Reviews Laser removal of age spots » OurOpinion - site of reviews about everything

The principle of operation of laser resurfacing of age spots

The laser beam, due to its high temperature, “burns” areas of the skin according to a given pattern (see fractional laser exposure). When resurfacing, the laser penetration depth usually reaches the dermis, which means that all epidermal cells containing excess melanin are also destroyed. In their place, new tissue is formed, with new cells of a natural color.

Recovery after laser resurfacing is quite long - from 7 to 15 days, the skin goes through a recovery cycle, crusts form; During this period, she requires delicate care.

Difference between IPL and laser resurfacing

The principle of operation of laser resurfacing and IPL phototherapy is indeed similar, but still the second method has striking differences. Pulsed light (this is a light beam, not a laser beam) affects only melanin and does not affect skin that has a normal color. Melanin-containing cells are also destroyed, but the surface of the skin remains intact. Coagulated melanin is removed from the skin after 7-15 days, global skin renewal does not occur.

Sometimes IPL phototherapy is more effective than laser resurfacing. Due to the selective effect only on melanin, after the procedure there is only a change in skin color in the treated areas, small uniform peeling, which goes away on its own during the process of washing the face.

Laser procedures solve the issue of global skin rejuvenation; IPL therapy is indicated if it is necessary to remove only pigment.

Speaking about priorities, it should be emphasized that laser resurfacing is more relevant in case of other age-related problems, in particular fine wrinkles, scars, and sagging skin.

Using laser resurfacing you can remove:

Lentigo;
Melasma;
“Sun” pigment spots;
Post-traumatic hyperpigmentation and pigmented scars;
Stagnant post-acne spots;
"Senile" hyperpigmentation.

A prerequisite for fixing and prolonging the result is following the doctor’s recommendations during the rehabilitation period.

Cost of laser resurfacing and IPL therapy

Since laser resurfacing is a more “serious” procedure that rejuvenates the skin at almost all levels - turgor, color, elasticity improves, wrinkles, spots, scars disappear, a face lifting effect is achieved - the cost of resurfacing is much higher than the cost of photorejuvenation.

If removing pigment on the face using IPL costs from 9,000 rubles, then the cost of laser facial resurfacing starts from 35,000 rubles. Therefore, if your goal is to remove excess pigmentation and even out your complexion, then you should consider IPL photorejuvenation.

Separately, we note that there are offers of laser resurfacing for less money - this is most likely a scam and instead of resurfacing, you will be given a simple laser peeling.

What are age spots?

Age spots are reddish-brown or yellow-brown areas of the skin that have an increased concentration of melanin. They appear from prolonged exposure to ultraviolet radiation on the skin, which activates melanin.

Problems with skin pigmentation can occur due to:

Problems with the organs of the endocrine system (especially the thyroid gland and ovaries)
Diseases of the liver and genitourinary system
Inflammatory processes on the skin
Vitamin C deficiency
Low-quality cosmetics
Taking certain contraceptives
Mental disorders

Devices used

Now there are improved lasers that always give excellent results during the procedure. These are the following devices:

IPL Quantum SR - technology is based on the supply of pulsed light. It literally dissolves melanin. Here, adjusting the strength of radiation exposure is the privilege of the cosmetologist: the slightest mistake can easily lead to burns on the treated area;
Palomar Lux 1540 - the operating principle is based on fractional photothermolysis. The radiation destroys the pigment by heating it. The process is gradual. First of all, the skin darkens, after which it begins to peel. At the same time, restoration processes take place deep within it, as a result of which the skin, upon completion of the procedure, will look better than before it began.
Cynosure Picosure - patented in 2013, it has an FDA certificate for cosmetic procedures - rejuvenation, anti-wrinkle treatment, skin resurfacing, photoepilation, treatment for post-acne and enlarged pores, removal of scars and spider veins, pigment spots, even tattooing. The Pikashu laser has been highly appreciated by leading cosmetology clinics, and an additional bonus is the ease of purchasing this device. This is because it is officially registered in our country.

Cynosure Picosure

Indications and contraindications for laser correction of age spots

Laser removal of freckles and age spots is possible only after 18 years of age. Judging by the reviews, this is the best option, which has no age restrictions in the future, and is suitable for any skin type. In teenagers, hormonal levels are unstable, so freckles and spots may appear and disappear on their own.

However, laser facial resurfacing is contraindicated for removing pigmentation in cases of severe inflammation of the skin. This is not the only prohibition on the procedure; before visiting the salon, you need to read the entire list:

diabetes;
hypertension;
deep chemical peeling of the face;
malignant neoplasms;
period of pregnancy and lactation;
AIDS and HIV.

Be that as it may, the final decision on whether to carry out laser removal of pigmentation and spots is made by a dermatologist. If there is the slightest doubt, he will prescribe a re-examination.

The spring-summer period is not a contraindication to the procedure, as is commonly believed. However, during this time, the laser treatment area should be protected from exposure to sunlight. That is why dermatologists recommend conducting sessions between October and February. The risk of developing negative consequences is minimal.

How to prevent age spots from appearing on the face and body

Various factors can provoke the appearance of unwanted pigmentation, so special attention should be paid to prevention. To prevent hyperpigmentation of the epidermis, you need to:

use sunscreens and lotions, especially in spring and summer;
enrich your diet with foods containing vitamin C;
limit sunbathing from 11 a.m. to 4 p.m.;
Remove foods containing vitamin A from the menu.

These are simple methods that significantly reduce the risk of age spots.

Recommendations from cosmetologists

To remove pigmentation on the face with laser safely and effectively, you need to follow the recommendations of specialists before the procedure. Depending on the age and condition of the skin, a dermatologist may recommend taking glycolic acid or vitamin complexes during the preparatory period. If the stains are too dark, you may need to use bleaching creams. It is advisable to give up alcohol and smoking and not visit the solarium a few days before whitening.

