Complete Dark Spot & Pigmentation Treatment
Picosecond laser + chemical peel + depigmenting protocol — combined for lasting results
Facial spots — sun damage, melasma, post-inflammatory hyperpigmentation — rarely disappear with a single treatment. They need an integrated approach: lighten existing pigment, slow melanin production, and protect the skin from the sun for life. This program combines all three.
How it works
Diagnosis and preparation
Medical evaluation with Wood's lamp to identify pigmentation type. Start of at-home depigmenting protocol:
- SPF 50+ daily
- Topical depigmenting actives
- Strict sun-protection guidance
- Routine adjusted to your skin phototype
In-clinic treatment
Technology combined per case:
- Picosecond laser: 3-5 sessions every 4 weeks
- Interspersed chemical peel (optional, only if Dra. Geldres indicates)
- For melasma: low fluence, spaced sessions
- For sun spots: higher power, fewer sessions
Maintenance and prevention
Skin is lightened, but without maintenance spots can return. Sustaining protocol:
- Daily SPF 50+ for life
- Topical antioxidants (vitamin C)
- Maintenance session every 6-12 months
- Annual clinical review
Types of pigmentation addressed
Sun spots (lentigines): The most common in Lima due to accumulated UV exposure. Respond quickly to picosecond laser — can lighten significantly in 2-3 sessions.
Melasma: Hormonal pigmentation, more complex. Requires conservative protocol (low fluence), strict sun protection, and more spaced sessions. It can be lightened but not fully eliminated — it's a multifactorial condition that's managed, not cured.
Post-inflammatory hyperpigmentation (PIH): Dark spots left by acne, bites, or previous inflammation. Responds very well to picosecond combined with topicals.
Accumulated sun damage / photoaging: Not a single spot but uneven overall tone. The complete protocol improves global uniformity and luminosity.
What to expect
Lightening is progressive. Typically:
- ✦ Week 4 (after 1 session): initial spot temporarily darkens, then begins to lighten
- ✦ Week 8: 30-50% lightening in simple sun spots
- ✦ Week 12: 60-80% lightening in typical cases
- ✦ Week 16+: uniform skin with active maintenance protocol
See real results of pigmentation and micropigmentation cases treated with picosecond laser in our gallery.
Free consultation with Dra. Geldres
Accurate diagnosis of your spots
Wood's lamp evaluation and complete plan per pigmentation type. No cost.