Pigmentmented spots over the face

Was doing some research on the web regarding the recent increase in pigmented lesions over the face that I have been seeing, to get myself up to date on the latest treatment options.

After reading through some clinical papers, I came across this article in the Annals of Dermatology

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2861240/

Figure 2.

Figure 2 from their article showed
(A) A 27-year-old female with ABNOM before treatment. (B) Improvement in ABNOM after three QSNYL treatments. Results were excellent, with a 75~100% reduction in colour.

Basically these women were treated with Q-switch laser. Similar to what we have at The Clifford Clinic.
(1,064 nm, 3 mm spot size, fluence 8~9.5 J/cm²) and they were treated for up to 10 sessions each.

Results - 66% showed excellent or good results. Of the patients who were treated more than 3 times, 76% showed good to excellent results. Two patients experienced post-laser hyperpigmentation (PLH), which persisted for more than one month, but no patient experienced persistent erythema or hypertrophic scarring.

Results from this proved encouraging. Their energy for the laser used is definitely similar although there are some small differences. No doubt they have been achieving similar results to what we have here in Singapore.

Lee WJ1, Han SS, Chang SE, Lee MW, Choi JH, Moon KC, Koh JK. Q-Switched Nd:YAG Laser Therapy of Acquired Bilateral Nevus of Ota-like Macules Ann Dermatol. Aug 2009; 21(3): 255–260.