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Skin spots
Treatment of sun spots, melasma and hyperpigmentation with laser and peeling.
Skin spots are one of the most common reasons for dermatological and aesthetic consultations. They can have different origins — solar, hormonal, post-inflammatory, genetic — and require a diversified approach based on their nature, pigment depth, skin type and triggering factors. Treating spots without an accurate diagnosis can lead to insufficient results or even worsen the situation.
At Skinfarm Medical Center, the evaluation of skin spots involves a thorough clinical examination and, if necessary, the use of diagnostic tools to analyze the depth and nature of the pigment. Only after this assessment is the most appropriate treatment defined, which may include depigmenting laser, chemical peels, specific topical treatments or combinations of multiple approaches.
Laser is today one of the most effective tools for treating skin spots, particularly Pico and Q-Switched technologies for more resistant hyperpigmentations. However, results require patience and constant sun protection: the sun is the main enemy of any depigmenting treatment.
Melasma is a particular type of spot — often of hormonal origin — that requires a dedicated, longer programme with greater precautions. It tends to recur if sun exposure is not rigorously managed. In these cases the combination of prescribed topical therapy, selective peels and low-fluence laser can give the best results.
Sun exposure is the main risk factor
Any treatment for skin spots must be accompanied by rigorous and continuous sun protection — all year round, not just in summer. Without this precaution, even the most effective treatment risks being undone within weeks. Photoprotection is not optional: it is an integral part of the programme.
How it shows
- Brown or yellowish spots on the face, hands or décolleté (solar lentigines)
- Symmetrical hyperpigmented areas on forehead, cheeks or upper lip (melasma)
- Dark residual marks after spots or irritation (post-inflammatory hyperpigmentation)
- Uneven skin tone with darker and lighter patches
- Spots that worsen with sun or pregnancy
How we proceed
- 1Dermatological visit: spot type diagnosis and underlying pigment
- 2Protocol definition: laser, peels, topicals or combination
- 3First session: treatment with skin response monitoring
- 4Follow-up at 4 weeks: result assessment and next session planning
- 5Maintenance phase: photoprotection and prescribed topical treatments
Available treatments
- Pico depigmenting laser
- Chemical peels
- Topical treatments
- Q-Switched laser
- Photorejuvenation
- Photoprotection counseling
Book a visit
Our specialists will evaluate your case and define the most suitable treatment plan.
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Frequently asked questions
Can sun spots be permanently removed?+
Solar lentigines respond very well to laser and can be effectively removed. However, without continuous sun protection, new spots may form over time. Treatment removes existing spots but does not prevent future ones if the skin is again exposed to the sun without protection.
What is melasma and how is it treated?+
Melasma is a chronic hyperpigmentation often of hormonal origin (contraceptive pill, pregnancy, menopause). It presents as symmetrical spots on the forehead, cheeks and upper lip. It requires a personalised programme combining depigmenting topicals, peels and, in some cases, selective lasers. Photoprotection is essential.
Does chemical peeling hurt?+
During chemical peeling there is generally a feeling of warmth and mild tingling, well tolerated. In the following days the skin may peel (similar to peeling after a tan). It is not a painful treatment, but requires a few days of post-treatment care.
How many laser sessions are needed for spots?+
It depends on the type and depth of the spot. Superficial solar lentigines usually require 1–2 sessions. Melasma or deeper hyperpigmentations may require 3–6 sessions with more gradual protocols.
Have a question? Let's talk.
Book a first visit: the physician will evaluate your situation and guide you to the most suitable treatment.
Book a spots consultation