How to Get Rid of Dark Spots: From Supercharged Lasers to Topical Retin-A

Aesthetics Hub | 7 Jan 2016

Now that your beachside bathing suits have been tucked away in favor of cozy fireside knits, your skin can finally take a much-needed break from the sun. After months of UV exposure, discolorations in the form of freckles, dark spots, or scars may suddenly be visible. Once spotted, NYC-based skin care expert Dangene says, the earlier you seek treatment, the better. In general, even tiny spots “will keep growing bigger,” she explains—meaning the sooner you tackle the problem, the less intervention will be required.

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But first, start by seeking a professional opinion. “Brown spots are complicated,” says Miami-based dermatologist Dr. Jill Waibel, M.D., who explains that the key to treating discoloration successfully is to know what you’re dealing with. To avoid complications, she stresses the importance of consulting a doctor first. “You don’t want to use a laser on a melanoma,” she warns of properly diagnosing a potentially dangerous dark mark before taking action.

Once you’ve established that an offending freckle doesn’t present a health risk, it’s time to form a plan of attack. Here, Dangene and Waibel share their tried-and-true strategies for getting rid of dark spots, from the best at-home topical treatments to the most effective in-office lasers.

BRIGHTEN UP WITH A HIGH TECH SERUM

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Credit: My Hair Care
Over-the-counter and prescription skin-brightening lotions target thin, surface-level spots including melasma and sun-induced hyperpigmentation. “The most common ingredient is hydroquinone which bleaches but does not remove spots,” says Waibel, which means that, with enough UV exposure, they will likely reappear. That being said, she estimates that topical treatments can eradicate fifty percent of the offending marks. Both Waibel and Dangene recommend Retin-A, in particular, because in addition to exfoliating away minor discolorations, the derm-approved ingredient also helps to prevent future dark spots through a photoprotective antioxidant. Essentially, says Waibel, “The sooner you start using Retin-A, the better.” Apply it at night, since it may induce a heightened risk of sun sensitivity. Or, if you prefer, consider the season’s new serums, spiked with everything From encapsulated Vitamin C to gentle retexturizing acids (see our slideshow below).

GO FOR A POWER PEEL

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Credit: Leila Skin Care

For up to medium-depth spot removal, chemical peels including trichloroacetic acid (TCA) and glycolic acid peels superficially injure the skin to provoke a wound-healing response that expels dark pigment. For newish sun spots on very pale complexions, says Dangene, who offers the treatments at her Institute of Skinovation clinic in Manhattan, “we can eliminate the whole problem in a single TCA treatment,” but most clients can expect to schedule an initial series of three to four appointments, and, for maintenance, another one to two each year. Waibel tells clients to anticipate clearing up seventy percent of face discolorations and to make special pains to avoid the sun post-procedure, but she does not recommend peels for addressing marks on the body, due to thinner skin and fewer sweat and oil glands to help with healing. At home, milder daily peels can be executed with glycolic acid pads like Topix Glycolix Gly-Sal Pads. “It’s like exercising at the gym,” says Waibel of the need to be consistent with your regimen. “You can’t use them once a year and expect results.”

INVEST IN A LASER SERIES

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Credit: Live Strong

With “the right doctor and the right treatment,” Waibel says lasers can be extremely effective in treating even difficult discolorations. With their far-reaching wave-lengths, they penetrate the skin, heating up targeted brown spots, and destroying them by causing the darkened skin to flake and fall off following the treatment. Waibel recommends one to two sessions of intense pulsed light (IPL) or photodynamic therapy to treat the affected area, asking darker skin tones to seek out board-certified dermatologists or plastic surgeons for such procedures due to heightened risks of scarring if performed incorrectly. “Within five days, your skin will look brand-new,” she says.

STOCK UP ON SUNSCREEN

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Credit: Skin Cancer Foundation

If you’re careful about limiting your sun exposure, “you will never have a brown spot [to begin with],” says Dangene. Regular sunscreen application and reasonable skin coverage in strong sunlight will help to ward off future discolorations. Waibel also suggests a preventative daily routine that includes applying a broad-spectrum sunscreen in SPF 30 or higher in the morning over a skin tone–evening, antioxidant rich serum like SkinCeuticals C E Ferulic or a similarly corrective serum—things will certainly look brighter.

by MACKENZIE WAGONER
Source: Vogue
 
Our Panel of Doctor's Services
DR Celine Leong, Astique Clinic
Acne Treatment Programme, $349
PPx Pore-Cleansing ACNE Treatment™ (PPX) is an advanced technology that combines a gentle vacuum with therapeutic broadband light, to help rid skin of acne-causing impurities, leaving your skin cleaner and clearer. It is combined with laser treatments, chemical peels and blue LED light treatment to bring about more effective results and healthier, clearer, more youthful-looking skin.
Pigment Laser, $350
At ASTIQUE, we use the Medlite from HOYA ConBio®, the latest in Q-switched laser technology. The Medlite has been studied in many clinical trials and is approved by the FDA for the successful treatment of pigmentation disorders.
Pore Toning Laser, $350
The Cooltouch CT3 plus laser is the “gold standard” non-ablative laser for wrinkle and stretch mark reduction as well as acne and acne scar treatment, and is suitable for all who are seeking a non-invasive anti-aging treatment to improve their skin and appearance.
350 Orchard Road, #08-00 Shaw House, Singapore 238868
Dr. Dylan Chau, Celevenus Aesthetic & Wellness Clinic
Revlite, $350 for 1 session
Revlite laser is ideal for the treatment of skin pigmentation, wrinkles, fine lines, aging skin, enlarged pores (as pore minimizer), and sun damage, and is effective to rejuvenate and refresh skin in the treatment area, firming skin and minimizing pores while offering a smoother texture and more even tone overall.
Sciton BBL, $350 for 1 session
Sciton Broadband Light (BBL) is an innovative non-invasive skin treatment that uses light energy at various wavelengths to correct a broad range of skin conditions associated with aging, active life-styles, and sun damage.
Revlite & BBL, $500 for 1 session
Perfect combination for skin rejuvenation, the Revlite system is designed to remove signs of aging and sun damage such as brown age spot and freckles while BBL Photofacial treatment is an effective procedure for age spot removal, as well as balancing uneven pigmentation and reducing the appearance of freckles.
391B Orchard Road #16-03/04 Ngee Ann City Tower B, Singapore 238874
Dr Ivan Tan, Nu.Reflections Medical Aesthetics
Pigment Laser, from $250 onwards
This highly versatile treatment is used to treat a variety of pigmentary disorders such as freckles and sun spots, melasma and aged spots. This treatment can also help on enlarged pores and gives the skin an overall rejuvenated appearance.
Mosaic Resurfacing Laser, from $600 onwards
Mosaic Resurfacing Laser is one of the most effective treatments for skin resurfacing, to treat wrinkles and fine lines, photo damaged skin and acne scars.
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Dr. Elias Tam Tak Chuen, EHA Clinic
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1 Scotts Road, #15-01 Shaw Centre, Singapore 228208