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How to remove hyperpigmentation on the face?

Updated: Apr 10

Procedures to remove and reduce hyperpigmentation: Dr. Uskov's combined laser protocols

Before and after of hyperpigmentation removal on the face:

Removal of hyperpigmentation. Result of just one procedure. Patient is not wearing make-up.

Introduction


Hyperpigmentation occurs when pigment-producing skin cells called melanocytes start to produce too much pigment, or melanin. Melanin is the pigment that colors our skin, body hair, and eyes.


Hyperpigmentation on the face can appear as freckles, solar lentigines, melasma, post-inflammatory reactions, or other darkened areas of the skin. Pigmentation can be caused by many factors, including excessive sunlight, hormonal changes, mechanical or chemical damage, age, genetic predisposition, etc.


Dr. Uskov's clinic uses a modern approach to the treatment of pigment spots, based on the use of laser technologies and individually tailored combined protocols. These methods ensure effective, safe, and minimally invasive treatment.

Pilt laserprotseduurist vanuselaikude eemaldamiseks näol
In addition to removal of the hyperpigmentation, the overall look of the skin was improved.


Laser-treatment for removal of hyperpigmentation


How does it work?

Laser treatment targets melanin, the main pigment responsible for skin color. Laser beams penetrate the upper and middle layers of the skin, destroying pigmented cells, which are then naturally removed by the body's immune system.


Before and after hyperpigmentation removal:

Tulemus enne ja pärast näo pigmentatsiooni eemaldamist Dr Uskovi kliinikus
Removal of pigmentation on the forehead
Patsiendile tehakse Tallinnas näost vanuselaikude eemaldamise protseduur
Sometimes people wish to remove or lighten freckles.
Hyperpigmentation removal before and after video:
Video: removal of hyperpigmentation on the forehead
Patsiendile tehakse Tallinnas ülahuule pigmendilaikude eemaldamise protseduur
Hyperpigmentation removal above the upper lip
Melasma laserravi tulemus otsmikul Dr. Uskov Kliinik
Removal of hyperpigmentation on the forehead. Results after one procedure. Needs some more...

Our tech:

  1. Intense Pulsed Light (IPL) – effective for light to medium dark spots.

  2. Q-switched picosecond laser – for treating deep and persistent pigmentation.

  3. Fractional lasers – simultaneously remove pigmentation and stimulate skin renewal.

  4. Tullium laser

  5. Erbium lasers (we currently have two different ones in our clinic)

  6. Other laser and non-laser methods for affecting pigmentation


For effective treatment of hyperpigmentation a specialist has to have many different laser devices to work with different wavelengths.



Advantages of laser-treatment

  • High accuracy

  • Minimal danger to surrounding tissues

  • Fast recovery


Some research about the efficiency of laser-treatments:

The study "Laser treatments for hyperpigmentation: A comprehensive review" (Journal of Clinical and Aesthetic Dermatology, 2020) proves that laser-treatments are an effective treatment for different types of hyperpigmentations, including the removal of melasma and sun spots.
  • The study "Fractional Laser Treatment in Pigmentation Disorders" (Dermatologic Surgery, 2019) shows the advantages of using fractional lasers for removal of permanent pigmentation.



Combined treatments


To achieve maximum effect, laser treatment is often combined with additional methods. Dr. Uskov's clinic uses treatment protocols where the laser or a combination of energy-based devices is selected individually for each patient.

Näo pigmentatsiooni ravi tulemused Dr. Uskov Kliinik: enne ja pärast
Removing pigmentation on cheeks is usually not very difficult and is generally not affected by the age of the patient.

Individual approach


Before the procedure, each patient undergoes a thorough diagnostic examination, which includes analysis of skin type, depth and causes of pigmentation, dermatoscopy, quantitative assessment of pigment if necessary, and examination under ultraviolet light.


Based on the diagnostic data, a personal treatment plan is created, which may include several stages and types of procedures, as well as discussing prognosis, aftercare, restrictions, and prevention.

Dr Alexander Uskov viib läbi konsultatsiooni otsmikul pigmendi eemaldamise kohta
Pigmentation removal on forehead. Almost ideal result after just one combined treatment.
Vanuselaikude lasereemaldus näol dr Uskovi kliinikus
Here you see the additional improvement of overall skin quality in the treatment area.

Results and recovery


Most patients notice a significant reduction in pigmentation after just 1-2 treatments. A full course of treatment may include multiple treatments spaced 4-12 weeks apart. Skincare recommendations should be followed after the treatments, including sunscreen use and mandatory supportive care.


Research supporting the efficicency of laser-treatments:

  • The study "Post-laser care in pigmentary treatments" (Clinical, Cosmetic and Investigational Dermatology, 2021) shows the importance of using sunscreen after treatment to prevent recurrence of pigmentation spots.

  • "Advances in Laser Treatments for Skin Pigmentation" (Lasers in Surgery and Medicine, 2022) describes long-term results of laser-treatment.


Dr Alexander Uskov teostab Tallinnas näopigmentatsiooni laserravi
Long-term result after pigmentation removal by Dr Uskov's protocol. Photo taken in ultraviolet light.
Kaasaegsed laserseadmed Dr. Uskov Kliinik vanuselaikude eemaldamiseks
Dermatoscopy before and after removal of pigment.

Conclusion

There are many types of hyperpigmentation, and most of them cannot be treated with simple home remedies. The methods used at Dr. Uskov's clinic combine the latest laser technologies and individual protocols, ensuring effective and safe removal or reduction of pigment spots. If you are looking for a professional approach to improving your skin, make an appointment with Dr Uskov kliinik for consultation and a personal treatment plan.



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© 2025 Laserkliinik OÜ, Alexander Uskov, Laura Nulk-Uskov

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