Want to have some freckles removed. What is the procedure and how much does it cost? (Photo)

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. 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

Hello JAS. These look like small moles. Generally speaking, lasers have a difficult time with these and if a laser is able to remove them, what's left behind is usually worse than the original mark. For this reason, we use an old school technology called a hyfrecator (cauterization). The heat from low voltage electricity removes the tissue and you get a small scab for a week or so. Usually 1-2 visits are required. Surgery is also an option, but then scarring is a concern, just like laser. Best of luck.

A combination approach will give you the most improvement. I recommend lasers (IPL combined with Fraxel), microneedling/prp, Cosmelan and TCA peels when rendered by great provider will provide great results. Cost and amount of sessions needed will vary, but I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer