometer options. The longer wavelength allows for treatment on those with darker skin and pigmented lesions. Multiple laser treatments may be required on your age spot issues.

Additionally, you may also benefit from Fraxel DUAL. The Fraxel DUAL features both the 1,927 nanometer wavelength and 1,550-nanometer wavelength laser option. The latter wavelength penetrates skin deeper more prominent cases.

It’s still important to consult with a board certified specialist to determine the best course of treatment. Differences in pigment, skin type and depth of age spots are all guiding factors for a laser treatment.

 

Both a series of IPLs and chemical peels are needed to remove brown spots, red blotches and dull skin.  Usually I perform both an IPL treatment and a light TCA chemical peel at the same visit and do a series of 5 treatments about 2 weeks apart for good results for roughly $3000 for the series.  Your skin will look great and healthy with no down time.  Sincerely,

David Hansen,MD