What are freckles? Understanding this bothersome facial problem.
Freckles are small dark spots on the skin caused by abnormal melanin production in the underlying skin layers, resulting in uneven skin tone. There are many types of freckles, each with different characteristics and causes, making them a bothersome problem for many people.
How do freckles occur? The main causes of freckles.
The majority of freckles are caused by genetics and daily lifestyle habits, divided into three main factors as follows:
- Genetics or hormones?Some people may be more prone to freckles than others due to genetic factors or hormonal changes in the body.
- Sunlight and UV radiationDirect exposure of the face to sunlight without adequate protection allows UV radiation to stimulate excessive melanin production in the skin, a major cause of freckles and melasma.
- Unsuitable skincare productsUsing facial skincare products with harsh chemicals or those unsuitable for your skin type may cause irritation and trigger the formation of freckles and melasma.
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title สาเหตุที่กระตุ้นให้เกิดกระ (แม้อายุยังน้อย)
"แสงแดดและรังสี UV" : 50
"พันธุกรรม/ฮอร์โมน" : 35
"ผลิตภัณฑ์บำรุงผิวที่ไม่เหมาะสม" : 15

Types of freckles: Knowing the right approach for targeted treatment.
Freckles can be divided into four main types, each with different characteristics and common locations.
Ephelides
- NatureThese are small, brown spots with well-defined edges, often light brown in color.
- Location foundIt is found in areas that are exposed to a lot of sunlight, such as both cheekbones or the nose.
- causeIt is caused by malfunctioning of pigment cells under the skin, and is mostly due to genetics.
Hori's Nevus / Nevus of Ota-like Macules
- NatureSimilar to freckles but darker in color. They can be dark brown or grayish spots and may have indistinct edges.
- Location foundIt is commonly found on the cheekbones, temples, and nose.
- causeIt results from abnormalities in the inner layers of pigment and is often associated with female hormones, sunlight, certain medications, and pregnancy.
Seborrheic Keratosis
- NatureThey appear as small, light brown to dark brown bumps with a smooth or rough surface.
- Location foundIt is commonly found on the face, neck, chest, and back.
- causeThis condition is caused by abnormal overgrowth of the epidermis.
Solar lentigines
- NatureIt is a brown spot with clear edges, no larger than 1 centimeter.
- Location foundIt often occurs in areas frequently exposed to sunlight, such as the face, cheekbones, hands, and back of the arms.
- causeIt is mainly caused by sunlight.
Compare the characteristics of freckles in Europeans and Asians.
| Characteristics/Factors | Freckles in Europeans | Freckles in Asians |
|---|---|---|
| Common types of freckles. | - EphelidesFreckles caused by genetics and sunlight. - Solar lentiginesSun spots | - Solar lentiginesSun spots - Hori's Nevus / Nevus of Ota-like MaculesFreckles with pigment located in deeper layers of the skin. - MelasmaOften found together. |
| color | They are usually light brown to dark brown. | They are usually dark brown, gray, or in some cases, dark purplish (especially deep freckles). |
| Pigment depth | Pigment is primarily found in the epidermis (the layer of skin that contains pigments). | Pigmentation can occur in the epidermis or deeper into the dermis, especially in deep freckles. |
| Reaction to sunlight | – It becomes more noticeable when exposed to sunlight. – It may fade on its own when not exposed to strong sunlight. | – It becomes more noticeable when exposed to sunlight. – They tend to become darker and more permanent more easily. – Deep pigmentation often does not fade on its own. |
| heredity | It is highly related to genetics (especially for shallow wounds). | It is related to genetics and other factors such as hormones and inflammation. |
| Response to treatment | They often respond well to lasers that target pigment in the superficial layers. | A laser with the appropriate wavelength for the depth of the pigmentation is required, and a combination of treatments may be needed for best results and to minimize recurrence. |
| Risk of post-inflammatory hyperpigmentation (PIH). | It is less risky. | There is a higher risk of developing post-inflammatory hyperpigmentation, especially if the treatment is inappropriate. |

