The Brown Spot: Friendly freckle, benign mole, sun damage or melanoma. You just never know what is lurking below the surface of your skin.

Solar lentigines (sun spots) are markers of photoaging, whereas freckles are mainly determined by genetic factors. (Freckles and solar lentigines have different risk factors in Caucasian women. J Eur Acad Dermatol Venereol. Â 2013; 27(3):e345-56 (ISSN: 1468-3083))

This means that you have to have the gene when your skin is exposed to the sun in order to develop brown pigmented freckles in the skin. Without the ultraviolet light the melanin does not change. So the extent of freckles indicates how much ultraviolet exposure you have in your lifetime. Just having freckles is a risk factor for skin cancer. So keeping the freckles from starting decreases the total sum of your exposure.

The same study found that there has also been a noted association with an increase in the number of sun spots with women on hormone treatment alone or in combination with progestins. This includes both birth control and hormone replacement therapy.

Removing freckles, sunspots or melisma does not increase or decrease your risk of skin cancer.

Frequent use of SPF 30 sun blockers will help prevent the ultraviolet light from turning on the genetic proteins that change the color of your skin regardless of the end result. (Interactions between ultraviolet light and MC1R and OCA2 variants are determinants of childhood nevus and freckle phenotypes. Cancer Epidemiol Biomarkers Prev.  2014; 23(12):2829-39 (ISSN: 1538-7755)

Here at Healthy Skin Clinic we have Q-switch laser to remove freckles, which will lighten and brighten your skin. Comparison of short-pulsed and long-pulsed 532 nm lasers in the removal of freckles. Lasers Med Sci.  2010; 25(6):901-6 (ISSN: 1435-604X)

A comparison of Q-switched and long-pulsed alexandrite laser for the treatment of freckles and lentigines in oriental patients. Lasers Surg Med. Â 2011; 43(2):108-13 (ISSN: 1096-9101)

Lighter skinned individuals have been able to avail themselves with pulsed light therapy to treat both brown and red pigment changes. With the Sciton BBL technology we can conveniently treat both problems during the same treatment with different light filters. (Objective evaluation of the effect of intense pulsed light on rosacea and solar lentigines by spectrophotometric analysis of skin color. Dermatol Surg. Â 2007; 33(4):449-54 (ISSN: 1076)

For persons of darker skin pigment it was found that Q-switched Nd:YAG is superior to the fractional carbon dioxide laser for the treatment of solar lentigines. The incidence of post-inflammatory hyperpigmentation was not significantly different with both lasers.

We have both technologies to treat your skin at the same time to maximize your individual treatment. Comparison of Q-switched Nd: YAG laser and fractional carbon dioxide laser for the treatment of solar lentigines in Asians. Lasers Surg Med. Â 2016; 48(4):354-9)