Brown Spots and Hyperpigmentation

This young lady had two treatments with the Revlite SI laser for brown spots on her face. There is minimal discomfort and no real downtime with the treatment.

We offer several types of treatment for unwanted pigment on your face, chest, hands, arms, legs, and neck.
Conditions we treat:

  • Brown Discoloration of the face, hands, chest, arms, and legs caused by aging and sun damage, also called solar lentigos
  • Diffuse brown discoloration of the face and neck from sun exposure, also called hyperpigmentation or dyschromia
  • Melasma, sometimes called the "mask of pregnancy"

A number of different treatment choices are available, depending on the cause and severity of the pigment.

Non-Surgical Skin Treatment Programs

  • ZO® Skin Care Treatment Programs (Face, neck and chest only).
    • Lighten, recondition and remoisturize your skin.
    • Skin treatment programs supervised by our aesthetic nurse.
    • You do the treatment at home.
    • Requires a commitment to consistent and regular use of the products.
Before treatment with Obagi NuDerm - MA

Office Procedures

  • Portrait PSR3 Plasma Skin Rejuvenation
    • A comprehensive treatment for unwanted pigment
    • Also tightens skin and removes many fines lines and wrinkles
    • New, lighter skin with often remarkable textural changes
    • One treatment or multiple treatments in our office, depending on how dark your skin type
  • RevLite® SI Laser
    • Q-Switched Nd: YAG laser
    • Designed with multiple wavelengths
    • Treats diffuse facial hyperpigmentation on light complexions as well as unwanted tattoos

Since we offer many different ways to treat unwanted pigment we strongly suggest a consultation with Dr. Bentkover or our aesthetic nurse to see which approach is best for you.


ZO® Skin Care

If you have diffuse excess pigment of your face (hyperpigmentation) or Melasma (the "mask of pregnancy") that never clears, you will probably be well served by treatment with ZO® skin care. We often recommend these treatments with or instead of one of our machines described above. These are skin treatment programs that you do at home under the supervision of our aesthetic nurse or aesthetician. ZO® products are well recognized world-wide for their effectiveness in rejuvenation of the skin from the bottom up.

Improvement in uniformity of color, moisture and clarity are the principle goals of these systems. They can rejuvenate your skin, leaving you with a healthier skin. Results are often dramatic. Please see the Skin Treatments section of this website for a more thorough discussion of these programs. We often combine lasers or Portrait PSR3 Plasma Skin Rejuvenation systems.

Portrait PSR3 Plasma Skin Rejuvenation

  • Removes Brown Discoloration and some benign skin lesions


  • Removes or improves wrinkles of the face
  • Renews your skin and promotes growth of new, smoother, healthier skin
  • Improves the appearance of acne scars
  • Stimulates true new collagen growth for up to 1 year after the procedure – longer than even with the carbon dioxide laser
  • An office treatment with topical and local anesthesia

A major advantage of Portrait PSR3 Plasma Skin Rejuvenation is that we can treat large areas on your face for pigment and wrinkles at the same time with minimal down time. Portrait PSR3 Plasma Skin Rejuvenation from is a unique technology that utilizes a nitrogen plasma spray instead of a laser (Plasma is an electrified gas that is the fourth state of matter – solid, liquid, gas, and plasma.). Portrait® requires only topical or local anesthesia. Some patients are treated in three short, low energy treatments; some patients are treated with one high energy treatment. The choice of type of treatment depends on the depth of your wrinkles, degree of hyperpigmentation and how much down time is reasonable for you.

Portrait® works by heating the deeper layer of the skin, the dermis. This heat stimulates new collagen growth, which, over time, leads to tightening of the skin. The upper layer of your skin (epidermis) and unwanted pigment generally peel off a few days after the treatment.

With Portrait PSR3 Plasma Skin Rejuvenation, we are able to remove hyperpigmentation and rejuvenate your skin with same procedure

  • With no skin preparation
  • Very little down time
  • Little anesthesia
  • Office procedure

Your skin will be a bit red after the procedure, peel in few days and usually be largely free of significant redness in 10 days.


The RevLite® SI laser from Con-Bio and Cynosure is a new generation Nd:YAG laser. This laser is ideal for rejuvenating the skin and treating diffuse facial hyperpigmentation. Ideal candidates have lighter skin complexions, anywhere from light, pale skin to medium, white to olive skin, or skin types 1-3 on the Fitzpatrick scale. Individuals with darker complexions may not be appropriate candidates as they may be at an increased risk for hypopigmentation. As a Q-Switched laser, the RevLite® SI laser works by generating very short pulses that shatter the pigment. The RevLite® SI laser uses proprietary PhotoAcoustic Technology Pulse® which involves a unique nanosecond pulse configuration. This allows for greater efficacy, even when treating large areas, but with less heat and increased safety.

