There is no simple approach to treatment of facial pigmentation because correct diagnoses must first be made. The clinical condition determines what layers (depth) of the skin is involved. Therefore the appropriate tool can be used accordingly. Efficacy, side effects and likelihood of recurrence are considerations that must be taken into the treatment plan. In many cases, there are multiple conditions; therefore a combination of tools may be required to obtain desired results.

Types of facial pigmentation as follows:


Common facial pigmentation would be melasma. It is a skin condition characterised by uneven pigmentation or discolouration found on sun-exposed areas of the face. Treatment options includes Q-switched Nd:YAG laser, topical skin care creams. Second line option includes erbium glass laser and medical peels and topical skin care creams.*

Horis Nevus

This condition is often misdiagnosed as melasma. Treatment of choice is Q-switched Nd:YAG laser and topical skin care creams.*


This condition can be treated with laser IPL or topical skin care creams, depending on severity and desired results.*

Solar Lentigenes

This can be treated with radiofrequency devices, laser or IPL.*

Seborrhoeic Keratosis

These can be treated with radio frequency devices or laser along with topical skin care creams.*

Post Inflammatory Hyperpigmentation

PIH due to laser burn, acne etc. can be treated with topical medication. Lasers may be used.*

Cafe Au Lait

Treatment of choice for this condition is laser.*

Malignant Lentigo

This is a type of skin cancer. Surgery is required. For all facial pigmentation, it is recommended that a full assessment with our doctor to be made in order to device a treatment plan.*

The main feature of the C6 Medlite – Q Switched Nd:YAG Laser is that it has extremely short pulses of high power that can be shorter than 20 nanoseconds. This allows the laser to have a photo mechanical effect on skin pigmentation, literally shattering these to small particles. The remnants are then removed by the body’s immune system.

The laser light emitted also operates by the principle of selective photothermolysis, which is the attraction of particular wavelengths of the laser to be attracted to certain colours, allowing for the specific heating and targeting of a coloured target.

For deep skin pigmentation – Q-switched Nd:YAG lasers are the treatment of choice. They are in most cases superior to other long pulsed lasers and IPL systems. It is the extremely short pulse duration of the Q-switched Nd:YAG laser that allows them to shatter pigment particles very effectively. The depth of the pigmentation will determine the laser wavelength used. For superficial pigmentation skin problems such as café-au-lait spots and freckles it may require the 532nm laser.

The ability to treat age spots, solar lentigos, café-au-lait lesions, and liver spots efficiently and effectively is a strong competitive advantage for any aesthetic practice. Because of the power, versatility, and effectiveness of the lasers, radio frequency and also topical skin care creams, pigmented lesions can be removed quickly and easily, making a dramatic difference in the quality of life for patients.

Melasma is a skin pigmentation usually caused by hormones. This treatment is usually performed with low energy level settings on the C6 Medlite laser using both its wavelengths. The Q-switched Nd:YAG laser at 1064nm has a deep penetration into the skin and causes deep dermal heating. This leads to the formation of new collagen and elastin. Several sessions are required to maximise the effect. In studies of this treatment, 3D surface topography of skin showed an improvement in skin texture, wrinkles, and acne scarring.*

After the laser treatment, your skin may appear mildly red and slightly swollen for 24-48 hours and the skin may crust and appear darkened for approximately one week then will go lighter.

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