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).

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 11 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!

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Life Style Clarity Program


Give us a call at 909-839-0714 to schedule your FREE CONSULTATION today!

We are located at 1569 S. Fairway Dr. #226, Walnut, CA 91789 (between Colima Road and Fairway Drive).

We service the following Southern California and Los Angeles areas: Walnut, Diamond Bar, Rowland Heights, Hacienda Heights, La Puente, West Covina, Covina, Chino Hills, Brea, Whittier, Irvine, Pomona, Rancho Cucamonga, and more!

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From the Skin Care Beauty Experts you Love to Trust,

Joseph and Fei Bi, PA-C

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

admin   August 13, 2017  

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

admin   August 13, 2014  

Pixel Q-switch laser is an absolutely safe option for all skin types and colors.

admin   August 13, 2014  

This is very simple, lunch time procedure and the treatment time is 30 minutes only. And one can resume work immediately after the procedure.

admin   August 13, 2014