F.A.Q.
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How does laser work?
Laser is a strong light beam which is selectively absorbed by brown or black
pigment. The light energy is converted to heat which destroys the
pigment.
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Are all lasers suitable to remove brown spots?
No. Some lasers destroy skin non selectively and may cause scarring. The best
lasers are those which are specifically absorbed by brown/black pigment and are
pulsed.
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Pulsed lasers prevent heat from being transferred to normal tissue. The
result is removal of the brown spots, leaving the skin with normal pigment and
texture.
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How are the skin treatments performed?
Most often, the skin treatments are performed in the surgery as an
outpatient.
Usually an anesthetic cream is used so the discomfort is fairly minimal. It
feels like you are being lucked by a rubber band, and most people tolerate this
very well. People with darker skin, who have darker spots, need a high energy
laser and may need local anaesthetic injections. Most patients are able to drive
in and drive home without any discomfort. These skin treatments take
approximately 1 hour. Some deeper brown marks are deeper in the skin. These need
a stronger treatment, and may need the use of a dressing after the treatment.
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What does it look like after treatment?
After treatment, the treated area appears darker. This lasts for 5-7 days until the dark area peels off.
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What do I do after treatment?
Nothing. There are no special precautions. The treated lesions peel off in their own good time. You may wash, shower, apply make up and resume normal activities immediately. In some cases a depigmenting lotion is needed to prevent post treatment darkening of the skin.
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How many skin treatments will I need?
This varies, depending on how dark the spots are. Light brown spots usually need
only I or 2 treatments. Darker spots may need 3 or 4. It is best to wait at
least 4 weeks between treatments as fading may continue for this period.
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What are the possible complications?
Complications related to these particular skin treatments are very uncommon but
can include: 1. Incomplete removal of brown spots. Some spots are relatively
resistant. although some improvement is expected. 2. Recurrence of brown spots.
Brown spots may recur with sun exposure. It is essential to wear sunscreen,
preferably forever. 3. Scarring. Very rare. 4. Loss of pigment. This is rare and
usually minimal. 5. Pigmentation. As the skin heals, pigmentation may occur, but
usually disappears. To help prevent this, people with darker skin should use a
bleaching cream. 6. Infection. Very rare. If it does occur antibiotics may be
needed.
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What about brown moles?
Brown moles that are benign can be improved with lasers. Your doctor must first confirm that the mole is benign before having laser treatment. Laser may make the mole lighter and less raised, but may not always completely disappear. On some cases moles may recur. Some moles may require more than one treatment session.
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Are laser beams dangerous?
The laser is a safe instrument if used by operators specifically trained in laser surgery.
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