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Honestly you can do q switched or picosecond lasers but fractional co2 or even liquid nitrogen therapy will work. Multiple treatments with TCA peel can also give a result. I suggest you see a cosmetic dermatologist with experience. Best, Dr. Emer.
Cafe au lait spots are historically difficult to treat. The most definitive treatment, 1-shot, is cutting out the lesion. Other things like laser or liquid nitrogen will require multiple treatments and can fade to some degree the lesion, although permanent removal is difficult.