Too many choices?

Depending on the degree of your pigmentation problem, the location of your pigmentation problem and your personal goals, you may choose to "jump start" your skin rejuvenation and pigment removal with Portrait PSR3 Plasma Skin Rejuvenation, a series of superficial peels by one of our aestheticians or one of our lasers before starting on a ZO® program.

Or… perhaps all you need is Portrait PSR3 Plasma Skin, RevLite® SI laser Rejuvenation , ZO®.

The best way to decide which of our treatments for unwanted pigment is best for you is a consultation.

Please call us at 508-363-6500.



ZO® Skin Care

These prescription based skin treatment programs are supervised by our aesthetic nurse. Success in these programs requires patience and commitment, but the results are well worth the effort and often amazing. (See Skin Treatments).

For the RevLite® SI laser or Portrait® Plasma a topical anesthetic cream is used for the patient’s comfort if needed. It is often not needed for the Revlite. Your eyes will be protected with appropriate protective glasses or shields.

The length of treatment depends on the size of the area being treated. Usually it is under 15 minutes. You will have redness and swelling after the procedure and ice will be applied immediately after the procedure. You should continue ice packs for 20 minutes every two hours while awake for the next 48 hours. As a general rule, the darker the pigment, the more the absorption of the light waves from a laser and the more swelling you can expect. The more you apply the ice, the quicker the swelling will subside. Most redness usually resolves in 24-36 hours with conscientious application of ice. Larger areas of deeper pigment may remain slightly pink for 4-6 weeks and slowly fad away. With the RevLite® SI laser, any blistering that occurs generally usually dries up within seven to ten days.

If you are having Portrait® PSR3 Plasma Skin Rejuvenation, there is no significant skin preparation. As a matter of fact, if you are on a retinol like Retin-A, tretinoin, Renova or any kind of frequent fruit acid treatments to your face (like glycolic acid or vitamin C) we will ask that you stop using these about 3 weeks before the procedure. The reason for this is that your epidermis acts as what is called a "biologic dressing" after the treatment, and these products thin the outer most layer of the epidermis, the stratum corneum.

Portrait® PSR3 Plasma Skin Rejuvenation requires only a topical anesthesia for a low energy treatment and topical plus injected local anesthesia for a high energy treatment, even of the whole face. Low energy treatments are usually done in a series of 3 treatments, spaced 1 month apart. High energy treatments are usually a single treatment. After either procedure you will be asked to keep your face covered with a petroleum based product like Aquaphor. You may not wash your face for 24 hours. Depending on the level of energy delivered to your skin, you can expect to see your skin turn brown between 1 and 4 days after the procedure. This brown mask will slowly peel over a few days. After it is all peeled, you may return to you usual skin care except for the use of retinols and fruit acids like glycolic acid or vitamin C. You should avoid those products for another 2 weeks or so. You skin will continue to tighten for a year. Usually by 7-10 days after surgery the redness is gone.


Many patients will require more than one laser or plasma treatment. With the RevLite® SI laser, it takes anywhere from one to fifteen treatments to achieve desired results. It takes about 8-12 weeks to see the full effect of the lasers and 30 days for the IPL. We usually do follow up treatments at 4- 8 weeks. . How many treatments you have is up to you and your aesthetic goals. No laser, IPL or plasma treatment program can clear every brown spot. The objective is to get to a point with which you are happy. Also, as already stated, some plasma procedures are done with 3-4 low energy treatments and some with a single high energy treatment. After that it is up to you to protect you skin from the sun with SPF 30 or higher sun block to help prevent more pigmentation. We may recommend ZO® skin care in maintenance doses to the face, neck or chest to help prevent the pigment from returning.



If Dr. Bentkover thinks a brown spot on your face that you want removed looks suspicious for a cancer or a pre-cancerous lesion, he will recommend that he biopsy the lesion before committing to a treatment plan.


We can eliminate many brown spots and lighten others, especially if they are fairly large. Numerous smaller spots are harder to see while lasering and might be better treated with ZO® Skin Care, Obagi Nu-Derm skin care or Portrait PSR3 Plasma Skin Rejuvenation. Dr. Bentkover will be happy to discuss Obagi or Rhytec with you if he thinks it will give you a better result than a laser.

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