I am Asian and have dark aging sun spots. What treatment would you recommend for the removal of these?

Dark scars can be improved with a combination of Melarase AM and Melarase PM creams, Melapads, and light chemical peels. Best, Dr. KaramanoukianLos Angeles

As you may know, these brown spots result from extensive sun exposure. This causes the skin to release large amounts of melanin as a form of protection from UV rays.Since this pigment is below the skin’s surface, it would be most effective to target these layers. The Fraxel Dual laser is an excellent choice for this purpose. It is safe for all ethnicities since it is not readily absorbed by the surrounding melanin that colors your skin. But rather it will target the unwanted age spots.IPL uses many different wavelengths. Therefore, results are less predictable. Fraxel Dual can be switched between the 1550nm and the 1927nm for more precise and focused action. Many patients are able to achieve the results they want in just one or two sessions. 

Hi and thanks for posting your question. Age spots are a common sign of aging in any race. However it is more difficult to treat in Asian skin. Asian skin or darker skin types are prone to hyper pigmentation after skin resurfacing such as with lasers or peels. Typically I would treat with multiple methods to get the most results. Hydroquinone bleaching cream will decrease the pigment. A series of light chemical peels such as a 15-20% TCA or the Perfect Derma Peel, and or possibly a light co2 fractional laser. I have seen patients with hyperpigmentation from IPL. It is very important to be treat dark skin conservatively to avoid hyperpigmentation. There are many ways to treat age spots and these are just a few so please see a board certified facial plastic surgeon or dermatologist to best address your needs.