Question 1: What kind of pigmentation do I have?

Below is a simplified schema of three types of pigmentation most commonly encountered. They can be roughly differentiated by top to deep skin layer, which guides treatment.

Question 2: How did I get them?

  • 1. Sun spots occurs with sun exposure and age.
  • 2. PIH is caused by past treatments with unsupervised use of bleaching cream, inadequate sun blockers after chemical peels and lasers. Healed acne can leave acne scars (PIH).
  • 3. Melasma may be due to genetic, hormonal levels change (pregnancy, pre-menopause, pills).


    • Before-Melasma
      Before Melasma After
    • Before-PIH
      Before PIH After
    • Before-Sunspots
      Before Sunspots After
    • Before-Acne pigmented scars
      After-Acne pigmented scars
      Before Acne pigmented scars After
    • Before-sunspot
      Before sunspot After
    • Before-melasma
      Before melasma After
    • Before-melasma
      Before melasma After
    • Before-melasma
      Before melasma After
    • Before-melasma
      Before melasma After
    • Before-melasma
      Before melasma After

    Suppression Therapy

    Sun greatly increase formation of PIH.  Avoid sun exposure. You will need “Suppression Therapy”: Daily application of Cosmeceuticals that suppress melanocyte from being activated by heat and sun.


    Factors that stimulate melanocytes: 

    • #1 cause: Sun!
    • Dryness and Inflammation
    • Pregnancy and hormonal contraceptives
    • Hormonal irregularities
    • Aging
    • Stress hormones triggered by lack of sleep
    • Fatigue
    • Smoke
    • Inflammatory diet such as fast food
    • Genetics


    Melanocytes suppression therapy topicals:

    • Clarity Moisturizer (Safe for long term use)
    • Brightening pads ( 0% to 10%)
    • 4 in 1 Skin Lightening
    • Super Hydrator with Licorice
    • Post Spectra brightening gel
    • Vit C Pro Collagen Brightening Serum


    Consider anti – inflammatory detox diet and good sleep, exercise, and taking anti-oxidants supplements.  IV infusion of Liver Detox / anti-aging/skin lightening program is available.   Learn more about IV detox here.

    Question 3: How to tell Superficial sun spots/pigmentation (in the top layer, the Epidermis) from deeper pigmentation Melasma (in the bottom layer, the Dermis)?

    • Sun Spots are
      1. Discrete and have defined borders
      2. Darker in appearance because it is more superficial
      3. Mostly circular in shape
      4. Can occur on any part of the face
    • Melasma are
      1. Bigger than sun spots, borders not well defined because it is deeper
      2. Lighter than sun spots because it is deeper
      3. Mostly patchy
      4. Mostly around cheek area(s) on both sides, although other parts of the face can be involved

    Question 4: How are they treated?

    1. Sunspots With IPL / Green Laser / Fraxel

    2. Post Inflammatory Hyperpigmentation (PIH) with Spectra Laser

    3. Melasma with Spectra Laser


    At Skin Perfect Brothers, we’ve been treating Melasma for the past 12 years. We use a laser that involves minimal to zero heat source, nor does it involve any peeling of the skin. Unlike other laser or chemical peel methods, the Spectra laser penetrates deep into the Dermal layer, and shatters the patch of Melasma into dust particles thanks to Shock Wave technology. The lymphatics in the body then removes it by detoxing it out of the body!


    What causes it?

    It is unknown so far, but research has point to hormonal imbalance, stress, excessive heat, pregnancy, genetics, certain medications (such as antidepressants and blood pressure medications), inappropriate and unsupervised use of bleaching creams, and ultimately the damaging effects of sun exposure, which can dramatically increase Melasma. Two factors to watch for when receiving treatments for Melasma:
    1. Heat
    2. Peeling

    How is it treated?

    Chemical peels and lasers (Cosmelon, VI Peels, and Obagi fraxel lasers, CO2 lasers, and other fractionated lasers) are all possible treatments.
    However, the melanocyte which is the cell that produces Melasma gets irritated by:
    1. Heat
    2. Peeling

    Can people of all skin types and colors go for this treatment?

    Spectra Q switch laser is an absolutely safe option for all skin types and colors. Pico Q switch laser is not FDA approved for melasma although it’s good for Tattoo removal and surface pigmentation.

    How long does this treatment take?

    This is a very simple lunch time procedure. It only takes 30 minutes and you can return to work immediately after treatment.