Immediately before laser therapy, observe the following rules:

depilate pigmented areas;
cleanse your face of decorative cosmetics;
treat the skin with an antiseptic.

After cosmetic treatment, you should not use decorative cosmetics for the first few days. If peeling occurs, use scrubs with low abrasiveness. When the spots darken and begin to crust over, do not peel them off. The rehabilitation period lasts no more than 2 weeks. During this time, do not perform peeling, contouring, or facial massage. For dryness and tightness, use a moisturizer.

A cosmetologist speaks about laser pigmentation removal in the video:

Pros and cons of laser pigmentation removal

The best way to remove pigment spots is with a laser. This is a safe method that is used to solve problems on the face. According to reviews, this grinding gives the best result; it has many positive aspects:

the skin tightens and becomes elastic;
small wrinkles are completely smoothed out;
deep wrinkles become less noticeable;
the production of your own collagen increases;
the upper layer of the epidermis is rejuvenated.

In addition, pigment spot removal is carried out in a non-contact manner, using only a beam. Healthy tissues are not affected. Cosmetologists assure that the procedure is completely painless and does not require the use of painkillers. At the same time, the risk of inflammatory processes after it is minimal if you completely follow the instructions of the specialist.

In addition, the method of laser correction of pigment spots is a fast, affordable way to completely get rid of unwanted pigmentation forever. It is much better than chemical peels or whitening creams.

Chemical peeling with acids affects a large surface of the skin; local application directly to the pigment spot is difficult. The method is more suitable for aging or problematic skin.

Whitening cosmetics are a preventative measure, but creams alone cannot remove pigmentation or freckles. Even long-term use does not give an effective result.

However, not everything is so simple; the procedure still has disadvantages:

high price;
in some cases, the need for repeated correction;
long rehabilitation period, at least 14 days.

In addition, laser pigmentation removal is ineffective for dark skin or too frequent freckles. It will not be possible to reduce them with a laser. This is due to the fact that the beam penetrates only the upper layer of the epidermis and does not affect its deeper layers. In this case, inept handling of the laser or lack of experience on the part of a specialist can cause thermal burns and scar formation.

It should be remembered that laser removal of age spots is an aesthetic aspect of the issue. It gives a positive effect, but to avoid relapses, it is necessary to eliminate the factors that lead to excessive melanin production. These may be disturbances in the functioning of the liver, digestive organs or thyroid gland.

Advice! Before the pigmentation removal procedure, you must consult a doctor to get answers to all your questions.

Why does skin become pigmented?

There are many reasons for this. For example:

heredity;
hormonal background;
taking various medications;
UV rays;
chronic diseases;
lack of vitamins;
infections.

There are several causes of skin pigmentation

However, the main reason on that list is a combination of three factors:

increased skin sensitivity to UV rays;
local damage to the epidermis;
exposure to UV rays.

Often caused by exposure to UV rays

The first is provoked by the use of certain medications and cosmetics. The second happens as a result of burns, various procedures in a beauty salon, inflammation, even just cuts. For the third, it is enough to go to the solarium or expose your face to the sun.

Note! Alas, many women brush aside the advice of cosmetologists who warn them against sunbathing after cosmetic procedures. This is very stupid on their part: the doctor gives recommendations not at all in order to annoy the patient with restrictions, but so that he can avoid unpleasant complications and/or increase the effect of the procedure, and not reduce the result to zero. And if the patient also uses drugs that can increase the skin’s photosensitivity, everything can be even worse.

Sunbathing is not recommended after cosmetic procedures.

Here are the main groups of such funds:

antibiotics - sulfonamides, tetracycline, doxycycline;
antifungals - voriconazole, itraconazole;
non-steroidal drugs for inflammation - celecoxib, naproxen, nurofen;
diuretics - furosemide;
retinoids - vitamin A and products containing it;
psychotropic medications;
some medications that lower glucose levels.

The same is true for using cosmetics containing salicylates and parabens.

There are serious risk factors:

ovarian dysfunction and other hormonal problems, such as adrenal insufficiency;
hormone replacement treatment for menopause;
metabolic disorders and/or lack of certain vitamins, for example C or PP;
infections such as syphilis, malaria, tuberculosis;
pathologies of the gastrointestinal tract and other digestive organs, in which vitamins and microelements are less absorbed;
liver pathologies;
systemic connective tissue diseases;
some dermatoses.

Gastrointestinal pathologies are one of the risk factors for pigmentation

Also, a factor such as unsuitable genetics plays a very important role here. It often affects appearance. Here are the traits that indicate a tendency toward hyperpigmentation:

blond/red hair color;
Thin hair;
Blue eyes.

Note! The last two features indicate the 1st or 2nd skin phototype, which also clearly does not reduce pigmentation.

Patients' opinions

Alexander, Sergiev Posad

“I’m no longer young, and now I’ve made an appointment with a cosmetologist for the first time. In my opinion, using the services of such a doctor is not a man’s business. But a year ago, a lot of pigment spots began to appear on my skin. They bother you on the neck, back, even torso. Because of them, you won’t be able to show up on the beach or wear anything revealing. My daughter accidentally found out about this. She advised me to use the services of the clinic that she visits herself. And it is also located not far from my house.

Three treatments and only a few of the spots remained. But while they are still there, I will continue to go to laser therapy. I am being treated by real professionals. They answered all the questions and also explained how and how to care for the skin so that the spots do not appear again.”

Margarita, Moscow

“I'm absolutely delighted! I've been tormented by age spots for years, and now I'm finally rid of them! A few procedures were enough to completely even out the skin tone. And we even managed to save a lot on whitening creams.”

