Freckles/moles/discolorations on large areas. What is the best treatment for this? (Photo)

When considering treatment options for widespread freckles, moles, or discolorations, it's important to balance effectiveness, cost, and potential side effects. Since your dermatologist has confirmed there's no cancer, you can focus on cosmetic options. Here are some considerations for treating large areas:

Chemical Peels: These can be effective for improving the appearance of discolorations over larger areas. Superficial peels, like those containing glycolic or salicylic acid, are generally less expensive and require minimal downtime. However, for extensive discoloration, medium-depth peels might be needed, which can involve more recovery time and cost.

Laser Treatments: Intense Pulsed Light (IPL) and fractional lasers are popular choices for treating large areas of discoloration. IPL is particularly effective for sun-induced pigmentation and can cover large areas quickly. Fractional lasers can also target pigmentation but may require more sessions. Both options might have higher upfront costs but are efficient for treating extensive areas.

Transition Lines: When treating large areas, a common concern is the appearance of transition lines where the treatment stops. This can be minimized by blending the treatment edges or gradually treating overlapping sections to ensure a smoother transition.

Sun Protection: Regardless of the treatment chosen, consistent use of broad-spectrum sunscreen is crucial, especially since you swim often. This will help prevent new discolorations from forming and protect treated areas.

Consultation: It's advisable to discuss these options with your dermatologist or a cosmetic specialist. They can tailor a treatment plan based on your skin type, the extent of discoloration, and your budget.

Ultimately, both chemical peels and laser treatments have their advantages. Your choice may depend on factors like downtime, cost, and personal preference.

Mole removal begins with a comprehensive examination and consultation to determine the likelihood of a mole being worrisome. Excisional and incisional biopsies are reserved for suspicious moles. But it’s good news that most moles are not problematic and are only cosmetic, thus leading to the option of scarless or non-surgical mole removal with lasers and RF and plasma. Our office specializes in non-surgical mole removal.

Best,
Dr. Raffy Karamanoukian
Realself 100 Surgeon