A: This is a great question because it highlights the importance of seeing a board certified dermatologist who is also experienced in peels. There is so much information (TMI) on the internet that you need the opinion of someone who understands acne, understands peels and the differences between different peel types and skin types, and most importantly can give you the individualized medical evaluation and care to help the acne as well as the pigmentation. You simply cannot get the best care anywhere else. Board certified dermatologists understand acne best and can help control the underlying medical condition. We can assess your skin and choose a peel best suited to your skin type. So step one is to stop guessing and find a qualified dermatologist and then together, you can find the path to better looking skin.
Q: I have a lot of sun freckles all over my chest. What treatment is best for this?
A: First, it is important to try to fade the freckles by using a high SPF sunscreen daily and by using a bleaching product like Triluma. Once that is done for about 4-6 weeks, you might want to consider what is the best next step to further improve the large areas of discoloration. You have many options to review with your dermatologist. Fraxel fractional Thullium, Clear and Brilliant Permea, and IPL are all options, but with a large area, you might want to consider a chemical peel. Chemical peels are often still the most cost-effective methods to improve large surface areas like the chest or arms. The downtime of dryness and peeling can be concealed best during the winter months and it is also important to protect the newly peeled skin from the sun for several weeks and to return to your skin care protocol 2 weeks post peel to maintain the results longer.
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