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Skin pigment problems such as birthmarks, rosacea, age spots and sun spots can both age a person’s appearance and cause embarrassment or self-consciousness. While some pigmentation problems are minor and don’t cause any problems, others may be major enough to warrant treatment. Fortunately there are effective treatments available for treatment of all kinds of pigmentation problems.

What Are the Causes?

Pigment problems can be caused by melanin or blood vessels. Brown or black birthmarks, age spots, and sun spots are usually caused by an excess of melanin localized in one place. Melanin is what gives our skin its color, and excessive melanin can be present from birth or can be caused by excessive UV radiation, or inflammatory skin conditions and trauma. Red birthmarks and conditions such as rosacea and traumatic scars can be caused by excessive or dilated blood vessels just under the skin’s surface.

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Treatment options for pigment problems will depend on the type of pigmentation present. Vascular problems such as rosacea will often need a different treatment than a melanin problem such as age spots. An experienced dermatologist such as Dr. Melda Isaac at the MI Skin Dermatology Center in Washington DC will be able to assess your condition and recommend the best treatment option for your individual case of pigment problems.

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Laser skin resurfacing

Laser skin resurfacing treatments such as the Fraxel laser are a popular option for treatment of age spots and other pigment problems. Laser skin resurfacing allows brand-new skin to be regenerated, while at the same time stimulating production of collagen. These pigment treatments can treat a variety of problems, and leave you with youthful, smooth, even textured skin. Ask Dr. Isaac in Washington, DC, which laser is best for you and your pigment condition.

Laser skin resurfacing treatments offered by Dr. Isaac include:

• Erbium Laser Resurfacing
• Fractional CO2
• Fraxel
• Genesis

BBL and V-beam Lasers

BroadBand Light (BBL) treatments can minimize the appearance of pigment problems, such as age spots, rosacea, flushing, sun damage, and uneven pigmentation. BBL treatments can target both red and brown spots, and they involve minimal downtime. Multiple sessions will be needed for optimal results, but this gentle pigment treatment is popular due to its non-aggressive nature and lack of downtime.

V-beam lasers can target deep red birthmarks such as port wine stains and hemangiomas, and is also effective treating rosacea, angiomas, and uneven coloring on the neck. V-beam lasers also require minimal downtime, and involve minimal side effects. Three pigment treatments are generally recommended, although this number may vary depending on your specific problem areas.

Excel V Laser

The Excel V laser can treat a variety of vascular conditions including vascular birthmarks. This laser can target both superficial blood vessels and deeper vascular conditions. The Excel V laser causes light to be absorbed by the vessels, which then coagulates the blood which is absorbed into the body. This laser is useful for reducing the appearance of both deep and shallow vascular conditions.

Chemical Peels and DermaSweep

Chemical peels and DermaSweep can be used to treat uneven pigments, age spots, and sun damage. These exfoliating treatments remove dead skin and stimulate new growth, resulting in smoother skin and a more even tone. Chemical peels involve the use of alpha and beta hydroxy acids applied to the skin in order to destroy dead skin cells and promote healthy growth. DermaSweep, a type of microdermabrasion, uses an advanced bristle system with a variable vacuum pump to “sweep” away dead skin cells and even your skin tone. Dermasweep can be combined with other pigment treatments, such as Chemical peels, BBL and lasers, allowing for deeper penetration of the acid or light into the skin.


Micro-needling is a less intense alternative to laser skin resurfacing. Instead of using laser light energy, micro-needling with the MicroPen or Collagen Pen uses multiple fine needles to create microscopic injuries in a fractional pattern, thus stimulating skin regrowth and new collagen production. Micro-needling is a popular and effective way to even skin tone without a long recovery period!

Schedule a Consultation Today!

If you have uneven skin pigmentation, birthmarks, age spots, sun damage, or other pigment problems, schedule a consultation with leading dermatologist Dr. Isaac at the MI Skin Dermatology Center in Washington DC today! To find out more information about pigment treatment options and to make your appointment, call (202) 393-7546 .

Next, read about Rosacea.