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A woman with her eyes closed and her own fingertips at the side of her neck, dense freckling and flat tan sun spots scattered over her forehead, nose and cheeks with a soft sun-flushed patch across the near cheekbone

Sun Spots Treatment with the Picolaser in Southlake, TX

Sun spots are defined brown marks from UV exposure, which makes them a natural fit for targeted laser work. Treated on a Fotona StarWalker Picolaser in a course of two to four sessions.

  • Board-Certified MD
  • NPI1629854690
  • LicensedTX & NM
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Defined spots are the easiest pigment to target

Sun spots have clear edges, so the Picolaser can target them point by point while sparing the skin around them. Medrein treats pigment on Pico and Q-Switch lasers by Fotona StarWalker, and most patients need two to four sessions. When the pigment is a broad haze instead of distinct marks, that is closer to sun damage, and Dr. Mikki decides which approach fits after examining your skin.

A close-up of freckles and sun spots scattered across a woman's cheek and nose, the defined pigment a Picolaser can target
Defined edges are what make a spot targetable point by point. Individual results vary, so book a consultation with Dr. Mikki to have your spots examined.

What targeting sun spots involves

Discrete brown spots

Sun spots, also called solar lentigines or age spots, are well-defined marks from UV exposure. Their clear edges make them a natural fit for targeted laser work.

Point-by-point precision

Because the spots are defined, the Picolaser can be aimed at them directly. Surrounding skin takes less energy than a broad, full-field pass would deliver.

Confirmed as benign first

Not every dark spot is a sun spot. Dr. Mikki examines each mark and refers out anything that needs a dermatologist before treating what is safe to treat.

Often a short course

Most patients need two to four sessions on the picosecond platform. Your exact plan is set at consultation, and results may vary by depth and skin type.

The pigment concerns treated on the same platform

Pigment does not arrive in one form, and the name matters because the plan changes with it. Dr. Mikki confirms which of these you actually have before a setting is chosen.

A scatter of defined flat brown sun spots across a woman’s upper chest and décolleté

Sun spots and sun damage

Defined marks and mottled tone from cumulative UV, this page’s own concern.

Settled flat brown age spots across the back of a woman’s bare hand, resting on linen

Age spots

Older, settled lentigines, most often on the face, hands and chest.

Scattered light freckles across the bridge of a young woman’s nose and her upper cheeks

Freckles

Scattered light pigment that darkens with sun and returns with it.

Freckling and soft brown melasma patches spread across both of a woman’s cheeks and the bridge of her nose, her eyes closed

Melasma

Symmetrical, hormone- and heat-driven patches, managed conservatively rather than cured.

Sharply bounded flat dark post-acne marks along a man’s jawline and lower cheek

PIH and hyperpigmentation

Pigment left behind after inflammation, including after acne has healed.

Brown-violet half-moon shadowing beneath both of a man’s eyes, deepest at the inner tear troughs

Dark under-eye circles

The “panda eyes” pattern, from genetics, fatigue or thinning skin.

Mottled, uneven overall skin tone across a woman’s forehead

Uneven skin tone

Overall unevenness rather than distinct marks, treated across the whole area.

A defined flat oval brown birthmark on a man’s bare shoulder and upper arm

Birthmarks

Assessed individually to determine whether treatment, monitoring, or referral is the best next step.

Shallow textured acne scarring with residual brown pigment across a young woman’s cheek

Acne scars

Where the concern is texture as well as colour, a different protocol applies.

What a sun spots session looks like

1

Every mark examined

Dr. Mikki, a board-certified physician, looks at each spot before anything is scheduled. Anything that needs a dermatologist is referred out rather than treated, and only marks confirmed as benign go further.

2

Numbing, if you need it

The treatment is non-invasive and most patients feel little discomfort. Sensitive skin can experience a burning or pinching sensation, and a numbing cream or spray is used where that is the case.

3

The picosecond pass

The Fotona StarWalker delivers energy in picosecond pulses, aimed at each defined spot rather than across the whole field. The pigment fractures so the body can clear it, and less heat reaches the skin around it.