Compare freckles on the face vs. freckles on the body (shoulders, upper back).
| Characteristics/Factors | Freckles found on the face. | Freckles found on the torso (shoulders, back of hands). |
|---|---|---|
| Common types of freckles. | - EphelidesLight brown spots with clear edges. - Solar lentiginesBrown spots with well-defined edges, larger than shallow spots. - Hori's NevusGray/dark brown spot with indistinct edges. - MelasmaLarger patches than freckles, often found on the cheekbones and forehead. | - EphelidesSmall, light brown spots. - Solar lentiginesBrown spots are clearly visible and increase in size and number with age. - Seborrheic KeratosisBrown/black, rough-textured bumps are more common with age. |
| Main cause | - sunlightExposure to sunlight continuously. - Genetics/HormonesEspecially deep freckles and melasma. - inflammationFrom acne and friction. | - sunlightExposure to more accumulated and intense sunlight, especially during outdoor activities. - heredity - ageSkin degeneration |
| ลักษณะเฉฟ | – They are usually small to medium in size. – Light to dark colors – Some types have clear boundaries, while others do not (e.g., haze). | – They typically range in size from small to larger with age. – Light brown to dark brown – They usually have clear boundaries. |
| Distribution | – They tend to be concentrated around the cheekbones, nose, and forehead (areas directly exposed to sunlight). – Freckles are often found on the cheekbones and temples. | – Distribute in areas where clothing is exposed to sunlight, such as shoulders, arms, and backs of hands. |
| ความกังวล | – Beauty - Evenness of skin tone. – Indicates other skin problems as well (e.g., acne, sensitive skin). | – Beauty – This could be a sign of accumulated sun damage. – Skin tags may change with age. |
| Response to treatment | - Good for PICO laser treatments (both toning and fractional). – Combination treatments often yield better results. | – Sunspots often respond well to laser treatment. – Skin tags can be removed with a CO2 laser or cauterization. – The skin on the body tends to recover slightly slower than the skin on the face. |
| Risk of recurrence | – Tall if not protected from sunlight. Hormones and genetics can influence the recurrence of freckles and melasma. | – High risk of death if exposed to sunlight continuously without protection. |
Current interesting methods for treating freckles.
Multi-Layer Freckle Therapy for beautiful, freckle-free skin.
Our combination treatment is a process of properly exfoliating dead skin cells and pigmentation while simultaneously caring for and rejuvenating the skin layers. Our expert physicians will design a personalized treatment program incorporating a variety of techniques, such as:
- Laser technology (Pico Laser)This is a laser with a short wavelength in the picosecond range, which can quickly and precisely break down pigment particles into tiny pieces more effectively than other types of lasers. It disrupts the pigment circuit and dissolves pigment in deeper layers of the skin than topical medications can reach, resulting in faster results, less skin damage, and fewer side effects.
- Sun peeling patchesFor sunspots with well-defined boundaries, laser treatment, topical medication, and skin patches (applied for 14 days and then peeled off) are safe options, as these are medical devices.
- Melanin inhibitor drugsTo control the overactivity of melanin-producing cells and prevent the recurrence of freckles and melasma.
- Outer skin rejuvenation programGently exfoliates dead skin cells, reduces stubborn dark spots on the surface, and strengthens the skin barrier, resulting in healthier and brighter new skin.



