I’ve been told a brown spot, birthmark, etc. - What procedure would help remove this? (Photo)

Question

I’m not sure what this is exactly - I’ve been told a brown spot, birthmark, etc. I’ve had it for as long as I could remember and I’m pushing 30. It’s definitely flat because it lays under the skin. It’s located between my brows on my forehead as per the pics. I’ve been quoted with Sciton Profractional and other lasers from a couple of Medspas. I’d love to hear other expert opinions. Really looking forward to getting rid of this. Thank you for your time!

Ramandeep Sidhu, MD · Answer

Depending on your skin type I would recommend doing the PicoSure laser or IPL. The Pico laser uses pressure which is safe for all skin types and works at a trillionth of a second to break up the pigment. IPL is intense pulsed light that heats up the pigment and then it will look like coffee grounds and flake off.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

I recommend getting an in-person formal evaluation with a board-certified cosmetic dermatologist. Moles can be removed with a laser, radiowave or shave. If there is any scarring or pigmentation following the removal, your dermatologist can treat those conditions as well. See an expert. Best, Dr. Emer

I’ve been told a brown spot, birthmark, etc. - What procedure would help remove this? (Photo)

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