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Laser Pigmentation Removal — Is It Right for Your Skin?

jaggerhouse
Aug 25
4 min read

Uneven skin tone. Sun spots. Age spots. The dark marks that linger long after a breakout has cleared. Pigmentation is one of the most common skin concerns we hear about at Bare Again — and for good reason. It can be persistent, it affects people of all skin tones, and it often doesn't respond well to skincare products alone.

Laser treatment is one of the most clinically effective options available for reducing pigmentation. But it isn't right for every type of pigmentation, and it isn't right for every skin type without the appropriate assessment first. Here's what you need to know.

What Is Pigmentation?

Pigmentation is caused by excess melanin — the natural pigment that gives skin its colour — accumulating in certain areas. It appears as darker patches, spots, or marks on the skin. It is not harmful in itself, but it can significantly affect the appearance and evenness of skin tone.

Pigmentation has several distinct causes, and identifying the type matters — because different types respond differently to laser treatment.

Types of Pigmentation and How Laser Addresses Each

Sunspots and Solar Lentigines

Sunspots — also called solar lentigines or liver spots — are flat, clearly defined dark spots caused by cumulative sun exposure over time. They most commonly appear on the face, hands, shoulders, and décolletage. Sunspots are generally one of the most responsive types of pigmentation to laser treatment. The concentrated melanin in a sunspot absorbs laser energy readily, and results are typically visible from the first session. A course of 2 to 4 treatments is usually sufficient for most sunspots.

Age Spots

Age spots are very similar to sunspots in their appearance and mechanism — and they respond similarly well to laser treatment. They tend to develop in areas of repeated sun exposure and are more common as the skin ages and loses some of its natural ability to recover from UV damage.

Post-Inflammatory Hyperpigmentation (PIH)

PIH refers to the dark marks or discolouration that remain after skin inflammation — most commonly after acne breakouts, but also after eczema, injury, insect bites, or any other form of skin trauma. It occurs when the skin produces excess melanin in response to inflammation.

PIH can be effectively treated with laser, but it requires a careful approach. Some skin tones are more prone to PIH themselves — meaning that an inappropriately calibrated laser treatment could temporarily worsen the very marks it is trying to reduce. This is why a thorough skin assessment is essential before treatment, and why we take a cautious, measured approach at Bare Again.

Freckles

Freckles are small, flat spots caused by localised concentrations of melanin, typically activated or intensified by sun exposure. For clients who wish to reduce the appearance of freckles, laser treatment can effectively lighten or remove them — though results vary depending on the depth and nature of the pigment. It's worth noting that without consistent sun protection, freckles can return over time.

Melasma

Melasma is a more complex form of pigmentation characterised by larger, diffuse patches — most commonly on the cheeks, forehead, upper lip, and jawline. It is strongly linked to hormonal changes (pregnancy, oral contraceptives, hormone replacement therapy) and is exacerbated by sun exposure.

Melasma requires a particularly careful approach with laser. Unlike sunspots, which tend to respond quickly and cleanly, melasma can be stubborn and, in some cases, may temporarily worsen with laser treatment if the correct wavelength, settings, and protocol are not used. At Bare Again, we assess melasma clients thoroughly before proceeding and tailor the treatment protocol specifically to the nature and depth of the pigmentation. We will only recommend laser treatment for melasma if we believe it is the right approach for your specific presentation.

Is Laser Suitable for All Skin Tones?

The Lutronic Hollywood Spectra is designed to operate safely across a range of skin tones. However, the risk of post-inflammatory hyperpigmentation — paradoxically, new dark marks caused by the laser itself — is higher in clients with deeper skin tones if the treatment is not calibrated correctly.

This is not a reason to avoid laser treatment. It is a reason to choose a clinic that conducts a proper skin assessment, understands the nuances of treating diverse skin tones, and adjusts laser parameters accordingly. At Bare Again, we take this seriously. We will not proceed with treatment if we believe the risk outweighs the benefit for your skin.

Why a Skin Check Is Required Before Treatment

Before we perform any pigmentation treatment at Bare Again, we require a skin check. This is a non-negotiable part of our process.

The skin check allows us to:

  • Identify the type and depth of pigmentation

  • Assess your skin tone and type in detail

  • Rule out any pigmented lesions that require medical assessment before laser is appropriate

  • Confirm that laser treatment is the right approach for your specific concern

  • Set accurate, honest expectations about the number of sessions and likely outcomes

The skin check is performed at your initial consultation and is included at no additional cost.

What Results Can You Expect?

For sunspots, age spots, and most forms of post-inflammatory hyperpigmentation, results are typically very good. Many clients see significant improvement within 2 to 4 sessions. Treated spots generally darken slightly in the first 5 to 7 days after treatment — this is normal and is a sign the process is working — before they naturally shed and fade over the following weeks.

For melasma, results are more variable and require a tailored approach. We manage expectations carefully and monitor progress closely.

Maintaining results long-term comes down to one thing above all others: consistent, daily SPF 50+ sun protection. Sun exposure is the primary driver of pigmentation recurrence, regardless of the treatment used.

Concerned about pigmentation and wondering if laser is the right option for your skin? Book a free consultation and skin check at Bare Again in Chelsea. We'll assess your skin in person and give you an honest recommendation. Shop 1/461 Nepean Highway, Chelsea — call 0419 207 360 or book online.

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