Laser for Pigmentation Treatment

Targeted Treatment for Brown Spots, Freckles, Sun Damage & More

Uneven pigmentation—such as sun spots, freckles, post-inflammatory hyperpigmentation (PIH), and melasma—is one of the most common concerns patients raise in dermatology clinics.

Understanding Pigmentation: Not All Brown Spots Are the Same

Brown marks on the skin can be caused by:

  • Solar lentigines (sun spots)

  • Freckles

  • Melasma or cholasma

  • Post-inflammatory hyperpigmentation (PIH) from acne, trauma or eczema

  • Moles or pigmented lesions (some of which may need medical review)

Because these have different underlying causes—and different levels of risk—they should never be treated with a one-size-fits-all approach.

Results vary between individuals. Images are of patients treated by Dr Nina Wines and are published with their consent. These are for illustrative purposes and are not a guarantee of results

Dermatologist-Led Laser Treatment: Why It Matters

Before recommending any laser treatment, Dr Nina perform´s a skin examination to rule out serious conditions, including melanoma and non-melanoma skin cancers. Lasers should never be used to remove pigmented lesions without confirming the diagnosis.

Once safety is established, a tailored treatment plan based on:

  • Skin type and tone

  • Type and depth of pigmentation

  • Type of lesion

What Lasers Are Used for Pigmentation?

A broad range of laser wavelengths treat pigmentation to customise your care:

  • Q-Switched Nano laser (QS 532/1064nm) – Ideal for freckles, lentigines, and PIH

  • 1927nm fractional laser – For sun damage, mottled pigmentation, and melasma support

  • BroadBand Light (BBL) – Excellent for red-brown mixed photodamage

  • 755nm laser – Targets deeper pigment in appropriate skin types

  • Laser Stacking – Strategic use of two or more lasers in one session to target multiple pigment pathways safely

Combination Treatments for Complex Pigment Concerns

Most pigmentation isn’t just one problem—it’s a constellation of overlapping issues: sun damage + melasma, or freckles + redness + texture. That’s why I often combine lasers and topical therapies in a layered, staged treatment plan.

This not only enhances results but reduces downtime by precisely treating each layer of skin with the right wavelength.

Laser Pigment Treatment Results

Results can be visible after 2 sessions for freckles and lentigine esp on darker skin tones where caution is required.. More complex cases like melasma require a long-term, staged approach with pigment suppression and protection.

FAQ – Laser for Pigmentation

1. Are all brown spots safe to laser?

No. Dermatologists are trained to identify suspicious lesions, including melanoma, that may mimic benign spots. Every patient is carefully assessed prior to treatment to rule out skin cancer.

2. How many treatments will I need?

This depends on the cause and depth of the pigmentation. Freckles and sun spots may respond in 2 to 3 sessions. Melasma, PIH, or mixed pigment may need a staged plan over several months.

3. Will pigmentation come back?

Pigmentation often returns if proper aftercare, including sun protection and pigment suppression, is not followed. I work with patients to create long-term skin management strategies.

4. Can I treat pigment if I have darker skin?

Yes—but with caution. I use pigment-safe protocols tailored to your Fitzpatrick skin type and always assess for PIH risk. Some lasers are not suitable for melanin-rich skin, so personalisation is key.

5. Can pigment be treated during summer?

In most cases, it’s best to treat pigment outside peak UV seasons. However, protocols can be adjusted for summer treatment with the right precautions and patient compliance.

Why Choose a Dermatologist for Laser Pigmentation Treatment?

Pigmentation is more than cosmetic—it may be a medical concern. By choosing a dermatologist-led clinic:

  • You reduce the risk of missing melanoma

  • You benefit from a full spectrum of treatment options

  • Your treatment is personalised, safe, and medically precise

Learn more about pigmentation treatment with Dr Wines - phone 02 9958 1555 or email info@drninawines.com

All medical and laser procedures carry some risks. The information provided here is general in nature and not a substitute for a professional medical consultation. For advice tailored to your skin and health, please book an appointment with Dr Nina Wines.