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15 Green Lane East, Remuera,  Auckland, New Zealand
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Monday - Friday: 7:30 am - 5:30 pm

Pigmentation and uneven skin tone are common concerns we see across all ages and skin types. These changes happen when melanin—the pigment that gives skin its colour—is produced in excess or unevenly distributed. Triggers can range from sun exposure and hormones to skin inflammation and genetics.

The Science Behind It

Pigmentation issues like age spots and freckles are caused by changes in melanin production—the pigment that gives skin its colour. Here’s how it works:

  • Melanin Overproduction: Your skin produces melanin to protect itself, especially after sun exposure. When it produces too much in one area, dark spots can form.
  • UV Damage: Repeated sun exposure over time triggers excess melanin and leads to sunspots (also called solar lentigines or age spots).
  • Hormonal Changes: Conditions like melasma are linked to hormone shifts (e.g. pregnancy or contraceptive use), which can overstimulate pigment cells.
  • Inflammation Response: After acne, burns, or skin irritation, the skin may produce more melanin in the healing areas—this is called post-inflammatory hyperpigmentation (PIH).
  • Genetic Factors: Freckles are often inherited and tend to appear in fair-skinned individuals with sun exposure.

Understanding these causes helps our dermatologists at Scars & Lasers tailor the right treatments to fade pigmentation safely and effectively.

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What are the best lasers for this condtion

Nd:YAG Laser

(Available on Excel V and Excel V Plus)

Best for

Mild cases or isolated vessels.

How It Works

The long-pulse Nd:YAG laser emits energy at a wavelength absorbed by haemoglobin in blood vessels. This heat causes the targeted vessels to collapse, effectively treating both surface red veins and deeper blue veins.

Results

Treated vessels may disappear immediately or gradually fade over several weeks.

Combined Vascular Laser and BBL Approach

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

More severe cases or large areas of visible facial veins and redness, particularly in rosacea.

How It Works

This approach layers multiple vascular-targeting technologies in one session, including:

  • Nd:YAG Laser: For deeper blue or purple visible blood vessels.
  • Vascular-Tailored Settings of Broad-Based Light (BBL): For diffuse redness and widespread visible capillaries.
  • Pulse Dye Laser: (Candela VBeam Perfecta, Excel V Plus) For bright pink surface vessels and fine skin flushing.

Results

Effectively reduces visible veins, diffuse redness, and facial flushing commonly seen in rosacea.

Rejuran (Polynucleotides)

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

Stimulating collagen and vascular remodelling to reduce persistent skin redness.

How It Works

Often recommended in combination with vascular laser or BBL treatments to enhance skin healing, texture, and redness reduction.

While each treatment offers its own benefits, the most effective plan depends on your skin type and specific concerns. A consultation with our dermatology team at Scars & Lasers ensures a tailored approach that considers your overall skin health, treatment goals, and any potential risks.

Potential Treatment Protocols

Treatment Type
Number of Sessions
Procedure Time
Recovery
2 - 5 Sessions
10-30 Minutes
3 - 5 Days
2-5 Sessions
10-30 Minutes
3 - 5 Days
2 - 5 Sessions
10 - 30 Minutes
2 - 4 Days
2 - 4 Sessions
40 Minutes
3 - 5 Days
FAQ

Frequently Asked Questions

What causes age spots and pigmentation?

At Scars & Lasers, we understand that pigmentation can appear for many different reasons. Most pigmentation issues are due to an overproduction or uneven distribution of melanin—the pigment that gives skin its colour.

Here are the common causes we see:

  • Sun Exposure: UV rays stimulate melanin production, often resulting in sunspots, freckles, and uneven skin tone.
  • Ageing: As we age, our skin’s ability to regulate melanin declines, often leading to the development of age spots and irregular pigmentation.
  • Hormonal Changes: Conditions like melasma can arise during pregnancy or from using hormonal medications like contraceptive pills.
  • Post-Inflammatory Hyperpigmentation (PIH): Dark marks may appear after acne, burns, or skin irritation, especially in those with darker skin tones.
  • Genetics: Some individuals are simply more prone to freckles, age spots, and pigmentation due to their genetic makeup.

What is melasma?

Melasma is a common form of facial pigmentation, typically appearing as blotchy, brown or greyish patches on the cheeks, forehead, jawline, and upper lip. It mainly affects women, particularly those with medium to dark skin tones.

Common triggers include:

  • Hormonal shifts (e.g. pregnancy, birth control pills)
  • Sun exposure
  • Skin irritation or inflammation

At Scars & Lasers, we identify whether the pigment sits in the upper layer (epidermis) or deeper layers of the skin (dermis), as this determines which laser or treatment approach is most effective.

What are solar lentigines (age spots or liver spots)?

Solar lentigines are flat, brown spots caused by long-term sun exposure. Unlike freckles, they usually appear later in life and don’t fade without treatment.

These spots commonly show up on:

  • Face
  • Hands
  • Arms
  • Chest

We treat solar lentigines using world-class laser and energy-based technologies that specifically target excess pigmentation with minimal downtime.

What are seborrhoeic keratoses?

Seborrhoeic keratoses (also known as senile keratoses) are benign, wart-like growths that tend to appear with age. They can range in colour from light brown to dark black and often have a waxy, slightly raised surface.

While harmless, they can be removed for cosmetic reasons. Scars & Lasers offers safe and effective removal using advanced dermatological devices.

What are freckles (ephelides)?

Freckles are small, flat, light-to-dark brown spots that are most often seen in individuals with lighter skin tones. They are caused by genetics and sun exposure.

Freckles:

  • Often appear in childhood
  • Become more prominent with sun exposure
  • May fade with age or reduced sun exposure

Laser treatments and sun protection can help manage their appearance if desired.

What treatments are available for pigmentation at Scars & Lasers?

We offer a range of medical-grade treatments tailored to the cause and depth of your pigmentation:

  • Chemical Peels: Help remove surface pigmentation and even out skin tone through controlled exfoliation.
  • Laser & Energy Devices: Including pigment-specific lasers to safely break down excess melanin in the skin.
  • Cryotherapy & Electrosurgery: Effective for isolated lesions like age spots or seborrhoeic keratoses.

Every treatment plan is customised by our dermatologists based on your skin type and pigmentation type.

What’s the best skincare for dark spots and pigmentation?

At Scars & Lasers, we believe effective skincare is the foundation of good results. Our dermatologists may recommend:

  • Prescription-grade skincare for targeted pigment control
  • Brightening serums with ingredients like niacinamide or azelaic acid
  • Broad-spectrum UV protection (including blue light filters for melasma)
  • Post-treatment care that supports healing and prevents recurrence

An accurate diagnosis is the first step. We combine clinical-grade skincare with laser and energy-based treatments to give you the best chance of long-term results.