Pigmentation and Age Spot Removal

Targeted treatment for solar lentigines, age spots, freckles, melasma, and post-inflammatory hyperpigmentation using laser or intense pulsed light technology. The specific wavelength is selected to match the chromophore profile of the pigmented lesion. Treatments are suitable for face, hands, and décolletage. Multiple sessions are typically recommended for optimal clearance, particularly for diffuse conditions such as melasma.

Pigmentation and age spot removal at Dermatologie am Kudamm Berlin Dr Eva Valeske addresses hyperpigmentation disorders using energy-based devices — typically laser or intense pulsed light (IPL) — that selectively target melanin in pigmented lesions while leaving surrounding unpigmented skin unaffected. This principle of selective photothermolysis matches the device wavelength to the absorption peak of melanin, concentrating thermal or photoacoustic energy within the pigment-dense cells and causing their disruption. The melanin fragments produced are then cleared by the skin's immune cells over subsequent weeks, resulting in progressive lightening of the treated lesion. Treatable conditions include discrete hyperpigmented lesions such as solar lentigines (age spots), epidermal freckles, and seborrhoeic keratoses; diffuse conditions including melasma and post-inflammatory hyperpigmentation (PIH) following acne or trauma; and vascular-component pigmentation associated with photoaged skin. Treatment zones most commonly addressed include the face, neck, décolletage, and dorsum of the hands — areas with the highest cumulative UV exposure. For discrete lesions such as isolated age spots, one to two sessions may achieve significant clearance. Diffuse conditions such as melasma typically require a more structured series of treatments at lower fluence to avoid triggering rebound hyperpigmentation — a risk associated with aggressive single-session approaches in patients with melanin-rich skin or active hormonal melasma. All patients are counselled on post-treatment sun protection, which is essential to prevent re-darkening of treated areas. The practice is located in central Berlin near the Kurfürstendamm, Germany's premier medical and aesthetic district, providing patients in Berlin and from abroad with access to specialist dermatological pigmentation care.