Laser Treatment for Pigmentation: Different Approaches for Freckles and Melasma.
However, it’s not always easy to determine whether you’re dealing with freckles or melasma.
Many patients ask: What’s the difference between these types of pigmentation, and which treatment is most effective? Let’s take a closer look.
🔍 What’s the difference between freckles and melasma?
The skin is composed of two main layers: the epidermis (outer layer) and the dermis (deeper layer).
Freckles are a form of pigmentation that appears in the epidermis.
They look like small brown or dark brown spots (up to 5 mm in diameter) and may appear not only on the face, but also on the neck, shoulders, and chest.
Melasma, on the other hand, affects the deeper dermal layers.
These spots tend to have irregular shapes and varying degrees of intensity. Other deep pigmentation types include nevus of Ota, and post-inflammatory hyperpigmentation.
💡 Why the depth of pigmentation matters
Both freckles and melasma are caused by excess melanin production,
but the depth at which the pigment is located determines the most effective type of laser treatment.
If the pigment is superficial (in the epidermis), laser toning is usually effective.
This method works well for freckles, lentigo (age spots), and other surface-level pigment concerns.
If results from laser toning are minimal, Ruby Touch or Gold Toning treatments may be recommended.
These approaches are specifically designed to treat deeper more stubborn pigmentation.
✅ Treatment Guidelines:
* Superficial pigmentation → Laser Toning
* Deep or resistant pigmentation → Ruby Touch, Gold Toning
* Mixed-depth pigmentation → Multi-toning (a combination of lasers)
Before starting any procedure, be sure to consult with a qualified specialist
to accurately diagnose the type and depth of pigmentation and determine the most appropriate course of treatment.
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