Skin Hyperpigmentations and Melasma

Hyperpigmentations or spots are darker colored areas of the skin, that represent a type of sun damage from UV exposure.

Synonyms: Spots, Sun spots, lentigo, freckles, age spots, melasma, chloasma

Melasma also belongs to this group of hyperpigmentations, it’s a characteristic hyperpigmentation that can develop under the influence of female sex hormones during pregnancy or use of contraceptive pills, as well as all conditions with increase in sex hormone levels.

Sun Hyperpigmentation



Who is a candidate for this treatment?

Any person who has a darker colored areas of skin on their face, neck, décolletage or hands, and wishes to remove them for esthetic reasons or preventative ones.

Preventatively, spots are removed for their ability to evolve into other skin lesions, such as moles, seborrhoic keratoses and in some cases even skin cancer.

What does the treatment look like?

The doctor treats only the spots with a LASER, leaving the surrounding skin intact. Pigment gradually disappears during the treatment itself and in some cases there is no need for a repeat treatment. The treatment lasts for about 15 minutes.

How many treatments are needed for achieving the result?

When it comes to small spots on the face, 2 treatments are usually sufficient.

On melasma, especially ones that consume a greater area, 2 to 4 treatments are needed .

Care after the treatment

Skin needs to be kept clean and hydrating/re-epithelizing cream should be generously applied between treatments. Sun protection in the form of SPF 30 sunblock is necessary in the 4 weeks following the treatment.

It’s of greatest importance to mind sun exposure, because if You got hyperpigmentations once, they can return or even expand during the course of LASER treatments on the skin and sun tanning simultaneously. So, it’s of utmost importance to abide the suggestions concerning High SPF sunblocks, and general avoidance of sun exposure, until the 4 weeks from the last treatment expire!

What to expect after the treatment?

After the treatment, the areas of treated skin will be pink, dry and tight for a few days (like after sun tanning). Therefore it’s necessary to keep the skin moist, applying moisturizing products several times a day.

Also, SPF 30 sunblocks and avoiding the sun (for the next 4 weeks) should be practiced.

You can freely use make up to conceal the redness.

In most cases, all of these effects subside in 3 to 5 days, rarely lasting longer but in a milder form.


Effects are visible soon, in some patients even after 2 to 4 days. Full results will develop over the course of the next few weeks, so Your satisfaction will increase over time.

When hyperpigmentations are removed from the skin, You essentially give the skin it’s vitality back, it becomes healthy again because hyperpigmented skin is damaged and susceptible to new changes.

Who is not recommended to have this kind of treatment?

Persons who are prone to forming scars, on a certain course of therapy (i.e. tretinoin) and with certain skin diseases (dermatitis, psoriasis..) are not suitable for this kind of treatment.

Persons who are sun tanned or tanned in a sun bed should wait for the tan to come off before doing tis type of treatment.

You doctor will assess Your skin in order to determine if You are a suitable candidate for laser wrinkle reduction.

Frequently asked questions

Is the treatment painful?

Treatment is not painful, patients describe the feeling as a mild tingling sensation. In order for the patient to be as comfortable as possible, an anesthetic cream can always be applied.

Is there any downtime, off-work time?

Essentially none, because even if there is some redness or swelling, it’s spot on and spot off and it can easily be concealed by make up.

Are there risks involved?

As with any other procedure, there are certain minimal risks associated, which incide very rarely.

Hyperpigmentations or hypopigmentations can form, but if You abide the before mentioned precautions regarding sun exposure, they can be absolutely prevented.

On persons with an inclination towards forming hypertrophic scars, HT scars are possible to form, though very rarely.

Even these minimal risks can be prevented by a skin sensitivity to LASER test before beginning with the treatments.