What Are Freckles?
8. Treatment
Although no treatment is generally necessary for ephelides or solar lentigines, there are some patients who opt for removal of these freckles due to various reasons. Cosmetic camouflage such as the applications of creams, liquids, or powder can be used to conceal ephelides.
Although costly, pigment laser treatment (Q-switched NdYag and Q-switched Alexandrite lasers) can be used to lighten the freckles as well, as it has been shown to be very efficacious. Intense pulsed light is another option and has minimal postinflammatory darkening of the skin (but has been found to be less efficient than the lasers). Other treatments include cryotherapy (with a risk of scarring) and superficial chemical peels to help even out the discoloration.
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