Laser Treatments for Moles and Freckles: What You Need to Know

Regarding laser removal of moles and freckles?

About five months ago, I underwent a ruby laser mole removal procedure, during which five moles on my face were removed.
However, the results were not satisfactory; three of the moles are still faintly visible, and the other two have not improved and even show signs of enlargement.
Should I return to the original clinic for further laser treatment? I heard from a nurse that the type of gem used in the laser can affect the results.
Is that true? Are there other methods that might be more effective? Additionally, I have mild freckles on the bridge of my nose and under my eyes since childhood, and I would like to know what treatment options are available to improve this condition.

A-Hong, 20~29 year old female. Ask Date: 2005/09/19

Dr. Huang Ruiyun reply Dermatology

Laser mole removal typically requires multiple sessions.
Insisting on achieving complete removal in one session increases the risk of permanent scarring.
It's important to keep trying.
It is unlikely for moles to enlarge after laser treatment; rather, they may darken temporarily and will fade over time.
Ruby laser is very effective for treating freckles, so consider addressing that during your next mole removal session.

Reply Date: 2005/09/19

More Info

When it comes to laser treatments for moles and freckles, it's essential to understand the various options available, their effectiveness, and the potential outcomes. Based on your experience with ruby laser treatment for mole removal, it seems that the results have not met your expectations, particularly with some moles still visible and even showing signs of enlargement.
Firstly, it's important to recognize that not all laser treatments are created equal. Different types of lasers operate at various wavelengths, which can affect their ability to target specific skin conditions. Ruby lasers, for instance, are often used for pigmented lesions, but their effectiveness can vary depending on the depth and type of the mole or freckle. If you are seeing minimal improvement, it may be worth discussing with your dermatologist the possibility of using a different type of laser, such as a Q-switched Nd:YAG laser or an Alexandrite laser, which might provide better results for your specific skin type and the characteristics of the lesions being treated.

In terms of your question about whether to return to the original clinic for further treatment, it would be prudent to have a follow-up consultation with your dermatologist. They can assess the treated areas and determine if additional sessions with the same laser are warranted or if a different approach might yield better results. It's also important to communicate your concerns about the enlargement of the remaining moles, as this could indicate a need for a different treatment strategy.

Regarding the presence of freckles, particularly on the nose and under the eyes, there are several treatment options available. Laser treatments, such as fractional laser therapy or intense pulsed light (IPL), can be effective in reducing the appearance of freckles. These methods work by targeting the pigment in the skin, breaking it down so that the body can naturally eliminate it. However, it's crucial to have realistic expectations, as multiple sessions may be required to achieve the desired results.

In addition to laser treatments, other options for managing freckles include topical treatments with ingredients like hydroquinone, retinoids, or vitamin C, which can help lighten pigmentation over time. Chemical peels and microdermabrasion are also viable alternatives that can improve skin texture and tone, potentially reducing the appearance of freckles.

It's essential to consult with a qualified dermatologist who can evaluate your skin and recommend the most appropriate treatment plan tailored to your needs. They can also discuss the potential side effects and recovery times associated with each treatment option, ensuring you make an informed decision.

Lastly, while seeking treatment for skin concerns, it's vital to maintain a good skincare routine and protect your skin from sun exposure, as UV rays can exacerbate pigmentation issues. Using broad-spectrum sunscreen daily can help prevent new freckles from forming and protect your skin during and after any laser treatments.

In summary, while your experience with ruby laser treatment may not have yielded the desired results, there are various options available for both mole removal and freckle treatment. Consulting with your dermatologist about alternative lasers and additional treatments can help you achieve better outcomes. Remember to prioritize sun protection and a consistent skincare routine to maintain healthy skin.

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