Laser Treatment for Age Spots, Sun Damage and Pigmentation

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Understanding Pigmentation: Causes and How We Treat It

Over time, years of sun exposure, hormonal changes, or natural aging can leave behind unwelcome brown spots. These may appear as age spots, sunspots, liver spots, or solar lentigines. At Highland Laser Clinic, we specialise in laser pigmentation removal to help you achieve clearer, more even-toned skin with minimal downtime.

How it works

We use two advanced laser technologies tailored to your specific concerns:

  1. Q-Switched Green Laser : Ideal for targeting isolated, darker lesions (like stubborn age spots) with precision. This high-powered system breaks down excess melanin safely and effectively.

  2. Erbium Laser Facial : Perfect for diffuse pigmentation or widespread sun damage across the face. This gentle resurfacing treatment evens skin tone while improving texture.

Most pigmented lesions fade significantly in 1–3 sessions , depending on depth, size, and your skin’s natural healing response. Please note that pigmented areas will become significantly darker initially. These darkened spots then flake away over 1–2 weeks to reveal lighter, healthier skin underneath.

Pigmentation Removal FAQ

Pigmented lesions normally respond in 1 to 3 treatments. Please see Prices for a guide to costs.

We have several laser modalities available to treat pigmented lesions, but we typically use a green Q-Switched laser for targeted treatment. Our Q-Switched platform is high-powered, clinically precise, and ideal for removing excess melanin without damaging the surrounding skin.

Q-Switched Green laser is a powerful treatment that requires care and experience. When used properly, it delivers excellent results while avoiding unwanted side effects. It is easy to overdo this type of treatment, which is why we take a cautious, measured approach.

If your pigmentation is more widespread or fine in texture, we may recommend an Erbium CoolPeel laser facial instead. This treats the whole surface of the skin, improving both tone and texture with a short recovery period.

Yes, we can usually improve or remove unwanted pigmentation with laser treatment. Fairly light-coloured lesions often respond well to a single Q-Switched laser session. Darker or more stubborn pigmentation may take two or three treatments to fully fade. We will assess your skin and give you a realistic idea of what to expect.

It is not uncommon for some lesions to reappear slightly a few weeks after treatment. When they do come back, they are usually much lighter and respond well to follow-up sessions.

Pigmented lesions are a sign of cumulative sun exposure, and more can appear over time, especially if you spend a lot of time outdoors. The best way to prevent new ones from forming is to wear SPF sunblock daily and use hats or other physical protection when out in strong sun.

Unfortunately not. Laser pigmentation removal works by targeting excess melanin, so if the surrounding skin is tanned, the laser cannot distinguish between the pigmentation we are trying to treat and the temporary melanin from your tan. This can result in pale or uneven patches where the laser has affected healthy skin.

We need your natural skin tone to be as close to its untanned state as possible before treatment. That means no recent sun exposure, tanning beds, or fake tan. Even a light tan increases the risk of side effects and makes treatment less predictable.

This sounds like melasma, sometimes also called chloasma or the mask of pregnancy. It is more complex to treat than sun damage and usually needs a combination of topical treatment and laser. We can help with the laser side, but we would refer you to a trusted aesthetic nurse to manage the topical part of the process first. Get in touch if this sounds like your situation and we will advise you.

Treating pigmentation in darker skin types is a specialised area and not something we currently offer at Highland Laser Clinic. The risks of rebound pigmentation or unwanted lightening are higher, and it takes a tailored approach with specific techniques and experience.

There are excellent practitioners who focus entirely on this field, often based in major cities, and we would recommend seeking out someone with that specialist background. We would respectfully decline to treat these cases, as they fall outside our current skill set.

There is some discomfort with any laser procedure, but this treatment is very mild. We use the laser at a superficial level to target excess pigmentation on the surface of your skin. Most people describe the feeling as similar to being gently flicked with a rubber band.

Recovery usually takes one to two weeks. The treated area will darken immediately, and there may be some initial redness and mild swelling. This is normal and settles within a day or two.

The darkened patch is mostly denatured melanin, and it can form a slight crust on the surface of your skin. This should be left alone to flake away naturally, revealing lighter, clearer skin underneath.

Pre Treatment Advice

For 4 to 6 weeks prior to treatment

  • Avoid strong sun exposure, tanning beds, and self-tan. We cannot
    treat tanned skin.

1 week before treatment

  • Avoid microdermabrasion and chemical peels on the treatment area.

On the day of treatment

  • Wear accessible clothing for the treatment area.

  • Avoid swimming in chlorinated water beforehand.

  • Ensure you are well-hydrated and have eaten. Avoid alcohol, hangovers, and working a night shift before treatment.

  • If suitable, you may take paracetamol an hour before treatment for
    discomfort (if safe for you)

  • PLEASE DO NOT HAVE ANY KIND OF PRODUCT ON THE AREA TO BE TREATED ON THE DAY OF TREATMENT, INCLUDING FAKE TAN AND MAKEUP

Post Treatment Advice

First 48 Hours

  • The treated lesion will darken significantly

  • Do not pick, scratch or otherwise irritate the treated area

  • Use a low tech moisturiser on the area, such as E45 cream

  • Avoid all heat treatments including hot baths, saunas, steam rooms and hot showers directly onto the treated area(s)

  • No swimming in chlorinated water

  • Do not use Retinoids, AHA’s, BHA’s or other intensive skin treatments

First Week

  • The treated lesion will form micro-crusting that will naturally flake away

  • Do not pick or exfoliate. Allow the skin to heal on its own

  • Avoid microdermabrasion or peels

Up to 8 weeks post treatment

  • It is normal for pigmented lesions to reappear slightly in the weeks following treatment, but they should be noticeably lighter than before.

  • Use sun protection SPF30+

  • Limit sun exposure and do not use tanning beds. If you are tanned we will be unable to repeat the treatment

Ongoing support is part of the service that Highland Laser Clinic provides, any questions or concerns please get in touch