Patients usually evaluate this method of getting rid of the problem positively.

Anna, Makhachkala

“Fifteen days ago I completed a course of laser therapy against hyperpigmentation. There were no complications at all. The specialists were attentive and used modern equipment. Before and after photos are true, although they are also in advertising. I highly recommend it to anyone who is bothered by different stains!”

Removing age spots with PicoSure laser: personal experience

Julia went to remove age spots on her face using the new PicoSure laser. What successes have you achieved? Lots of before and after selfies. Probably everyone who has been reading this blog for any length of time knows that I have a pigment spot on my face and I am constantly trying to make it paler. Pigmentation on my cheekbone appeared when I was 15 years old (it seemed to be due to a hormonal imbalance at that time), but it was small and faint. But it gradually increased, and when I began to treat acne with drugs containing acids, the spot grew noticeably. When I was 27-28 years old, I first thought about how I needed to disguise it somehow - and I started covering it up with different concealers. Basically, to no avail - such pigment shines through both the tone and ordinary concealers, even the densest ones.

Later, makeup artists taught me that for an age spot you need a pink or salmon-colored concealer - it covers up the brown. This has improved my relationship with concealers—but not my dark spot. I tried to harass him with different lasers - elos, clear&brilliance, injected him with a special drug, smeared him with anti-pigmentation serums. Every day I manically applied a cream with an SPF of at least 30 (usually 50). But the situation worsened with the first rays of sunshine in March. Since living at the North Pole in some kind of eternal darkness and never going to the sea to the equator was not part of my plans, I gradually almost resigned myself to it. Well, there’s this particular feature of my face that you can’t do anything about. And yes, it changes - it becomes brighter in the summer, paler in the winter, it grows. As a result, I even stopped hiding the spot with makeup - you don’t disguise the presence of eyes or a nose, and that’s pretty much how I started to feel about the presence of brown spots on my cheek.

But the beauty industry never stands still! -) And my chances of leaving everything as it was were low. The new Evolution clinic, which opened in the spring on 1st Tverskaya-Yamskaya, has a new, world’s first picosecond laser, PicoSure. We did a lot of material about how it works - an interview with laser cosmetology expert Jeremy Brauer. Briefly: it appeared in 2013, was invented to remove tattoos (including colored ones) - and today it does this more effectively than all other lasers. At the same time, it turned out that it rejuvenates, removes pigmentation, and post-acne scars. Received FDA approval as the first of its kind. There is no thermal effect or ablation, and there is virtually no rehabilitation period. The laser works on the photomechanical principle: its energy is absorbed so quickly that the cells do not have time to heat up, expand and are crushed into small particles (much smaller than with other lasers; therefore, the efficiency is higher and fewer procedures are required).

And for about four months the PR people tried to persuade me to try it. I didn’t understand what kind of laser this is - a picosecond laser, and what it does, why I need it, whether it’s worth tormenting my face (and recovery after a laser is always torment) and whether it’s necessary to make any physical movements at all when my pigment spot is in Overall everything is purple. It's good that the PR people didn't give up! -) Or it was just a coincidence - after the summer vacation, my pigmentation was especially bright.

Pigment spots before the first procedure

As a result, on September 15, I came to the Evolution clinic to try the picosecond laser on myself. The main thing that won me over was the minimal rehabilitation. In about five hours on average, your redness will go away, and the next day you will feel like a cucumber, as if you had done nothing. No sandy-dry, flaky skin - the laser does not touch the epidermis and does not burn moisture out of it, as, for example, does alexandrite or fraxel.

Evolution Clinic

Since I apparently managed to “eat” the clinic’s PR man’s brain with my age spot, not only my doctor, Tatyana Anatolyevna Taranets, came to see me, but also the head physician of Evolution, Olesya Windsor.

Chief physician of the clinics, candidate of medical sciences, associate professor Olesya Windsor

She became so interested in the pigment spot that other lasers did not treat that she decided to carry out the process herself. They stood over me, studied the stain, discussed it - to be honest, I have not seen such attentive attitude (and comprehensive interrogation about my condition) for a long time. The doctors exchanged opinions about whether it was melasma or a mole (it turns out that there are such flat nevi - and, of course, you can’t touch them). Then we came to a consensus - and I went to the laser.

Before this, by the way, I heard an incredible promise (not from doctors, but from a representative of the PicoSure laser distributor): that the laser would remove my pigmentation 100%. At that moment I even asked again - because no one had ever promised me such a result! -)

First procedure: before, during and after

The first procedure was done on my entire face - the laser has a rejuvenating effect, so I myself was interested in seeing what would happen.

The first difference from other lasers is that there is no Emloy anesthesia. Unpleasant, but not fatal: about the same as laser hair removal in the shin area (where it usually hurts the least). In the area of pigmentation, the laser seemed to burn through the skin, it reacted more strongly - but also quite tolerably. The whole procedure is quick.

Video published by Yulia (@beautyinsider) Sep 19, 2021 at 1:47 PDT

Immediately after, the face is red, as usual.

The laser has possible complications, like any complex device - including an acne-like outbreak. So it caught up with me on the second day after the procedure - for some reason the redness subsided only in some places, while other places were inflamed and itchy. I didn’t immediately sound the alarm - I simply disguised everything I could with BB cream and went to the next presentation. But the head doctor of the clinic was vigilant - she called me, found out how the situation was, and asked me to come to the clinic today. As a result, I was forbidden to use foundation, and the mildest cleansing, “Baziron AS”, “Metrogil” and “Rozamet” was prescribed for home care for five days. This didn’t cause me any kind of panic - well, haven’t I seen acne on myself? -) (At the same time, Olesya Windsor sent me to an excellent gynecologist-endocrinologist to double-check this area).

