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Age Spots, Sun Spots, Melasma & Hyperpigmentation Treatment

Reduce dark spots, even skin tone, and restore radiant complexion with expert chemical peels, laser treatments, and medical-grade skincare — customized for your skin type and pigmentation concerns

The most common types of pigment issues:

Post-inflammatory hyperpigmentation

Post-inflammatory hyperpigmentation (PIH) occurs from skin injury following acne, burns, insect bites, psoriasis, friction (includes shaving), wounds, etc. Affected skin turns darker tan, brown, black or purple which brings about the term hyperpigmentation (more color). This type of response to injury or inflammation is most common in darker (melanin-rich) skin types as melanocytes are easily triggered into producing more melanin at the site of the trauma.

PIH from Acne – VI Precision Peels

As skin regenerates, PIH fades. The regeneration process slows down when skin is damaged and as we age. PIH generally responds well to a variety treatments and products to speed the regeneration process.

Treatment options include eliminating or controlling the causes, Chemical Peels, Secret RF, SkinPen, Laser Genesis, and Excel V.

Product requirements include retinoids or azelaic acid, hydroquinone or other skin brighteners/pigment suppressants (kojic acid, arbutin, licorice root, tranexamic acid, niacinamide, etc.), antioxidants, sunscreen.

Read more about PIH on our BLOG.


Lentigines (Sun Spots/Age Spots/Freckles)

Lentigines (aka. sun spots, age spots, liver spots, freckles) result from UV exposure. These “spots” are not caused by age, they simply are sun damage. Treating lentigines requires great compliance, persistence and patience.

Hands before and after 2 excel V treatments
Age spots can be peppered across any area that has sustained unprotected sun exposure over time

Treatment options may include Chemical PeelsSkinPenClearLift, Cryotherapy, Excel V, Secret RF,PRX-T33 Intense Skin Revival

Product requirements include retinoids or azelaic acid, hydroquinone or other skin brighteners/pigment suppressants/tyrosinase inhibitors (kojic acid, arbutin, licorice root, tranexamic acid, niacinamide, etc.), antioxidants, sunscreen.

Read more about age spots on our BLOG.


Melasma

Melasma (aka. pregnancy mask) is a complex skin disorder. Typically, hormonally induced and triggered by light, heat and sun exposure, melasma manifests on skin’s surface as patches or islands of brown or grayish pigment. Melasma can be treated, controlled and cleared; however, it cannot be “cured.”

Treatment options include Chemical PeelsSkinPenDiamondGlow, Laser Genesis, PRX-T33 Intense Skin Revival, topical medications.*

Product requirements include Retinoids, Hydroquinone, other pigment suppressants/tyrosinase inhibitors, or topical prescription medications, SUNSCREEN, SUNSCREEN, SUNSCREEN!

*Because melasma is triggered by heat and light, any pulsed light treatment such as IPL, photofacials, AFT, and most lasers are not appropriate treatment options for this skin condition.

Read our BLOG for continued information on melasma.

Ready to restore your radiance?

Schedule a consultation with our expert dermatology team to explore your options and create your personalized treatment plan.

Call (210) 224-1034

Dr. Allison Stocker, board-certified dermatologist in San Antonio, Texas

At Skin by Design Dermatology, we’re committed to providing patients a place they can trust with their skin health and appearance. We’ll educate you on all available options and create a personalized skincare treatment plan to address your concerns. ―Allison Stocker, M.D., FAAD

Frequently asked questions we hear about dermatology:

A board-certified dermatologist like Dr. Stocker has completed medical school, internship, and specialized dermatology residency training. This medical expertise ensures safe, effective treatment of both medical conditions and cosmetic concerns that medical spa technicians cannot provide.

asedf We are not on any insurance plans. We accept Allē payment plans. Pay for your treatment on a flexible Allē payment plan powered by Cherry while still earning Allē points. Maximize savings with Allē rewards, gift cards, and special offers. Apply today without any impact to your credit in the Allē app or visit https://alle.com/lp/payment-plans

Most adults should have an annual skin cancer screening, especially those with fair skin, family history of skin cancer, or significant sun exposure. Dr. Stocker will recommend the appropriate screening schedule based on your individual risk factors.

Dr. Stocker will conduct a thorough consultation, review your medical history, examine your skin concerns, and discuss treatment options. We’ll create a personalized treatment plan that fits your needs and budget.

We try to accommodate urgent skin concerns as quickly as possible. For routine appointments, we recommend scheduling in advance, but emergency consultations can often be arranged the same or next day.

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