Talk to Dermatologist on Frackles

Dr. Hina Fahad - Dermatologist

MBBS, D Derm, American Academy Of Aesthetic | Karachi

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You can get derma pen done for your freckles.

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Post Owner

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Please explore more and thank you for cosidering me to response.

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6 years ago

Please attach a picture for better diagnosis. Some times people mistake briwn spots or pigmentation for freckles. Theybare 2 different things.

A freckle arises as a result of the temporary overproduction of melanin resulting from UV stimulation, there is a normal number of melanocytes.

Freckles or Ephelides are found on sun exposed sites, particularly the nose and cheeks.

- They are prominent during summer and fade during winter.
- Light to dark brown flat macules
- 3–10 mm in diameter
- Poorly defined and may merge into large patches
- Any shape; often round
-Found mostly in redheads and celtics. Skin type 1 people. (Not seen in Asians = brown skin people or skin type 4 to 5)

Hence if you have brown marks in that case;

Prevention of brown marks
Not all brown marks can be prevented. Careful sun protection will reduce the number of new solar lentigines. Staying out of the sun and using sun protective clothing is much more effective than sunscreens alone. Sunscreens must have high sun protection factor (SPF 50+), good broad spectrum cover against ultraviolet radiation (UVA), and should be applied liberally and frequently.

Treatment of brown marks
Brown marks may fade with careful sun protection, broad spectrum sunscreen applied daily throughout the year. Regular applications of anti-aging or fading creams may also help. These may contain bleaching agents, or antioxidants such Vitamin C etc.

However, brown marks may be removed more rapidly and effectively by chemical peels, cryotherapy or certain pigment lasers that target melanin in the skin. Multiple treatments may be necessary.

Suitable green-light devices include:

- Flashlamp-pulsed tunable dye laser
- Frequency doubled Q-switched Nd:YAG laser (neodynium:yttrium-aluminium-garnet)

Suitable red light devices include:

- Q-switched Alexandrite laser
- Q-switched Ruby laser

Intense pulsed light has a similar effect. Carbon dioxide and Erbium:YAG lasers vaporise the surface skin thus removing the pigmented lesions. A fractional laser may also be effective.

Results are variable but sometimes very impressive with minimal risk of scarring.

With superficial resurfacing techniques, there is minimal discomfort and no down-time but several treatments are often necessary. Unfortunately the treatment occasionally makes the pigmentation worse. Continued careful sun protection is essential, because the pigmentation is likely to recur next summer.

So for appropriate treatment options, best would be to visit your trusted dermatologist and discuss all the options. They will examine and suggest something accordingly.
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