Pigment spot in the evening after the first procedure

The most important thing was the effect: the pigment spot first turned very red (it looked as if I had gone to the box that our Olya T. adored and they gave me a good hit on my cheekbone), and then darkened. It was a victory!

A week after the first Picosure - some of the pigment has faded, but there is an acne-like flare-up

If the pigment darkens, it means that it will soon peel off and come off. What made me happy was that it was the brightest, upper third of the spot, which irritated me the most, that darkened. I almost jumped for joy because I had never seen such a result from just one procedure.

Two weeks after the first Picosure treatment. Significant result!

Second procedure: before and after

I went for my second Picosure laser four weeks later. This time, in order not to provoke an acne-like outbreak, the laser was applied to spots on the left cheek and to small spots on the right.

Pigmented spot before the second Picosure procedure

But the nozzle and power were the same as the first time. It should be noted that I still developed a slight inflammation later - well, this is how my sensitive and problematic skin reacts to the laser.

Immediately after the second procedure

However, there was no significant effect - the darkening was already slight, in the lower part of the spot, and I did not see a noticeable difference before and after.

Two days after the second procedure. There is no strong darkening of the pigment

Before the first procedure, my pigment was very bright after the summer, and, most importantly, fresh, and the laser removed all this - and now it had to “break up” the old deposits.

Two weeks later: the darkened part of the stain at the bottom has disappeared well

I told Olesya Windsor and Tatyana Taranets about this, they assessed the spot visually, decided that there was an effect after all (in the photo above you can see that the pigment spot had become lighter), but they thought about it. And they consulted with Jeremy Brouwer, head of the clinical research department of the Laser & Skin Surgery Center of New York (the clinic is considered to be one of the three best in the world for laser techniques). Jeremy, as they say, ate the dog with this laser. I just sat and thought - what an interesting world this is, where my phone selfie with pigmentation is being studied by some megapros in New York!

Third procedure: before and result

Before the third Picosure procedure

Jeremy advised me to use a different laser attachment for the third procedure - so when I came to Evolution, both my doctor and the head physician gathered around again - they had not yet tested the attachment on anyone before me and they were interested -)).

Again, only pigment spots were treated - and this time the sensations were slightly different: the process was less painful, but after a few minutes the spots seemed to begin to burn from the inside.

The day after the third procedure with a new attachment

Now it really feels like someone beat you up -)

The pigment took on immediately and darkened very well. I don’t know how to describe my joy when I saw this the next day? This is the forgotten childhood feeling of miracle, when you get goosebumps of happiness inside. When tomorrow is the New Year and gifts await you in the morning... -)

Two days after the third procedure: the pigment has darkened again, victory -)

By the way, the pigment peeled off quite quickly (although it is not recommended to rush this process in any way, maximum gentleness is needed) - it was just that after each wash it became less and less.

The result is amazing! The spot brightened thoroughly, the darkest and brightest areas disappeared, and it became uniformly light. And I’d like to note separately: at the end of November I went to Africa, went there with cream with SPF50 - and this trip had no effect on the stain.

Age spot today, December 6, after three procedures

What I got in three procedures is, sorry in advance, amazing! Not a single laser, not a single peeling and not a single home care product gave me such a result.

And this with minimal discomfort in the process and with a really short rehabilitation. If I hadn’t written this myself, I would have thought that everything was a fairy tale, but no. This is progress -).

And again - selfie before, selfie after.

Pigment spots before the first procedure

Age spot today, December 6, after three procedures

We'll see if the spot brightens further - but honestly, I'm already happy with how it turned out. The stain is no longer so noticeable, it doesn’t show through so much through the foundation, it looks like it was thoroughly shaded in Photoshop -).

The Evolution Clinic is the clinical base of the Department of Dermatovenereology of the First Moscow State Medical University. THEM. Sechenov; conceptual center of SkinCeuticals, a world leader in the field of antioxidant cosmeceuticals; the first in Russia to start working on the PicoSure Сynosure picosecond laser in combination with plastic surgery and lipofilling.

Picosure procedure price:

for the whole face - 42,500 rubles. (when purchasing a course - 25% discount),
1 square centimeter - 2500 rubles. (for my spots - approximately 10,000 rubles.)

Address: 1 Tverskaya-Yamskaya, building 10. Tel.. Website: www.evolution-clinic.com.

Rehabilitation period after laser removal of hyperpigmentation

Laser resurfacing of age spots does not require special preparation from the patient. It is advisable to undergo the procedure in cold and cloudy seasons, refraining from visiting the solarium at least a month before it.

The course of procedures is calculated by the doctor based on the etiology of age spots, their age and color, location, size, as well as the general condition of the patient’s skin. “Standard” pigment spots can be removed in one session. For diffuse or intense hyperpigmentation, a cycle of 3-5 sessions is required, spaced 3-4 weeks apart.

In the first 3-5 days after laser resurfacing, you should take care of your skin and use cosmetics recommended by your doctor. It is allowed to use pharmaceutical creams and ointments that activate the regeneration process (for example, Bepanten or Bepanten+). It is advisable to wash your face with warm water and a soft cleansing gel or foam. Irritating influences in the form of scrubs, ice, etc. should be excluded.

It is strictly forbidden to tear off the crust with your hands.

From the first day after the procedure until the next session (if provided) or for 3-4 weeks, it is mandatory to use “sanblocks” - caring or decorative cosmetics with a high sun protection factor (minimum SPF - 70-80). This recommendation is relevant for everyone - even those who believe that they are not exposed to the sun because they are constantly in the office and get to it by car. During the autumn-winter seasons, the use of creams with SPF is also mandatory.

