I am 47 years old. My face has lots brown spots. Is Laser Resurfacing the best treatment to rid off those spots? Or there is a better treatment for it.
Laser Resurfacing for Brown Spots?
Doctor Answers 5
Resurfacing for brown spots
An examination is needed, often with special lighting, including a “black light” to determine how superficial the pigment is located in the skin. Sometimes a fade cream that can be prescribed by your doctor would work better. Other times, laser resurfacing or a chemical peel can help and some patients need both! The Nd:yag, Alexandrite or Q-switched Ruby laser can target the individual brown spots whereas the Fraxel laser (Re:store and RE:pair) ares usually used over the whole face.
Laser Resurfacing for Facial Brown Spots
I have had very good success with the Fraxel Re:pair fractional CO2 laser. This combined with pre- and post laser skin care has a very good chance of significant improvement in your skin tone, texture, color, etc., to give you a more youthful and even look. Of course you need an in person exam to confirm that this is what is needed in your case. You should discuss with your physician what your concerns are, what you would like to see improved. After listening to your goals and expectations, and after examining your skin and taking a good medical history, your physician should be able to tell you what is best to accomplish your goals. There are alternatives as well and you should discuss these with your physician (chemical peels, topical skin care, microdermabrasions, etc).
Laser resurfacing one of the options
There are quite a few options to remove brown spots from your face including laser resurfacing with erbium, carbon dioxide or YSGG lasers; Broad Band Light (BBL/IPL), q-switched lasers, photodynamic therapy, chemical peels and skin care. Which to choose? Depends upon degree of brown spots/photodamage, downtime and physician. Best is to consult with a physician well versed in different devices.
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Removal of spots on face
You have several choices, best done if a doctor is looking at your face. You can remove some spots topically, we use the Obagi System, and you do this at home. For more stubborn areas, laser would be better depending on you color of skin as well. Some lasers just remove spots only and others that resurface can treat the pigmentation as well as fine wrinkles and some skin tightening. For this, we use the Pearl Laser.
In any case, your condition should be able to be treated.
Sun Screen, Hat, Sun Protection
Laser skin resurfacing can improve the skin texture and color. In most cases when done at a level deep enough to remove the epidermis and stimulate the dermis brown spots will be removed or diminished. In general we usually recommend a skin lightening agent as well and often will consider a Photofacial for pigmentation as well to optimize your results. On occasion a South Beach Peel is a nice option as it combines both ablative and non-ablative energies to address the pigmentary changes.