Freckle Removal Diary of Treatments
This is a photo diary of patient D’s freckle removal treatment. Ms D is having her freckles removed on her arms, forearms, legs, chest, shoulders and back. She is a 44 year old woman who has hated her freckles her whole life. She has tried many times before to remove her freckles at home, and also medically with little success. At primary school, she was teased, being called a “leopard”. She was quite creative and tried some DIY freckle removal, including lemon juice, white king bleach, hair bleach and even a scourer!
Ms D wrote to me “I have always hated my skin and always dreamt of being rid of them no one really understood how bad I felt in my skin!”
This is a photo diary of her treatments.
When I treat patients for freckles removal, I like to perform test patching all over their bodies, to
1. Make sure I choose the powers sufficient to get a great result
2. Make sure we get no complications at the powers in the test patch.
So many patients come to me who have paid thousands of dollars for freckle removal previously and with little or no results. They can be less than optimistic and trusting, which is really understandable! I like to perform the freckle removal test patching to show them the laser’s capabilities. I want them to know what they will be paying for. I just think this is really fair. I would love this option as a patient.
Results at day 3 after test patching
Test patch at 3 days after freckle removal leg (thigh) See other leg freckle removal results
RESULTS AT 1 WEEK
WEEK 2 RESULTS
WEEK 3 RESULTS! READY TO START FULL TREATMENT
4 DAYS AFTER FRECKLE REMOVAL TREATMENTS
2 WEEKS AFTER FRECKLE REMOVAL TREATMENT
This is a great photo of what starts to happen at around the 2 week mark after laser freckle removal: The pigmentation that has lifted starts to crumble away/ peel off leaving the new and very clear skin
When I am removing freckles with a laser, I am trying to get a power that is JUST before the power which causes a blister in the pigmented areas, because that is the way to get the best freckle removal results. If I use too low a power setting, the results are just too poor and the freckles are not removed. The difficulty here is that this means that the patients and I have to live right on the edge with complications as well, because the higher the power, the higher the potential damage to the skin. This is one of the main reasons for the extensive test patching that I perform in the patient’s first consultation.
This patient had the complications of several blisters in the most pigmented freckles. Patients must always contact me if this occurs as it is very important, as these wounds need to be looked after. I treat this with corticosteroids topically twice daily. The blisters are usually very small, sometimes even just pinheads. They should be left alone and the liquid should remain in the blister, the patient in most cases should not “pop” them.
Being in Australia, I am lucky to be working with almost exclusively Fitzpatrick skin types 1 and 2 for freckle removal (ie the fairest skinned people). Typically these people have Irish/ Scottish /English backgrounds. This is the skin type that is most suited to laser, becuase it tolerates higher laser powers so well and has reduced incidence of complications with laser (ie hyperpigmentation is almost never and issue).
Blisters cause an open would and this risks infection, which is a very rare problem. I have had only one case ever of this from freckle removal. See my blog post about this case of infection after freckle removal.