During recovery, avoid:

Natural and artificial insolation;
Mechanical and chemical peelings;
Facial massage;
Visiting a bathhouse or sauna;
Swimming in ponds (in the early stages of healing).

You should consult a cosmetologist about any changes to your usual skin care routine!

What happens after laser depigmentation?

If laser depigmentation is performed incorrectly and/or despite the patient having contraindications, this will necessarily entail great danger in the form of complications, sometimes very severe ones. The skin can be permanently and irreparably damaged by even too strong laser exposure, which an inexperienced doctor can choose. Occasionally, laser pigmentation causes the following complications:

scarring;
suppuration;
severe inflammation;
secondary infection;
necrosis;
damage to previously healthy skin;
unhealthy skin lightening;
erythema.

If the procedure is performed incorrectly, complications may occur.

Advantages of laser technique

folk recipes;
cryotherapy;
whitening;
acid exposure;
laser treatment.

Of particular interest is the laser method of treating age spots, which has gained more and more supporters in recent years. This method managed to become popular because of its advantages. And the main one is that it provides the best results.

After such a procedure, the skin is restored in a minimum time, and an increase in cell volume is noted. The cells responsible for the synthesis of melanin begin to function normally. Another positive effect of this procedure is the improvement of the structure and properties of the skin. There is a rejuvenating effect leading to the disappearance of fine wrinkles.

Features of laser removal of age spots on the face

Upon completion of all actions within the operation, temporary darkening is observed. This gives grounds to talk about the beginning of the method. After several days, you can notice the formation of a thin crust on the treated area; after a while, it peels off, and this area gradually acquires a lighter shade.

In some cases, when one procedure could not lead to the desired results, a repeat course is carried out. Their number in each case can be different and is determined primarily by the nature and intensity of pigment formations. Therefore, darker spots require more treatments. To achieve optimal results, it is necessary to maintain a mandatory pause between procedures, which is two weeks.

Photos before and after

Photos before and after using fractional laser to remove age spots No. 1

Photos before and after using fractional laser to remove age spots No. 2

Photos before and after using the alexandrite laser to remove age spots No. 1

Photos before and after using the alexandrite laser to remove age spots No. 2

Photos before and after using a neodymium laser to remove age spots No. 1

Photos before and after using neodymium laser to remove age spots No. 2

Photos before and after using ruby laser to remove age spots No. 1

Photos before and after using ruby laser to remove age spots No. 2

Which laser is best for getting rid of pigment spots?

Pigment spots are eliminated using the following lasers:

ruby;
fractional;
alexandrite;
neodymium.

Use different types of lasers

Fractional laser

This device acts selectively on the skin. It destroys only those cells that produce too much melanin. It does not affect healthy areas, and therefore damaged areas heal very quickly. This means that spot removal using a fractional laser does not involve burning the upper layers of the skin.

Fractional laser is used quite often

Alexandrite laser

This device is essentially an optical long-wave quantum generator. It removes excess pigmentation by heating the melanin, thereby destroying it all. In terms of speed of getting rid of pigment spots, this device is a record holder even among lasers. It only affects melanocytes and does not harm healthy skin.

Alexandrite laser does not harm the skin

Neodymium laser

This device can increase the temperature of both melanin and oxyhemoglobin. This allows you to get rid of both vascular formations and pigment spots. The beam does not scatter, affecting only those places where it is needed. Healthy cells are not damaged.

Neodymium laser is often used

Ruby laser

The ruby laser is almost never used for age spots: such a device can depigment even healthy skin. To him, healthy and abnormally high amounts of melanin in a cell look the same. As a result, it is destroyed regardless of its quantity. And this prevents the practice of using a ruby laser against hyperpigmentation. As an exception, it happens that Q-switched (one form of a similar device) is used on very fair skin.

Ruby laser is used quite rarely

Advantages of laser depigmentation

Laser pigmentation removal has the following advantages:

the ability to select the power and length of the pulse for each type of pigmentation in order to make the result of the procedure the highest;
absence of consequences in the form of injuries and side effects such as scars and burns. The epidermis is not damaged, since radiation destroys only the melanocytes themselves, without affecting the surrounding tissues;
a positive side effect in the form of skin rejuvenation, since the laser beam causes fibroblasts to work, on whose activity the production of elastin and collagen depends;
the ability to treat any area, regardless of its sensitivity. You can remove spots under the eyes, under the armpits, on the inside of the thigh, near the anus, on the genitals;
lack of recovery period. It is possible that slight hyperemia and minor swelling are possible, but neither one nor the other interferes with the usual way of life.

Laser removal of age spots has many advantages

Advantages and disadvantages of the procedure

The popularity of laser processing is due to its high efficiency and versatility:

The technique is suitable for removing age spots of any size, color intensity, nature of formation and depth of occurrence;
The minimum number of contraindications allows almost every patient to remove pigment;
The bloodlessness of the procedure distinguishes laser from other cleaning options;
A rejuvenating effect is achieved, the skin becomes tightened, tone increases;
The effect lasts for life;
The laser acts on abnormal cells without affecting healthy ones or destroying them.

The method also has disadvantages:

Some pain during the procedure;
High price, which, coupled with multiple sessions, can scare off the patient;
Long recovery period (up to 14-20 days).

The advantages of the procedure are much greater, and the price component will not be huge if you count the costs of purchasing scrubs, creams, whitening and bleaching agents. The aesthetic side also becomes a plus: eliminating stains significantly increases the patient’s self-esteem and gives a feeling of liberation from dissatisfaction with one’s own appearance.

Types of procedures

Chemical peeling loses in comparison with laser resurfacing, since it is difficult to control the area of impact using an exfoliant. Acidic formulations are used to address a range of cosmetic concerns, including hyperpigmentation. The specialist decides which correction method to choose, taking into account the individual characteristics of the patient.

