Evening out variations in skin tone.

When your specialized cells that make melanin become unhealthy or damaged, dark spots (pigmented regions) can appear in the form of age spots, sun damage, and freckles. Family practice physician and certified laser specialist Kurt Hubach, MD, can help those patches fade, using treatments and technology including the Cynosure® laser system.

How it works

Advanced laser technology is used to target your skin spots and sun damage. The energy delivered causes those spots to slowly disappear through your body’s natural healing process, revealing clearer, healthier-looking skin.

Before TreatmentAfter Treatment
Before & After 2 TC, 6 Weeks
Courtesy of M. Adatto, MD

Skin Spots/Pigmented Region Q&A

Several factors can result in pigmented areas, including: 

  • Injuries
  • Inflammation
  • Sun exposure
  • Genetics
  • Age
  • Hormones

Dr. Hubach can help you determine the likely cause of your pigmented regions, and the best courses of treatment.

There are several different kinds of pigmented regions:

Age Spots

Small, darkened patches of skin (called either liver or age spots) are pigment spots on your face, arms, and hands that are usually caused by sun exposure.


Hormones from birth control pills and pregnancy can cause melasma or chloasma. This type of pigmented region affects around 90% of pregnant women and results in dark, large, and irregularly shaped areas on your arms, face, and sometimes on other areas of the body.


This type of pigmented region occurs when a skin trauma or injury heals and leaves a flat area of discoloration. This is commonly caused by acne. Birthmarks, scarring, skin cancers, and solar or actinic keratoses also cause patches of skin to become darker.

Dr. Hubach tailors your treatment to your skin tone, as well as the extent and severity of your pigmentation problem. He might recommend various effective treatments for your pigmented region, such as the revolutionary Cynosure® laser technology.

Topical products

Dr. Hubach might recommend certain topical skin products and creams, such as retinol (a form of vitamin A).

Laser therapy

For resistant and difficult-to-treat cases of hyperpigmentation, Dr. Hubach uses innovative laser technology alone or in combination with topical treatments. Specific wavelengths of laser energy stimulate the production of collagen and elastin and cell regeneration. Regardless of the type of treatment you choose, it’s important you use a broad-spectrum sunscreen with an SPF 30 or higher daily to prevent further darkening of your skin. Healthy lifestyle changes might prevent further pigmented regions from developing. Dr. Hubach can discuss your concerns, answer your questions, and help you decide the best way to treat your pigmented regions. 

Typically, only a few treatments are needed. However, depending on the condition, multiple treatments may be required to achieve desired results.
Most people experience a mild, sunburn-like sensation, possibly accompanied by some minor swelling, immediately following the treatment. This usually lasts 2 to 24 hours. Most patients can usually return to normal activities immediately after the treatment. In some cases, it may take weeks or months for the full effect of the treatments to become completely visible.

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