What is the Best Effective Treatment to Remove Brown Age Spots on Medium Brown Skin Tone

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

Hyperpigmentation can ruin your skin and can be caused by either PIH (post-inflammatory hyperpigmentation), melasma, age or sun spots, and chronic inflammation.  Starting treatment is easy with topical creams; followed by laser and light therapy. I would use a combination skincare protocol that includes topical Melarase creams first, followed by a combination of light fractional laser, depigmenting lasers and IPL, vascular pulsed dye laser, and Covalent peels.

Recommended Creams: Melarase Brightening Kit

MelaClenz
Melarase AM
Melarase PM
Melapads
Replenish Retinoid Cream
Best, 

Dr. Karamanoukian

Realself100 Surgeon

Fraxel Dual is the best treatment to remove pigmentation issues on darker skin. It uses two wavelengths, the 1550nm and the 1927nm. Wavelengths in the longer range are safer for warmer skin tones because the melanin pigment does not absorb this energy very easily. Therefore there is less chance for lower layers of the skin to become overheated and scar. The laser works to break up excess pigment which is then removed by the body's elimination system.  Here is a video of an Asian patient who had her brown spots treated with Fraxel Dual.

It is very wise to be educated on your skin tone and color.  If you have medium brown skin tone then the laser treatments will not usually be the best ones for you.  It may take longer with chemical peel and Retinoids and hydroquinones, but it will be safer and more effective.  You can also use other topicals such as Vitamin C serum and other anti-aging serums to safely lighten up your complexion.  Please find a board certified dermatologist who has a lot of experience with cosmetic dermatology.

You probably have melasma on your cheeks rather than age spots.  The diagnosis can be confirmed by a dermatologist.  A combination of fading ingredients containing tretinoin and hydroquinone, sun protection, and light chemical peels can all help fade the pigment.