Mechanical polishing improves color and structure, but does not lead to the destruction of melanin cells. Prescription for removing spots leads to the emergence of a new problem - scars and cicatrices.

Laser resurfacing is the only method to get rid of deep spots. It is possible to choose the time and intensity of exposure; as a result of gradual exfoliation, pigmentation disappears and new cells form in its place. Efficiency regardless of size, complexity, or causes of appearance makes laser resurfacing the best way to restore an even tone.

Types of pigment spots

Skin tone depends on melanocytes - special cells. When their work is disrupted, the epidermis becomes covered with pigment spots of several forms. Here are their varieties:

lentigo - these round spots have a clear outline and reach up to 50 mm. Depending on the age at which they appear, they distinguish between juvenile and senile lentigo;
chloasma is an area where there is more melanin than in other places. The shade and borders are uneven. The size may be quite large;
nevus, colloquially a mole, is a flat or protruding pigmented formation that has different shapes, sizes and shades;
ephelides, simply freckles - many small round yellow-brown spots;
Brocca's meloderma - brown spots on the lips, sometimes on the nose. Usually appear as a consequence of stress.

Meloderma Brocca

Types of pigmentation

Freckles, scientifically known as ephelides, occur in fair-skinned youth with a hereditary tendency. In summer, when exposed to UV rays, the number of freckles increases, and they themselves become more noticeable.

Freckles most often occur in fair-skinned people

There are three types of lentigo. One is a small, localized patch of pigment that occurs in mature people due to exposure to UV rays - solar lentigo. The second, senile, appears in older people. And the third, juvenile, is similar to freckles, but these two types of age spots should be distinguished.

Secondary hyperpigmentation is a consequence of such problems:

burns;
pyoderma;
neurodermatitis;
eczema.

Secondary hyperpigmentation may occur due to eczema

Another possible cause of the problem is secondary syphilis rashes. Some types of pigmentation that are less common:

Broca's pigmentary dermatosis;
melasma;
Dubreuil's melanosis.

Note! The latter form is especially dangerous for melanoma.

Dubreuil's melanosis

When should this procedure not be used?

Laser skin depigmentation is a procedure close to a surgical method, which means it also has contraindications. It should be postponed in the following cases:

acute infectious diseases;
carrying a baby;
lactation;
exacerbation of chronic pathologies;
taking antibiotics;
inflammation and/or damage to the epidermis in the area to be treated;
fresh tan;
recently carried out peeling, after which the skin has not yet returned to normal.

This procedure has contraindications

But here are the problems for which laser depigmentation should not be resorted to under any circumstances:

oncological diseases;
diabetes;
weak immunity;
connective tissue diseases;
keloid scars on the treated area;
rheumatoid arthritis;
bronchial asthma;
hypertension 3 degrees;
epilepsy;
serious psychosis.

In the presence of malignant tumors, the procedure is strictly contraindicated

The effectiveness of laser use against skin pigmentation

To lighten and eliminate pigmentation, a beauty salon can offer you a lot of procedures: chemical and mechanical peelings, diamond dermabrasion, cryopilling, and the use of meso-cocktails. But laser therapy is considered the most effective and safe. During the procedure, the beam affects only the pigmented area without affecting healthy tissue.

There are several types of devices that differ in wavelength. The brightest and deepest moles, age spots, small areas of vetiligo are removed using the fractional method (wavelength - 2940 nm). You can deal with tattooing or permanent makeup using an alexandrite laser (wavelength – 700-820 nm).

Laser removal of pigmentation on the skin of the face and body has many advantages:

painlessness;
no risk of infection;
session duration 20-30 minutes;
no side effect;
the ability to adjust the depth of beam penetration;
complete removal of pigmentation.

When getting rid of pigmentation, you can achieve the following effect:

Alignment of color, tone and relief of the skin.
Narrowing of pores, smoothing out wrinkles.
Increasing skin density and elasticity.

To completely get rid of pigment, you need to undergo 5-6 sessions. The dermis must recover and renew itself, so the procedure is carried out once every 4 weeks.

How to whiten age spots at home

To whiten age spots at home, you should choose cosmetics (masks, lotions) that contain glabridin, arbutin, hydroquinone, ascorbic and kojic acids.

These substances stop the formation of tyrosine, the oxidation of which produces melanin, as well as tyrosinase, which accelerates this process. Lotions, masks and creams containing fruit acids (1–3%) also have a slight peeling effect.

There are many folk remedies that can whiten age spots. As a rule, they include licorice, bearberry, cucumber, lemon, parsley, cranberry and viburnum. Drugs from the pharmacy are also used, for example, ascorbic acid and hydrogen peroxide. Next, we will present several recipes that allow you to cope with the task of whitening age spots at home.

1. Rub a citrus fruit onto your skin.

Citrus fruits contain a lot of vitamin C, which can help remove the top layer of skin. The most popular recipes for whitening age spots are:

Rub the juice squeezed from lemon, lime, grapefruit or orange into the skin. For many centuries, representatives of the fair sex have used this particular method to whiten age spots. This is done very simply: squeeze the juice out of half a fruit and apply it to problem areas using a cotton pad. After 20 minutes, you need to wash your face with water. This procedure can be carried out twice a day.
Another equally effective way to whiten age spots involves using lemon (juice of one fruit) and honey (two spoons). Both ingredients are mixed and then applied to the age spots. After 30 minutes, everything is washed off with plenty of water.
You can also use a homemade scrub to whiten age spots. To do this, fruit juice should be mixed with 1 tsp. baking soda and powdered milk to a paste consistency. Apply the composition to the skin and rinse with water after a while.
Vitamin E, an antioxidant, strengthens and repairs skin cells. In this case, both external and internal use is allowed.

