I am Asian and have dark aging sun spots. What treatment would you recommend for the removal of these?
Doctor Answers 7
Melarase AM and Melarase PM for dark age spots
Removal of dark spots with Asian
Pigmentation on Asian Skin
Where there is generally more melanin in the skin to start we need to make sure we are ONLY targeting the specific pigmented lesions.
If the patient is a candidate for laser treatment, this could be done with our Alexandrite Laser.
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Age Spots on Asian Skin
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.
Fraxel 1927 or Q Switch lasers
I also like QSL or Q switch laser- especially in the the 532 or 1064 wavelength. The later can be used as a form of 'dermal toning' and spot removal.
Seeing a Specialist who treats ethnic skin on a very regular basis will decrease your chances of any PIH. Lastly I like to pre and post treat with HQ or Lytera prior to any laser- peel procedure. Of course, SPF and sun protection post laser is paramount.
Dr Davin Lim
Treating Pigment in Asian Skin
The appropriate treatment will of course vary from patient to patient, but generally I have found the Alex TriVantage laser and Cosmelan mask to be particularly successful for Asian patients.
If there are just a few specific sun spots you are concerned with, the Alex TriVantage laser may be best for you. The Alex TriVantage laser is a Q-switch laser made by Candela specifically for pigment such as sun spots, and is also used for tattoo removal. The laser energy shatters the pigment molecules into tiny particles, which are then absorbed by the body. More than one Alex TriVantage treatment may be needed.
If your sun spots are plentiful and all over your face, the Cosmelan mask may be a better option. The Cosmelan mask is a kind of chemical peel, consisting of a variety of acids such as salicylic, kojic, and azelaic acid. The Cosmelan mask is applied in a professional office, and worn home for 8-12 hours, depending on the physician’s recommendation. This treatment is generally done once, but does require application of a Cosmelan maintenance cream nightly.
Regardless of what treatment route you take, keep in mind that at-home maintenance is just as important to the clarity of your skin. Protect your face from the sun as much as possible, and always apply an SPF of at least 30. For patients prone to pigment, I also recommend a Vitamin C antioxidant product for the morning, as well as a pigment regulator such as hydroquinone at night. Consult with a board certified Dermatologist to see what kind of treatments and products may be best for you.