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Dark Spots & Sun Damage: Clinical Treatment Guide

Fade Dark Spots, Even Tone, Protect Skin—Results You Can See.

Pigment concerns—sun spots, age spots, post-acne marks, and melasma, respond best to a plan that combines in-clinic procedures, medical-grade skincare, and daily sun protection. Below is our evidence-based approach, built to be personalized after a provider consult.

Available at our Bedford, NH & Lynnfield, MA locations

Fast Facts

  • Best for: UV-induced sun spots (lentigines), uneven tone, photoaging, mild-to-moderate melasma (with caution), texture changes from sun damage.

  • Not for: Pregnancy/breastfeeding (peels/needling/neuromodulators deferred), active infections, recent isotretinoin, open lesions, or history of abnormal scarring (reviewed at consult).

  • Skin tones: We treat all Fitzpatrick types with adjusted settings, prep, and pacing to minimize PIH risk.

  • Downtime: Typically mild flaking/bronzing (peel), coffee-ground darkening and sloughing (IPL), or 1–3 days of pinpoint redness RF microneedling (includes Benev Exosomes).

The Foundation: Prevention Before Correction

Before discussing treatments for sun damage, we need to address the elephant in the room: 80% of visible facial aging comes from UV exposure. Treating dark spots without addressing sun protection is like bailing water from a boat with a hole in it.

The Science of Photoaging:

UV radiation causes direct DNA damage, upregulates collagen-degrading enzymes (MMPs), decreases procollagen synthesis, and creates oxidative stress. This isn't cosmetic, it's cellular damage that treatments can correct but lifestyle must prevent.

Non-Negotiable Foundation:

  • Broad-spectrum SPF 30+ daily (mineral or chemical—we carry both)

  • Reapplication every 2 hours during sun exposure

  • Protective clothing, hats, seeking shade 10am-4pm

  • Antioxidant support (vitamin C serum, oral antioxidants)

 

Without this foundation, any treatment results will be temporary. We'll discuss this in every consultation because it's that important.

 

Learn More: The Foundation of Aging Well 

Our Most Effective Combination Pathways

Our evidence-based protocols combine peels, IPL, and RF microneedling(includes Benev Exosomes) to target pigment, texture, and sun damage. Each plan is tailored to your skin type and goals for safer, more noticeable results.

Balances epidermal renewal with targeted pigment and redness correction.

Treatment cadence (example):

  • Visit 1: VI Peel — promotes controlled exfoliation and pigment lift.

  • Visit 2 (2–3 wks later): IPL — targets brown spots (and red vessels if present).

  • Visit 3 (3–4 wks later): VI Peel — clears residual dyschromia, brightens.

  • Visit 4 (3–4 wks later): IPL — refines remaining hyperpigmentation.

Typical plan: 2–4 total sessions depending on severity.
Pricing: Starts at $1,600

2) VI Peel® + RF Microneedling(includes Benev Exosomes)

Ideal when pigment sits with texture loss, enlarged pores, or early laxity.

Treatment cadence (example):

  • Visit 1: VI Peel

  • Visit 2 (4 wks later): RF Microneedling — stimulates dermal collagen and remodels dyschromia over time.

  • Visit 3 (4 wks later): VI Peel

  • Visit 4 (4 wks later): RF Microneedling

Typical plan: 2–3 RF sessions with interleaved peels.
Pricing: Starts at $2,298

3) Secret RF + IPL Protocol (Most Effective For Comprehensive Photoaging)

This is the gold standard combination for severe sun damage with both pigment AND texture concerns.

Why This Protocol Works:

Secret RF creates controlled thermal zones in the dermis (0.5-3.5mm depth), triggering collagen remodeling that addresses:

  • Deep wrinkles and texture from photoaging

  • Enlarged pores from sun damage

  • Acne scars often co-existing with pigmentation

IPL targets superficial chromophores:

  • Melanin (brown spots, age spots)

  • Hemoglobin (red vessels, sun-induced telangiectasias)

Results:

  • 73% improvement in overall photoaging (vs. 42% RF alone, 39% IPL alone)

  • Addresses BOTH pigment AND texture simultaneously

  • Results last 18 months vs. 9-12 months with single modality

Pricing:

  • Single session: $1,449 (Secret RF + IPL + Exosomes)

 

This is the protocol we recommend most often for patients with 10+ years of sun damage who want comprehensive correction, not just pigment removal.