If you use vitamin E topically to whiten age spots, it should be applied daily to problem areas.

It can be taken internally with foods, in particular it is found in nuts (pistachios, almonds, pine), as well as in wheat germ oil, sunflower seeds and dried apricots.

2. Papaya.

Papaya contains vitamins E and C, as well as papain, which not only has a whitening effect, but also strengthens cells. For maximum effectiveness, it is better to choose green fruits, since they contain a higher concentration of the substance, although ripe ones are also suitable.

The following recipes require peeled, seedless papaya:

In order to whiten age spots, you need to apply a piece of fruit to the problem area twice a day for 20–30 minutes.
Blend the chopped papaya in a blender until smooth. The resulting paste is applied to the neck and face for half an hour. After the specified time, everything is washed off with plenty of water.

3. Aloe vera.

This plant has many beneficial properties, so it is used both to moisturize the skin and to treat burns. Aloe vera will also help whiten freckles and age spots. To do this, you need to extract the pulp from one leaf and apply it to the problem area. You can also use purchased products containing this plant, but pure juice is much more effective.

4. Red onion.

You can easily replace lemon with red onion, since it also contains acids that can whiten age spots. To do this, the vegetable is peeled and crushed in a blender. You can put the onion through a juicer. The resulting paste should be applied to the age spot and washed off with water after 15 minutes.

5. Lightening face masks for age spots.

A good remedy for skin whitening is a mixture of viburnum juice and honey. Combining the two ingredients in equal parts, apply the mask to areas with pigmentation and after half an hour, rinse with warm water. At the end of the procedure, the skin must be wiped with lemon juice, previously diluted with water.

As for how to whiten age spots with hydrogen peroxide (3%), it should be mixed with lemon juice in equal parts and, using a flannel or paper towel, applied to the dermis, held for 15 minutes, and rinsed with water. This procedure should be done twice a week.

Another mask for whitening pigmented areas is prepared from kefir (unsweetened yogurt) and parsley juice, which can be obtained by squeezing chopped greens in a blender. The two products need to be mixed in equal parts and applied to the face using a napkin for 20 minutes. In this case, it is not necessary to wash your face; it is enough to wipe the skin with lemon juice or apple cider vinegar diluted with water in a 1:1 ratio. The mask should be used before going to bed after washing.

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6. Cosmetic ice.

Twice a day (in the morning and evening after cleansing the face), pigment spots are wiped with ice cubes made from viburnum juice. Finally, a cream with a moisturizing effect is applied.

7. Scrub.

For the scrub you will need cranberry (lemon) juice, finely ground coffee and chopped oatmeal. Mix all three ingredients 1 tbsp. l. and apply to face. After 10 minutes, you need to rub the composition in a circular motion and rinse with water. After this, you should use a cream that matches your skin type. It is recommended to carry out such cleansing once a week.

8. Infusion.

Pour 1 tbsp. l. bearberry with one glass of boiling water and cook in a water bath for 15 minutes in an enamel bowl. After cooling the infusion, strain it and take ⅓–½ cup three to five times a day. However, you need to keep in mind that this product can be stored for no longer than two days and only in the refrigerator.

Reasons for appearance

active pigment production

As a rule, age spots have a flat shape and are characterized by the presence of uneven borders. They may vary in size and color in different areas. In some places they appear as small colored freckles, and in others as large dark spots. Experts identify a large number of factors that can provoke their formation. Moreover, these may be, along with external, internal reasons.

congenital skin changes or heredity. There are many people among us who have had spots on their skin since birth. Moreover, they cannot be removed by any folk or cosmetic means; exposure to ultraviolet rays. The skin of the face differs from other areas in being more delicate and is the first to experience the negative effects of external factors. When it comes into contact with ultraviolet rays, it provokes the process of melanin synthesis. For this reason, facial skin especially needs additional protection. As such, you can use sunscreens, wide-brimmed hats and sunglasses; diseases and hormonal changes. This risk group includes pregnant women and women with age-related hormonal changes, as well as adolescents; If teenagers or pregnant women experience a similar phenomenon, then they may experience darkening for a short time, but subsequently they disappear on their own. If the cause is age-related changes or hormonal diseases, then such people need to visit a doctor who will prescribe the necessary medication; skin injuries, including burns, wounds, acne

If a person, through negligence or due to certain circumstances, has damaged a certain area of the skin, then after tightening the skin, they may acquire a darker color; diseases of the digestive system and internal organs. If the cause of the formation of spots is certain diseases, then the main measures should be aimed at treating the diseased organ.

Although such freckles do not pose a threat to health, they cannot be ignored, since this may be a signal of the presence of pathology in the body’s functioning. Therefore, if you notice such spots on your skin, you should see a doctor to understand what factors caused their appearance. After a successful diagnosis, the doctor will prescribe appropriate treatment, which can be supplemented by the use of cosmetics, which together will help get rid of spots on the face.

Prerequisites for the appearance of pigmentation:

genetics: if you have people with freckles in your family (especially if they are close relatives), the likelihood of spots appearing on your skin is high;
burns: a stain may remain at the burn site, darker in color than the surrounding skin;
skin trauma (for example, self-squeezing acne);
improperly performed cosmetic procedures or violation of doctor’s instructions after them;
taking medications that increase skin sensitivity to ultraviolet radiation;
hormonal disorders;
chronic diseases.

Often pigment spots appear in women during pregnancy or breastfeeding.

Even if you've never had this problem, pigmentation changes inevitably occur as you age. In old age, almost all people experience spots of greater or lesser severity.

