What is the first treatment tried for freckles?

Freckles, also called ephelides, are small areas of increased pigment that become more noticeable after ultraviolet exposure. Sun protection helps reduce darkening and may limit the appearance of new freckles, but it does not erase existing pigment immediately. A dermatologist can check that the spots are freckles before discussing a procedure.

IPL photofacial uses pulses of broad-spectrum light to target pigment near the surface of the skin. It is different from a laser and may be selected according to skin tone, the colour of the freckles, and the area being treated. Picosecond laser treatment is another option when a more focused pigment approach is appropriate.

Use broad-spectrum sunscreen on exposed skin, reapply as directed on the product, and add shade, clothing, or a hat when outdoors. Avoid deliberately tanning the treated area. Arrange a skin assessment before IPL or laser treatment, especially if you have a deeper skin tone, a history of dark marks after inflammation, or changing pigmented spots.

Your clinician may recommend a test area and will explain expected redness, temporary darkening, or sensitivity. Follow the aftercare instructions and do not pick at treated skin. Results vary, and freckles can return or deepen with later sun exposure.

Have a dermatologist examine a spot that changes in size, shape, colour, or surface, or one that repeatedly bleeds, crusts, or does not heal. Seek prompt medical advice for a rapidly changing or unusual mark rather than treating it as a freckle at home.

Ask whether the spots have features of freckles, which light-based option suits your skin tone, how sun exposure affects recurrence, and what aftercare is needed.