Undo The Sun

Brown Spot and Sun Damage Treatment

Brown spots, sun spots, age spots, liver spots, freckles that have run together — different names for the same thing in most cases: pigment laid down by years of ultraviolet exposure. Unlike melasma, this kind of pigment generally responds very well, often in one or two treatments. In a climate like this one, it is the most satisfying thing we treat.
Brown Spot and Sun Damage Treatment
Brown Spot and Sun Damage Treatment

What Causes Them

Ultraviolet light stimulates pigment-producing cells in the skin. Over decades the response becomes uneven, and clusters of overactive cells leave discrete brown patches on the face, chest, shoulders, forearms and the backs of the hands — the places that catch the most sun. They are harmless, but they are the single feature that most reliably makes skin read as older, more so than lines do. Louisiana sun and a long season make this common here at ages where it would be unusual further north.
Sun Damage
Pigmented Lesions
Texture & Pores
Acne Scars
Vascular Concerns
Fine Lines & Wrinkles
Skin Laxity
Redness & Rosacea
Dermatoscopic images of sun-damaged skin at 1x, 2x and 4x magnification, and the same area immediately after erbium laser resurfacing showing the pattern of ablation columns
The Central Business District

Southern Skin and Wellness is located directly in the heart of the New Orleans CBD.

Where We

Treat

Sun damage is rarely confined to the face, and treating the face alone creates an obvious line.

  • Face — cheeks, temples, forehead, nose
  • Neck and chest — where sun damage often shows first and is treated last
  • Backs of the hands — frequently the giveaway, and rarely asked about
  • Shoulders, upper back and forearms

We generally recommend treating the face, neck, chest and hands as a set rather than in isolation.

How Light Removes Pigment

Pigment absorbs certain wavelengths of light far more than the surrounding skin does. Deliver that light in a controlled pulse and the pigment absorbs the energy, breaks up, and is carried away by the body over the following one to two weeks. The skin around it is left alone.

  • Broadband light treats diffuse, widespread sun damage across a whole area — the face, the chest, the backs of the hands — and is the workhorse for this.
  • Fractional resurfacing is used when the pigment comes with texture change, fine lines or crepey skin, because it treats both at once.

Treated spots typically darken over several days, come to the surface like coffee grounds, and flake away. It looks worse before it looks better, which is worth knowing before you plan around an event.

Brown Spot and Sun Damage Treatment

Before & After

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Expect

What To

Most patients need one to three treatments for significant clearance, spaced several weeks apart. Downtime is limited: redness for a day, then darkening and flaking of the treated spots over about a week.

The results last as long as you protect them. New spots form with new sun exposure, so daily sunscreen is what keeps you from repeating this in three years.

One important caveat. Not every brown spot is sun damage. Some are melasma, which behaves completely differently and gets worse with aggressive treatment, and a small number are lesions that need a different kind of attention altogether. Dr. Lindley examines every spot before treating it.

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Spots Cleared.

Skin Evened.

This is among the most reliable things we do, and it changes how skin reads more than almost any other single treatment. If you have been putting makeup over sun damage for years, a consultation is worth the hour.
HOURS OF OPERATION

Hours

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MONDAY
10AM - 6PM
TUESDAY
10AM – 6PM
WEDNESDAY
10AM – 6PM
THURSDAY
10AM – 6PM
FRIDAY
10AM – 6PM
SATURDAY
By appointment
SUNDAY
by appointment