DFW Skin Surgery Center
1115 W. Randol Mill Rd
Suite 200
 Arlington, TX 76012
(817) 303-6647 (MOHS)
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DFW Skin Surgery Center, PLLC
1115 W. Randol Mill Road, Suite 200, Arlington, TX 76012
(817) 303-6647 (MOHS)
Fax: (817) 303-6651


©2012-2017 DFW Skin Surgery Center, PLLC. All Rights Reserved.

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Treatment of Pigmented Lesions
Pigmented lesions share the characteristic of increased amount of dark brown pigment known as melanin. Some lesions, such as moles or nevi, may appear at birth, while others, such as freckles or lentigos (“liver” or “age spots”) often appear later in life due to excessive sun exposure. Pigmented lesions are a common concern due to their conspicuous nature, but are also very amenable to treatment.

Some lesions, such as moles, may need to be removed surgically, especially if there is any concern that the lesion may have grown in size or changed in color. These should be brought to Dr. Berlin’s attention for proper diagnosis and treatment. Others, such as freckles and age spots, may be treated with lasers. These can be performed on the face, as well as off face, such as on the neck, hands, forearms, and chest.

Lasers have long been used for various skin conditions, including blood vessels, tattoos, and pigmented lesions. Lasers produce intense beams of light, which can selectively target skin lesions based on their emitted wavelength.

Pigmented lasers target melanin within the lesion, breaking it up and eventually eliminating it through the skin. Multiple lasers and laser-like devices have been introduced for the treatment of vascular lesions. The so-called “Q-switched” lasers produce very short laser pulses, resulting in acoustic waves that break up the melanin particles. Others, such as intense pulsed light (IPL) devices, allow for the treatment of more extensive brown discoloration together with redness, as seen in sun-damaged skin.

Treatments with these devices are very well tolerated and patients are generally able to return to their regular activities immediately following the treatment. Though mild redness may occur with IPL devices, it is typically short-lived, usually lasting from several hours to a day. Pigmented lesions will first get darker (“burnt”) with this treatment, followed by their peeling off within 3-7 days. Q-switched laser devices may produce mild purple color immediately surrounding the lesion, which may be covered with a concealer. 

Depending on the lesion, several treatment sessions may be necessary for the best outcome. In such cases, Dr. Berlin will notify you before commencing your treatment regimen.

If you would like to find out more about these or any other procedures or would like to schedule a personal consultation with Dr. Berlin, please contact our office today or use the form on the right to request more information.