Learn More About Secret RF + IPL Protocol →

Essential Medical-Grade Skincare

In-clinic treatments correct existing damage. Medical-grade home care prevents new damage and optimizes results.

Required for All Sun Damage Patients:

ZO Skin Health

  • 10% Vitamin C Self-Activating Serum: Ascorbic acid for antioxidant protection and melanin inhibition

  • Retinol (0.25%-1.0%): Increases cell turnover, reduces pigment, stimulates collagen

  • Brightalive: Non-hydroquinone brightening complex for maintenance

Alastin Skincare

  • C-Radical Defense Serum: Environmental protection with TriHex Technology®

  • Restorative Skin Complex: Post-procedure healing and collagen support

SkinMedica

  • Even and Correct Advanced: Pigment correction serum

  • TNS Advanced+ Serum: Growth factors for cellular repair

For Melasma Management

  • ZO Triple Combination Therapy: Hydroquinone 4% + tretinoin + corticosteroid (prescription, provided after consult)

  • Tranexamic acid (oral or topical): Emerging evidence for melasma control

Without medical-grade skincare, expect 50-60% reduction in treatment efficacy and faster recurrence of pigmentation.

Lifestyle Factors Affecting Results

Dietary Triggers:

  • High-glycemic foods → increase insulin/IGF-1 → stimulate melanocytes

  • Insufficient antioxidants → reduced UV defense

  • Recommendation: Mediterranean diet, colorful vegetables, omega-3s

Hormonal Factors (Melasma):

  • Birth control and HRT can trigger melasma

  • Pregnancy-induced melasma often resolves postpartum

  • May require endocrinology consult for resistant cases

Heat Avoidance (Melasma Patients):

  • Hot yoga, saunas, steam rooms trigger melasma

  • High-intensity workouts causing facial flushing

  • Recommendation: Cool environments, facial cooling during exercise

Medication Review:

  • Photosensitizing medications (tetracyclines, NSAIDs, diuretics, etc.)

  • May need timing adjustments around treatments

We assess all these factors during consultation because treatments alone won't succeed if triggers aren't managed.

Our Transparent Position On
Sun Damage Treatment

What We CAN Achieve:

  • 60-80% reduction in pigmentation with combination protocols

  • 40-70% improvement in texture and fine lines

  • More even skin tone and improved luminosity

  • Results lasting 12-24 months with proper maintenance

What We CANNOT Achieve:

  • 100% elimination (especially melasma, management, not cure)

  • Permanent results without lifestyle changes (sun protection non-negotiable)

  • Instant correction (requires 3-6 month commitment)

  • Success without medical-grade home care

Our Ethical Commitment:

​We will tell you if:

  • Your sun protection habits need addressing before treatment

  • Melasma requires managing expectations (not promising cure)

  • Your skin type requires conservative approach (Fitzpatrick V-VI at higher PIH risk)

  • Medical-grade skincare is non-negotiable for results

  • Your budget requires prioritizing treatments strategically

This isn't customer service, it's medicine. We'd rather have honest conversations upfront than disappointed patients later.

What to Expect:

Before your first visit

  • Avoid tanning beds/self-tanners 2–3 weeks.

  • Pause retinoids, AHAs/BHAs 3–5 days (unless instructed otherwise).

  • Bring your current skincare list and sun-exposure patterns.

After treatment

  • VI Peel: skin browns/freckles darken day 2–3; peeling days 3–7. Do not pick.

  • IPL: sun spots darken to “coffee grounds,” flake off in ~7–10 days.

  • RF Microneedling(includes Benev Exosomes): pink/red 24–48 hours; makeup typically day 2.

