Removing facial pigmentation

Depending on the type of pigmentation, a facial dark spot can sometimes be removed. In other cases, such as melasma, it can be significantly reduced but not completely eliminated.

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facial scar treatments

Removing facial pigmentation

Depending on the type of pigmentation, a facial dark spot can sometimes be removed. In other cases, such as melasma, it can be significantly reduced but not completely eliminated.

Request an appointment

facial pigmentation

Facial pigmentation is caused by an excessive accumulation of a pigment called melanin which is naturally produced in certain circumstances to protect the DNA of other skin cells. When there is excessive sun exposure or hormonal stimulation due to pregnancy or medication, melatonin is produced in an uncontrolled way and pigmentation may appear.

Facial pigmentation is caused by an excessive accumulation of a pigment called melanin which is naturally produced in certain circumstances to protect the DNA of other skin cells. When there is excessive sun exposure or hormonal stimulation due to pregnancy or medication, melatonin is produced in an uncontrolled way and pigmentation may appear.

Can facial pigmentation be removed?

The first step is to diagnose the type of pigmentation to determine whether it can be removed. A lentigo or post-inflammatory pigmentation can be removed. Melasma is difficult to eliminate, although not impossible, and the aim is to reduce its size and colour and prevent it from worsening.

laser fraxel ribe clinic

How do we remove or reduce pigmentation at Ribe Clinic?

First, we assess whether these dark spots or even very dark lesions that have appeared on the face are not malignant. Once malignancy has been ruled out, we identify the type of pigmentation involved and, depending on the diagnosis, we select the appropriate treatment to remove the pigmentation.

The laser treatment for facial pigmentation is very effective, but the type of laser used depends on the type of pigmentation, and some lasers may not be recommended.

For melasma, we choose picosecond laser and/or Fraxel laser for this pigmentation, usually combined with medical creams. For a naevus (without atypia), we remove the lesion with a CO2 laser, while for lentigines we use picosecond laser and intense pulsed light (IPL).

Types of pigmentation

At Ribe Clinic, we carry out an initial consultation to assess the type of pigmentation and rule out malignancy, so that we can recommend the most suitable treatment.

We treat different types of facial pigmentation, the most common being:

Pigmentation before and after

Quitar manchas de la cara antesQuitar manchas de la cara antes
eliminar manchas de la cara anteseliminar manchas de la cara después
quitar manchas cara laser antesquitar manchas cara laser después

Why choose Ribe Clinic for pigmentation treatment?

The professionals at Ribe Clinic have experience in diagnosis and in the latest medical technology, which they use to treat pigmentation on the face and body. At Ribe Clinic, we have specific protocols for each type of pigmentation, years of experience and expertise in the latest technology, supporting our results.

We take part in medical research into new technologies for pigmentation treatment, giving us first-hand knowledge of the latest research and the results of the most innovative technologies.

melasma facial

What is melasma and how is it treated?

Melasma presents as much larger areas of pigmentation than lentigines, with geographic borders, usually distributed across the cheeks, upper lip and forehead. It tends to worsen significantly in summer and with sun exposure.

It often has a hormonal origin related to pregnancy, hormonal treatments or even thyroid disorders or disorders of other endocrine organs.

Treatment for melasma is complex and lengthy because it is a chronic pigmentation disorder. The only laser approved for its treatment is the Fraxel Dual laser. More recently, picosecond lasers have been used in some cases.

naevi

What is a naevus and how is it treated?

Facial naevi are commonly known as moles. Naevi are a proliferation of cells called melanocytes that cluster in nests. They may be located in the dermis, epidermis or both.

At Ribe Clinic, our professionals carry out a clinical diagnosis of pigmented lesions before treating them. If, after examination by a medical professional, these facial or body lesions are melanocytic naevi without atypia, they can be removed with a surgical CO2 laser.

Facial pigmentation in the form of solar lentigines has a very characteristic appearance: the lesions are flat, with irregular borders and a uniform colour, resembling an ink stain. They usually appear on areas most exposed to the sun, such as the face, décolletage and hands.

They are more common in women but they also occur in men, although at a later age. A solar lentigo (also known as a senile lentigo) must be distinguished from lentigo maligna.

