Freckles

Laser is the current gold standard in clearing facial freckles

To see one of our doctors for a consultation, call 1300 863 824 or click on the book an appointment button above.

Quick facts

  • We have a multitude of lasers to choose from to tailor the treatment to your skin type
  • By using numbing cream and skin cooling during treatment, pain is minimised significantly
  • If sunscreen is used daily, freckle removal with laser can last for many years
  • Our doctors are laser specialists who can properly advise you in regards to the potential benefits and risks of treatment in your individual case.

What are freckles?

Freckles are multiple, flat, spots on the skin due to uneven distribution of melanin (skin pigment) in those areas. They are usually around the size of a matchstick head, and are reasonably uniform in colour. They are usually situated on sun exposed areas of the skin, including the face, neck, arms and shoulders and usually darken after sun exposure. Usually, freckles start to occur at a very young age.  Freckles most commonly occur in people with lighter or fairer skin types, and in those who have a genetic predisposition to developing freckles.


How do I treat freckles?

Laser treatment is the gold standard for the treatment of facial freckles. Lightening creams (such as Kligman's formula) can be used in the treatment of freckles, but usually only fade the freckles rather than removing them completely. Lasers are able to remove the freckles completely usually after one to two sessions. Strong chemical peels, such as a 35% TCA peel, can also be used to remove freckles and sun damage on fairer skins. Peels work particularly well on body freckles, and produce even results.

One of the lasers that is used for the treatment of freckles is the Q-switched ruby laser. The ruby laser has a wavelength, 694nm, that is highly attracted to melanin (pigment). Therefore, the laser energy tends to be attracted to freckles, which are high in melanin, in preference to normal skin, which has lower levels of melanin. The laser energy that is absorbed by the freckles tends to cause destruction of the melanin in the freckle, which leads to its removal. Furthermore, the q-switched ruby laser has extremely short pulses of laser energy, each pulse lasting only a few nanoseconds (billionths of a second). The production of high energy levels in this short period of time also has a photo-acoustic effect on the melanin in the freckles, literally shattering the pigment particles.

Another laser freckle removal treatment is the Medlite laser. The 532nm wavelength on the Medlite laser works in a similar manner to the Ruby laser to remove freckles.

Fraxel laser can also be used to treat freckles. This works in a different way to the Medlite and Ruby laser. It lays down very small islands of laser energy which heat up the skin and cause an 'exfoliation' of the top layers which include the freckles. The Fraxel laser's advantages include reduced downtime and pain during treatment, but slightly higher chance of requiring more treatments. Also, the Fraxel laser does make the skin look 'polished' after treatment.


The Gemini laser is also useful in the treatment of freckles/sunspots on asian, olive or darker skin types. This laser is fired through a glass window that is chilled, and this cooling helps to prevent damage to the skin. As asian, olive and darker skins tend to have more complications from lasers, this cooling does significantly help offset the risks associated with laser treatment in this subgroup.



Video of procedure and post-laser video diary

 

Case Study 1

This is a before and after picture of a person who has had a single ruby laser treatment for freckles. One week of recovery was required for this treatment. No make-up/foundation is worn in either photos.

Freckles Case Study - Before

Freckles Case Study - After

Case Study 2

This female presents to The Victorian Cosmetic Institute with freckles around her cheeks, forehead, and eyes. She has had several treatments with IPL at another clinic with some result (as seen in the before photo). The after photo shows her face after 2 treatments with the Medlite laser. The recovery for each treatment took approximately one week (for most of the scabs and swelling to subside). 






Case Study 3

This 37 year asian female presented with concerns about her sunspots/freckles. She had one treatment with the Gemini's 532nm wavelength. Recovery time was 7 days where the pigmentation became darker, scabbed and fell off. Note that the moles were not treated and cannot be treated by the Gemini laser. 

 

What is involved in having laser treatment for freckles?

Usually, treatment involves firstly anaesthetising the area to be treated with numbing cream for about an hour. This helps to reduce the discomfort from the treatment. Nitrous oxide (commonly known as laughing gas) can also be used to help reduce the discomfort during the procedure. The appropriate laser is selected, and then systematically applied to the area to be treated. A prickly sensation is felt, as well as some heat. Immediately after the treatment, the freckles appear darker than normal, and the surrounding skin appears red and swollen. Ice packs or an air cooler are usually applied to the skin during and after treatment help reduce the amount of discomfort, heat, swelling and redness.

After the treatment, the freckles get darker, and remain so until after about one to two weeks where they will scab and peel off. Facial treatments may necessitate about one week of recovery due to swelling, redness, and darkening of freckles.

Treatments are usually spaced at least one month apart, and normally one to two sessions are required, although more are required in some cases.

It is possible for freckles to return with sun exposure, so it is extremely important to wear sunscreen daily, both before and after treatment. 

Body freckles

Body freckles tend to require different treatment to facial freckles. Firstly, consideration has to be made to the areas treated. Generally, the areas treated are large, and there needs to be planning of the start and finish points, and the possibility of differences between treated areas and untreated areas.

Chemical peels such as the 35% TCA peel tend to have the best results for body freckles. They produce improvements in skin texture as well as reduction in freckling, and the results tend to be more even than performing laser treatments on the body.

 

Why choose The Victorian Cosmetic Institute as you provider of laser treatments for freckle removal?

Our doctors specialise in laser treatments and we have a number of lasers available to treat skin conditions and freckles. We are therefore able to provide you with optimal treatment for your skin, with less risks and complications.

To book a consultation with one of our doctors, call 1300 863 824 or click on the book an appointment button above.

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