They go by many names, but sun spots, age spots, and liver spots all refer to the same thing: flat, darkened patches that develop on skin after years of sun damage. Whatever you call them, they’re one of the most common cosmetic concerns dermatologists hear about, and the good news is that highly effective treatments exist.

What Causes These Spots?

Ultraviolet radiation triggers the skin to produce melanin as a protective response. Over time, that melanin accumulates unevenly, creating concentrated patches of pigmentation on sun-exposed areas. They tend to appear on:

  • Face 
  • Hands
  • Forearms
  • Shoulders
  • Chest
  • Décolletage

They’re most common in adults over 40, though people who spend significant time in the sun can develop them earlier. They’re harmless on their own, but because they can occasionally resemble early melanoma, a dermatologist should evaluate any spot that looks irregular, changes in appearance, or has uneven borders.

Ultraclear, Hyperpigmentation, Boston & Wellesley Hills

UltraClear Laser

The UltraClear laser represents one of the most advanced options for targeting pigmentation. This cold ablative fiber laser works by delivering precise energy to damaged skin cells, breaking up melanin deposits and stimulating new collagen production in the process.

What sets UltraClear apart is its ability to treat a wide range of skin tones with a lower risk profile than older ablative lasers. It removes surface pigmentation while simultaneously improving overall skin texture and tone, so patients walk away with results that go beyond just fading individual spots. 

Downtime varies depending on the treatment intensity your dermatologist recommends, with lighter settings offering a quicker recovery and more aggressive settings delivering more dramatic results.

IPL (Intense Pulsed Light)

Intense pulsed light therapy targets pigmentation by delivering broad-spectrum light energy into the skin. Melanin absorbs that light, heats up, and breaks apart, allowing the body to naturally clear the pigment over the following weeks. Treated spots typically darken briefly before they flake off, revealing clearer skin underneath.

IPL works particularly well for patients with multiple spots spread across a larger area, since each session treats a broad zone rather than individual lesions. It also addresses redness and broken capillaries at the same time, making it a strong all-around option for patients dealing with general sun damage alongside discrete spots. 

Downtime is minimal, but sun protection is important. Most patients see meaningful improvement after a series of treatments.

Hyperpigmentation Consultations Available

Glycolic Acid Peels

Chemical peels using glycolic acid offer a more gradual but highly effective approach to fading pigmentation. Glycolic acid penetrates the outer layers of the skin, accelerating cell turnover and breaking up the melanin clusters responsible for dark spots. Over a series of peels, patients see a more even, brighter complexion with reduced pigmentation.

Professional-grade glycolic peels deliver significantly stronger results than over-the-counter formulations. They also pair well with laser or IPL treatments as part of a long-term maintenance plan, helping patients sustain their results between sessions.

Treatment Works Beyond the Face

Many patients focus on facial spots, but sun damage accumulates wherever skin sees the sun. The hands, forearms, chest, and décolletage often show significant pigmentation, and these areas respond well to the same treatments. Addressing the full picture delivers far more cohesive, natural-looking results.

Sun Protection Keeps Results Lasting

Every treatment for sun spots works best when paired with consistent sun protection. Without it, UV exposure continues to stimulate melanin production, and new spots develop even after successful treatment. Broad-spectrum SPF 30 or higher, worn daily and reapplied when spending time outdoors, forms the foundation of any long-term pigmentation management plan. 

Antioxidant serums and topical retinoids can further help regulate melanin production and maintain results between treatments.

Simply the best place to go for dermatology!

Start with a Consultation

The most effective treatment depends on your skin tone, the severity of your pigmentation, and your goals. The dermatologists at Krauss Dermatology will assess your skin and recommend a targeted plan to fade existing spots, improve overall tone, and keep new damage from undoing your results. Schedule a consultation to take the first step.

Take the Next Step

If you have further questions about treating sun spots and other types of hyperpigmentation, we encourage you to schedule a consultation at Krauss Dermatology. Call us at (781) 247-5593 or fill out our online contact form. We look forward to taking care of you.