For which pigment concerns can it be considered?
- Solar lentigo / sun spots
- Freckles (ephelides)
- Superficial discoloration associated with photoaging
- Selected benign pigment foci on the back of the hands, face, and décolleté
Scientific data
A 2025 systematic review evaluated 3,234 patients across 41 clinical trials and reported high response rates for IPL in the treatment of solar lentigines. Significant lightening was also demonstrated in clinical trials conducted on lentigines of the back of the hands.
Which spots require caution?
Melasma, post-inflammatory hyperpigmentation, atypical nevi, or pigmented lesions with suspected malignancy are not managed in the same way. Especially in those prone to melasma, incorrect patient selection or aggressive parameters can trigger rebound pigmentation.
What to expect after the procedure?
The targeted pigment may temporarily darken, followed by superficial crusting or a “coffee-ground” appearance. It is important not to pick at the crusts and to protect from the sun. Sun exposure increases the risk of recurrence.
Our approach in our Bodrum clinic
First, we clarify the clinical diagnosis of the spot, then select the filter and energy according to skin type and tanning status. We do not accept suspicious lesions for aesthetic light applications.
References
- Treatment of Solar Lentigines: A Systematic Review of Clinical Trials. PMID: 40145274.
- Clinical effectiveness of IPL therapy for solar lentigines of the hands. PMID: 22515674.
- Clinical improvement of solar lentigines and ephelides with IPL. PMID: 12081680.