4

Clearing, and the next session

The treated pigment lifts over the following days as the body clears it. Most patients need two to four sessions, and Dr. Mikki sets the spacing against your skin and how deep the pigment sits.

A clinician in a white coat treating pigment on a reclining patient's face during a session at Medrein Health
Point by point rather than across the whole field, which is what defined edges make possible.

Comfort during, and the days after

What makes it comfortable

  • Non-invasive: nothing is cut, and there is no incision to heal.
  • Most patients feel little or no pain during the pass.
  • A numbing cream or spray is available where the skin is sensitive.
  • Delivered point by point, so the skin around each spot takes less energy.
  • Performed on a genuine, FDA-cleared Fotona StarWalker platform by a physician.

Possible side effects

  • Swelling in the treated area, short-lived and expected.
  • Redness across and around the treated spots.
  • A burning sensation in the hours after the session.
  • These symptoms usually subside within a few days.
  • Sun protection afterwards is what stops new spots replacing the treated ones.

The other ways pigment is treated at Medrein

The Picolaser is one option among several, and the right one depends on the severity of the pigment and your skin type. Dr. Mikki assesses both before recommending anything.

Pico and Q-Switch lasers

Picosecond pulses aimed at defined pigment. The approach this page is about.

Laser skin resurfacing

Ablative and non-ablative passes where the concern is texture as well as colour.

Intense pulsed light

Broadband light across a whole area, for widespread sun damage and redness.

Microneedling

Controlled micro-injury that prompts collagen and helps even out tone over time.

Chemical peels

A resurfacing peel for discolored spots, uneven tone and enlarged pores.

Topical products

Hydroquinone, kojic acid and ascorbic acid, prescribed and monitored rather than guessed at.

Glutathione skin lightening

An antioxidant approach to overall tone, discussed at consultation where it fits.

A closer look comes before treatment

A dark spot is not automatically a harmless one. Dr. Mikki examines each mark and refers anything that needs a dermatologist rather than treating it. Only spots confirmed as benign go to the Picolaser, which is the safety step a physician-led clinic can offer that a technician-only spa cannot.

Picolaser sun-spot treatment compared with fade creams and over-the-counter devices
Feature Picolaser (Medrein) Fade Creams OTC Devices
Each spot examined by a physician first Included Not included Not included
Targets defined spots point by point Included Not included Varies
Genuine brand-name platform Included Not included Not included
Suspicious lesions referred out, not treated Included Not included Not included

Who sun spots treatment is for

The pattern decides the plan, and Dr. Mikki names it before anything is booked: melasma treatment where the pigment is symmetrical and hormone-driven, or sun damage treatment where the whole area is mottled rather than spotted.

A good fit

  • Flat, well-defined brown marks with clear edges rather than a diffuse haze.
  • Marks a physician has examined and confirmed are benign.
  • Wanting the spots targeted point by point rather than a full-field pass.
  • Willing to run two to four sessions, spaced as Dr. Mikki sets them.
  • Committed to sun protection, which is what stops new spots forming.

Not the right treatment

  • A dark spot that looks suspicious is a dermatology referral, not a laser.
  • Diffuse, symmetrical patches, which is melasma and calls for a conservative plan.
  • Broad mottled tone across a whole area, closer to sun damage than to distinct spots.
  • Recent sun exposure or an active tan in the treatment area.

Before you book, two things worth knowing

Cost depends on the treatment type and the number of sessions you need, and pigment differs in every person, so Dr. Mikki gives you a written quote at consultation rather than a range off a website. And treating today's spots does not stop tomorrow's, because daily sun protection is what keeps new ones from replacing them. Results may vary.

Before and after

Each pair holds sun spots before treatment beside the same view afterwards. Three cases, individual results vary, and defined pigment is what responds best to targeted work.

Scroll the row sideways for the rest.

Three-quarter view of a woman before treatment, showing dense brown freckling scattered across the cheek and temple over a flushed base
Before
The same three-quarter view after treatment, with the freckling across the cheek and temple lifted and the tone reading more even
After

Dense brown freckling scattered across the cheek and temple, over a flushed base.

Scattered spots are treated one at a time, not with a full-field pass.