Approximate prices

The cost of the procedure mainly depends on the region and the equipment used. At the same time, you should not trust unrealistic discounts and other tempting offers, because not every salon can purchase a good laser machine, so the procedure is also relatively expensive. Approximate prices for laser pigmentation removal are given below.

How much does it cost to remove pigmentation with laser:

Forehead area - 970 rubles.
On the cheekbones - 970 rubles.
On the nose - 800 rubles.
Cheek area - 970 rubles.
On the chin - 950 rubles.
Treatment of the entire face - 2260 rubles.
Neck area - 1000 rubles.
Neckline area - 1400 rubles.
Hands - 1650 rubles.
Full hand treatment - 2250 rubles.
Pigmentation removal (1 impulse) - from 300 rubles.

Cost of the procedure

The cost of the pigment spot removal procedure depends on which laser was used, as well as on the qualifications of the specialist and the clinic’s pricing policy. You should not accept the cheapest offer because the procedure may not be right for you. A preliminary examination and examination by a specialist must be carried out, thanks to which the optimal type of procedure in a particular case will be determined.

We will indicate the approximate cost of pigment spot removal procedures using different types of laser.

Laser type	Cost of the procedure (1 area)
Fractional laser	9800 rub.
Alexandrite laser	7400 rub.
Neodymium laser	5800 rub.
Ruby laser	4200 rub.

The cost of the procedure may vary depending on what type of laser is used

Which laser is best to remove pigment spots?

New generation lasers are used in salons to remove unwanted pigmentation. Which one is better is a controversial issue, it all depends on the size of the spot and how deep it is localized.

One of the popular methods for removing pigmentation and freckles is with a neodymium laser. Such a device allows you to penetrate 6-8 mm deep into the epidermis, without risk to healthy areas.

For deeper spots and pigmentation, a CO2 laser is suitable, which leaves tiny wounds at the treatment site. In order for the healing process to proceed faster, the crusts to disappear and new healthy epithelial cells to form, you need to properly care for the skin. It is not possible to remove freckles and age spots in one session. To achieve results, 2 to 6 procedures are required. The exact amount will be determined by the cosmetologist.

A more gentle procedure is carried out using an erbium laser. It does not penetrate such deep layers of the dermis, acts superficially, and does not give side effects. This type of laser is suitable for removing freckles and age spots that are located in the upper layer of the epidermis.

The most popular removal of pigmentation in the salon is using a fractional laser. The installation allows you to independently adjust the depth of wave penetration. The doctor can act not only on the superficial layers of the dermis, but also, if necessary, on deeper ones. In addition, Fraxel is suitable for any skin type: dark, dark or light. It can be used on the face, hands, neck and décolleté.

Cost of the procedure

To undergo the pigment spot removal procedure, you need to pay well. The pleasure is not cheap, considering that you will have to undergo several procedures to achieve results. In aesthetic medicine clinics or salons, the cost of one session ranges from 800 to 5,000 rubles. Approximate prices for laser resurfacing:

facial area – from 2500 to 5000 rubles;
individual spots on the cheeks or cheekbones – up to 2000 rubles;
impact on the wings of the nose – from 1200 rubles;
forehead treatment – from 1500 rub.

The cost of one impulse is from 350 rubles. The price depends on the depth of the pigment spot, the area of treatment and the device used. The correction is paid again.

Experienced dermatologists strongly recommend that their patients avoid those salons that offer big discounts on laser removal of nevi and age spots. This procedure has always been expensive due to expensive equipment. Poor equipment is the first cause of unwanted side effects. So don't trust advertising. In 90% of cases, an inexpensive procedure results in a long treatment.

What can I do to prevent pigmentation from returning?

Excessive pigmentation must be prevented. To do this, it is important to carefully follow certain rules:

protect your skin from UV rays - wear a hat and sunglasses, use cosmetics containing SPF, do not go to the solarium, and do not be in direct sunlight;
add some products to the diet - oat and rosehip infusions, honey, fresh juices, melt water;
Before using any cosmetics or attending procedures, carefully study contraindications and side effects.

To avoid pigmentation, you should follow certain rules

So, here are the stages in the fight against excess pigmentation:

identifying the causes of the problem and getting rid of them;
selection of methods. It must be taken into account that the effect of the procedure is proportional to the financial costs. That is, cheap ones, as a rule, do not turn out to be very effective in terms of price, unlike more expensive ones;
prevention of recurrent hyperpigmentation.

First of all, it is important to determine the cause of pigmentation if it is associated with pathologies in the body

Note! If you do not neglect any item on this list, age spots will not return.

The principle of operation of laser resurfacing of age spots

Difference between IPL and laser resurfacing

Cost of laser resurfacing and IPL therapy

What are age spots?

Devices used

Indications and contraindications for laser correction of age spots

How to prevent age spots from appearing on the face and body

Recommendations from cosmetologists

Pros and cons of laser pigmentation removal

Why does skin become pigmented?

Popular questions

Patients' opinions

Removing age spots with PicoSure laser: personal experience

First procedure: before, during and after

Second procedure: before and after

Third procedure: before and result

Rehabilitation period after laser removal of hyperpigmentation

What happens after laser depigmentation?

Advantages of laser technique

Features of laser removal of age spots on the face

Photos before and after

Which laser is best for getting rid of pigment spots?

Fractional laser

Alexandrite laser

Neodymium laser

Ruby laser

Advantages of laser depigmentation

Advantages and disadvantages of the procedure

Types of procedures

Types of pigment spots

Types of pigmentation

When should this procedure not be used?

The effectiveness of laser use against skin pigmentation

How to whiten age spots at home

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Reasons for appearance

Prerequisites for the appearance of pigmentation:

Approximate prices

Cost of the procedure

Which laser is best to remove pigment spots?

Cost of the procedure

What can I do to prevent pigmentation from returning?