|There are many causes of excess brown pigment in the skin including age spots, freckles, melasma and persistent darkening of the skin after inflammation or injury of the skin (PIPA).
Muliple modalities may be used to help remove the superficial layers of pigment. It is very difficult to remove the deeper layers. This will happen over time.
If possible, remove the cause of the hyperpigmentation and use optimal photoprotection as the sun intensifies pigment on the skin.
Sunblocks help to block the sun that darkens the spots. Bleaching agents such as hydroquinone and other botanical agents help to lighten the pigment. Retinoids help by blocking pigment transfer to the upper layers of the skin where they are visible. Finally, the ZO Medical Skin Care System includes all these factors to minimize age spots and concurrent sun damage.
Chemical and laser peels as well as microdermabrasion exfoliate or peel off age spots. BBL treatments remove pigment irregularities as well as persistent red lines often seen together in sun damaged skin.