Profile view of the same woman before treatment, showing sun freckling massed across the cheek and running back towards the ear
Before
The same profile view after treatment, with the freckling across the cheek much reduced and the tone more settled
After

Sun freckling massed over the cheek and running back towards the ear.

Cumulative UV exposure is what settles this scattered pattern in.

Close-up of a cheek before treatment, showing discrete brown sun spots scattered across the skin
Before
The same cheek close-up after treatment, with the brown spots faded and the surface tone more even
After

Discrete brown spots scattered over the cheek, each one clearly edged.

A haze rather than distinct marks would point to sun damage instead.

Set at consultation against depth and skin type
Less heat to the skin around each spot
Genuine brand-name device
Each spot reviewed by Dr. Mikki first

Why patients value a closer look first

These reflect common patient sentiment rather than verbatim quotes, and individual results vary.

I had several brown spots on my hands and one cheek that had bothered me for years. Dr. Mikki looked at each one, explained which were simple sun spots and which she wanted to keep an eye on, and only treated the ones that were appropriate for laser. I appreciated how carefully she evaluated everything first.

J.W., Sun spots patient, Southlake, TX

The appointment was very thorough. Dr. Mikki answered my questions, set realistic expectations, and made sure I understood the plan before we started.

L.D., Picolaser patient, Keller, TX
A private consultation room at Medrein Health in Southlake, TX, where Dr. Mikki examines pigmented spots
Every spot is examined before any is treated
4.8★ 128 verified reviews

Frequently asked questions

What are sun spots?

Sun spots, also called solar lentigines or age spots, are flat, well-defined brown marks caused by cumulative UV exposure. They appear most on the face, hands, chest, and shoulders. Because their edges are clear, they are one of the more directly targetable pigment concerns on a Picolaser.

How is a sun spot different from sun damage or melasma?

Sun spots are discrete, defined marks. Sun damage is the broader picture of uneven tone across a whole area, and melasma is diffuse pigment driven by heat and hormones. Dr. Mikki confirms which one you have, since the pattern changes the approach, and treats defined spots directly when that fits.

How does the Picolaser treat sun spots?

Medrein treats pigment on Pico and Q-Switch lasers by Fotona StarWalker. PicoGenesis delivers energy in picosecond pulses that fracture the pigment in the spot so the body can clear it. Delivered point by point, less heat reaches the surrounding skin than a broad pass would, which is one reason the picosecond platform is used across skin tones. Candidacy is confirmed at consultation.

Should a physician check my spots first?

Yes. Not every dark spot is a harmless sun spot, and some pigmented lesions need a dermatologist. Dr. Mikki examines each mark and will refer anything suspicious rather than treat it. Only spots confirmed as benign are treated, and nothing is scheduled before that review.

How many sessions will sun spots take?

Most patients require two to four sessions on the picosecond platform. Well-defined spots often clear in fewer sessions than diffuse pigment, but the number depends on how many spots you have and how deep the pigment sits, and Dr. Mikki sets your plan at consultation. Results may vary, and sun protection afterward helps prevent new spots.

Does treating sun spots hurt?

The treatment is non-invasive and does not usually cause pain or discomfort. Patients with sensitive skin can feel a burning or pinching sensation, and in those cases a numbing cream or spray is used to make the session comfortable. Tell Dr. Mikki at consultation if your skin runs sensitive.

Are there side effects after sun spot treatment?

There can be short-term side effects, including swelling, redness and a burning sensation in the treated area. These symptoms usually subside within a few days. You go home with written aftercare, and Dr. Mikki reviews what to expect for your skin before anything is scheduled.

How much does sun spot treatment cost?

It depends on the treatment type and the number of sessions you need, and pigment differs in every person, so Medrein quotes at consultation rather than publishing a range. Dr. Mikki examines your spots, sets the plan, and gives you a written quote before anything is booked.

How do I book a consultation for sun spots?

Book a consultation online through our ProspyrMed scheduler, or call (214) 702-5225. Dr. Mikki examines your spots, confirms they are benign and treatable, and explains the plan before anything is scheduled.

Ready to have your sun spots examined?

Dr. Mikki checks each spot, confirms it is benign and treatable, and sets your plan before anything is scheduled.

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