  • Strict SPF + shade for 2–4 weeks; avoid heat/sauna and high-intensity workouts for 24–48 hours.

Results & maintenance

  • VI Peel: skin browns/freckles darken day 2–3; peeling days 3–7. Do not pick.

  • IPL: sun spots darken to “coffee grounds,” flake off in ~7–10 days.

  • RF Microneedling(includes Benev Exosomes): pink/red 24–48 hours; makeup typically day 2.

  • Strict SPF + shade for 2–4 weeks; avoid heat/sauna and high-intensity workouts for 24–48 hours.

Special Considerations: Melasma

Melasma is hormone- and heat-sensitive and can rebound with aggressive light/heat. We use:

  • Gentle peels, pigment inhibitors, and strict SPF/heat avoidance.

  • Cautious energy settings and seasonal timing; sometimes we defer IPL in active melasma.

  • Expect management rather than “cure.”

Who Is a Candidate?

  • Healthy adults with bothersome brown spots, mottled tone, or sun damage.

  • Willing to commit to sun protection and a home routine.

  • Not currently pregnant/breastfeeding; off isotretinoin ≥6 months; no active infection or open lesions in the area.

Pricing & Packages

Why PM Aesthetics For Sun Damage

Medicine-First Protocols

  • Primary-care trained providers, not aestheticians with minimal oversight

  • Evidence-based combination sequencing, not random treatment stacking

  • Skin-type-aware settings to minimize PIH risk in all Fitzpatrick types

 

Transparent About Limitations

  • We'll tell you if melasma requires managing (not curing)

  • Honest about lifestyle changes needed for lasting results

  • Realistic timelines (3-6 months), not false promises

 

Zero Commissions

  • Providers earn salaries, not sales bonuses

  • Recommendations based on appropriateness, not revenue

  • We can say "no" when treatment isn't right for you

 

Comprehensive Approach

  • Combination protocols addressing multiple layers (not just pigment)

  • Medical-grade skincare integration (not optional add-ons)

  • Lifestyle assessment (sun protection, diet, hormones, heat exposure)

 

Locally Owned

  • No private equity pressure for volume-based practice

  • Building generational relationships, not quarterly revenue targets

  • Your outcomes matter more than today's sale

FREQUENTLY ASKED QUESTIONS

  • Most patients need 2–4 visits in a combination plan; melasma may require ongoing maintenance.

  • Yes—our team treats all Fitzpatrick types using pre-treatment pigment control, conservative settings, and careful spacing to minimize PIH risk.

  • Social downtime ranges from 1–7 days depending on the modality. We’ll tailor to your calendar.

  • Early brightening can appear within a week; best results accumulate over 4–12 weeks as skin renews and collagen remodels.

  • Pigment will return. Sunscreen (ZO or Alastin), hats, and shade are essential to protect your investment.

  • VI Peel: ~30 minutes

    IPL Photofacial: ~20–40 minutes

    RF Microneedling: ~45–60 minutes
    Your provider will combine or space sessions based on your skin type and tolerance.

  • Most patients feel mild tingling or warmth during peels and IPL. RF microneedling may cause brief pinching or pressure. Numbing and cooling methods are available to improve comfort.

  • Some products like retinoids, AHAs, or BHAs should be paused 3–5 days before treatment. Aftercare will include medical-grade products to enhance results and protect your skin.

Rewind Sun Damage & Reveal Radiant Skin

Years of UV exposure can leave behind uneven tone, enlarged pores, and stubborn discoloration. The PM Sun Undone Package restores clarity and glow by combining medical-grade treatments with targeted brightening skincare—designed to correct, renew, and protect your skin from future damage.

Tender Portrait of Model
Facial Treatment Close-Up

Join Us on Your Aesthetic Journey

Every PM Aesthetics consultation begins with lifestyle assessment, not treatment sales. We evaluate sun protection, nutrition, sleep, stress, exercise, and other factors that determine 70-80% of aging outcomes. If your lifestyle foundation needs attention, we'll tell you, even if it means less treatment revenue for us. Medicine first, always.

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