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

Pigmented birthmarks are skin markings that are either present at birth or appear within the first few weeks of life. They result from an overproduction of melanin or a clustering of pigment-producing cells (melanocytes) in the skin.

The Science Behind It

What are the most common pigmented birthmarks? 

  • Café-au-Lait Spots: Light brown patches that vary in size, shape, and number. While common and usually harmless, having six or more spots larger than 0.5 cm in children may be linked to a genetic condition such as neurofibromatosis and should be assessed by a doctor.
  • Mongolian Spots: Flat, bluish-grey birthmarks most often seen on the lower back or buttocks. They are more common in babies with darker skin tones and are caused by pigment cells trapped in the deeper layers of the skin. These marks usually fade by early childhood and do not require treatment.
  • Congenital Nevi: Moles present at birth that can appear anywhere on the body. They may be flat or raised and range in colour from brown to black. Larger nevi may carry a slightly increased risk of developing into melanoma later in life, so regular monitoring is recommended.
  • About Left Image

    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
    No items found.
    FAQ

    Frequently Asked Questions

    Do pigmented birthmarks go away on their own?

    Some pigmented birthmarks, like Mongolian spots, often fade during early childhood. Others, such as café-au-lait spots or congenital nevi, typically remain throughout life and may darken or enlarge over time.

    When should a pigmented birthmark be assessed by a doctor?

    You should seek medical advice if the birthmark changes in size, shape, or colour, becomes raised, symptomatic (e.g., itching or bleeding), or if there are multiple café-au-lait spots, which may signal an underlying condition.

    Can laser treatment completely remove pigmented birthmarks?

    Laser treatments like the Candela PicoWay can significantly lighten some pigmented birthmarks, especially flat and well-defined ones. However, complete removal may not always be possible, and multiple sessions are usually required.