Home Ask The Doctor Should all treated brown spots turn darker after a facial laser treatment?

Should all treated brown spots turn darker after a facial laser treatment?

I had a limelight laser treatment 4 days ago. I have many freckles and sun spots. I had a full-face treatment. What should my face be looking like at this point? I expected to see many “coffee ground spots”, but I’m not. There are about a dozen tiny dark spots, the size of a pinprick that are the coffee ground colour, but that’s it. Can I expect to see more happen or is this it?

This sounds like a fairly normal response to a first treatment. Generally, we like to see “coffee ground” spots appear in all areas treated within a few days and if this doesn’t happen we will probably need to re-treat the area once healed and re-assess the settings. It is best to treat the skin using safe parameters that may require multiple facial laser treatments than a setting that can increase chances of adverse reactions such as burns, post-inflammatory hyperpigmentation, de-pigmentation or blistering. If the area treated has a variety of lighter and darker pigment colours, parameters should be chosen for the darker pigment to avoid over-treatment. Lighter pigment should be treated on subsequent visits. Go back to your skin professional and have them re-assess the treated area at your next visit.