To remove solar lentigines from the face, we use an Alexandrite laser and, more recently, a picosecond laser. They can also be treated with intense pulsed light (IPL). The facial or body pigmentation is removed in a single session in most cases, as the emitted light destroys cells containing excess pigment without affecting the surrounding tissue.

Frequently asked questions

For pigmentation treatment, we use laser or IPL. The treatment is not painful, although it can be uncomfortable because heat is felt. If we treat 1–2 lesions, treatment can be carried out directly without applying anaesthetic cream. When treating a larger number of lesions, extensive areas or patients who are sensitive to pain, we apply anaesthetic cream around 15–30 minutes beforehand to minimise pain and heat.

The number of sessions depends on the type of pigmentation:

  • Lentigines: usually 1 laser session and 1–3 IPL sessions are required.
  • Melanocytic naevus: usually 1 laser session is required.
  • Melasma: treatment is complex and combined. The treatment protocol varies depending on the type of melasma and how long it has been present. As a general indication, this may involve 4 laser sessions (1 session per month) combined with depigmenting creams, sun protection and supplements for months or even years, together with an occasional annual maintenance laser treatment. Everything depends on the results achieved.

Whether pigmentation can be considered permanently removed depends on the type of pigmentation and the aftercare followed by the patient (we always provide aftercare instructions following treatment).

For lesions such as:

  • Lentigines: after the laser or IPL session(s), lentigines are usually completely removed. To maintain the result over time, the patient must always apply sunscreen. It is important to remember that this type of pigmentation is the skin’s response to excessive sun exposure and sun damage, so new lesions may develop. We therefore recommend applying sunscreen after treatment and attending follow-up sessions to check whether new lesions have appeared and treat them.
  • Melanocytic naevus: this type of lesion is usually removed in 1 laser session. Occasionally, if the lesion is deep, a touch-up session may be required. It is always preferable to perform a touch-up rather than use an overly aggressive laser treatment initially and leave a slight depression. We always aim for the best aesthetic result.
  • Melasma: treatment is complex, combined and lengthy. Our aim is to reduce the size and colour of the melasma and prevent it from worsening. The results achieved can be maintained with consistent adherence to the treatments and the doctor’s instructions. In some cases, melasma may disappear completely, but when this happens it is because the underlying internal cause has disappeared.

Side effects should be distinguished from effects associated with treatment. These include:

  • Lentigines: after the laser or IPL session(s), a crust usually forms over this type of lesion or the lesion becomes darker. This may last 7–15 days, after which the crust falls away and the lesion will have disappeared. However, in some cases, post-inflammatory pigmentation is seen after around 15 days, depending on the skin type (more common in higher phototypes), and the doctor will explain what to do to help it fade. This is temporary pigmentation as a protective response of the body.
  • Melanocytic naevus: after laser treatment for this type of lesion, a crust the size of the naevus forms and falls away within 7–15 days. Afterwards, the base may remain pink for several months before fading. Occasionally, if the lesion is deep, a touch-up session may be required. It is always preferable to perform a touch-up rather than use an overly aggressive laser treatment initially and leave a slight depression. We always aim for the best aesthetic result.
  • Melasma: treatment is lengthy, and the pigmentation may temporarily darken at times.

When a patient has a pigmented lesion, a medical diagnosis is required and a specific treatment is selected according to the type of lesion. In principle, all patients can have their pigmentation treated, with the exception of certain laser treatments and creams in patients who are pregnant or breastfeeding.

Yes. If the doctor’s instructions are followed, pigmentation can be treated throughout the year. Greater care is required in summer, but treatment can still be carried out when necessary or desired, provided the appropriate guidelines are followed.

Why Choose Ribe Clinic

TREATMENTS PERFORMED BY DOCTORS

Experience and Exclusivity

Dr Adriana Ribé personally conducts consultations and performs the medical treatments.

safe treatments at Ribe Clinic

Medical Safety

Materials and devices with QR codes and CE certification. Scientifically supported protocols.

Follow-up throughout treatment

Patient Follow-up

Follow-up appointments and direct consultations with the doctor regarding the treatments performed.

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Sustainable Clinic

The first aesthetic medicine clinic committed to sustainability.

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