Only freckles with well-defined borders, like those pictured, can be treated with chemical peeling techniques.D' Lovevery Clinicokay
How much does it cost to peel off sunspots and dark spots?
| Size of sunspots (size comparison) | Treatment cost (Baht) |
|---|---|
| Smaller than or equal to 50 satang coin | 1,500.- |
| Smaller than or equal to 1 baht coin | 2,500.- |
| Smaller than or equal to 5 baht coin | 3,500.- |
| Large size, or other types. | Send the photos to the doctor for a price estimate. |

Things to know: Post-peeling skincare for sunspots.
1. Possible symptoms after the procedure (normal symptoms).
- Slightly reddened skin: This may occur during the first 1–3 days.
- Skin feel: You may feel a slight warmth or stinging sensation on your skin during the first 1-3 days.
- Skin peeling: Some minor peeling may occur within 3–7 days.
- The mark darkens temporarily: The marks may appear darker initially before gradually fading.
- ⚠️ Precautions: If you experience severe swelling, a rash, or intense burning, contact the clinic immediately.
2. Care during the first 48 hours (critical period).
- Caring for silicone sheets: Do not remove the silicone sheet before the specified time.
- 1-3 days If lymphatic fluid seeps out, it is normal. The silicone sheet contains nourishing and sun-protective ingredients and will safely absorb the lymphatic fluid without harm.
- Keep it dry: Try to keep the silicone sheet from getting wet as little as possible.
- Avoid direct sunlight. And refrain from scrubbing or exfoliating your skin or face.
- Products to avoid: Avoid using products containing alcohol, AHA/BHA, retinol, or high concentrations of vitamin C.
- Cleansing and moisturizing: Wash your face with a gentle cleanser and apply moisturizer regularly to maintain hydration.
3. Preventing sunspots from recurring (very important).
- Apply sunscreen with SPF 50 every day. Even when indoors or in a building.
- Reapply every 4 hours. When exposed to sunlight or outdoors.
- Protective equipment: Wear a hat, a mask, or use an umbrella when outdoors.
- Avoid heat: For example, going to a sauna or spending a lot of time in the sun.
4. Additional tips for healthy skin.
- Drink clean water: Drink 1.5–2 liters per day and get enough rest.
- Do not pick, scratch, or pull at the scabs: To prevent inflammation and dark spots.
- Follow the program consistently: Follow your doctor's instructions for best results.
Why do "combination" treatments yield better results?
Because pigmentation problems aren't just limited to the surface layer of the skin, they can sometimes be associated with broken capillaries under the skin. A single treatment might not be able to address the root cause of the problem comprehensively. A combination of treatments allows for a holistic approach to skin care, addressing issues such as destroying existing pigment, inhibiting new pigmentation, and strengthening the skin. This results in a smoother, more natural-looking complexion that doesn't thin the skin in the long term.

Pico Laser for treating freckles
Currently, there are various methods to treat freckles, from applying moisturizing creams to using medications, but the technology that is widely accepted and shows the most noticeable results is... Pico Laser This laser, with its short wavelength in the picosecond range, can quickly and precisely break down pigment particles into tiny pieces compared to other types of lasers. This results in faster results, less skin damage, and fewer side effects.

Dlovevery PICO is a laser technology that utilizes the photoacoustic effect, emitting high-frequency light energy in very short bursts, in the picosecond range (10⁻¹² seconds). This causes vibrations directly affecting the pigment (photomechanical effect), unlike older lasers that primarily used heat (photothermal effect).
Key features of Dlovevery PICO
- Pulse Width 350 PS: The very short wavelength allows for high energy precision and reduces side effects.
- 5 wavelengths: It covers the treatment of a wide range of skin problems.
- 532 nm: Suitable for shallow pigmentation such as freckles and redness.
- 755 nm: Suitable for darker pigments such as freckles and black/blue tattoos.
- 1064 nm: Suitable for deep-seated pigmentation, such as in tattoos and deep freckles.
- 585 nm, 650 nm: Suitable for colored tattoos (green, blue, yellow, red).

How many laser treatments are needed to see results? Treatment duration.
Pico Laser treatment can show results from the first session; however, the most noticeable results depend on each individual's skin condition.
- The problem isn't severe.Results may be visible within 1-3 treatments.
- Deep or persistent problemsIt may be necessary to repeat the process 3-5 times, or even more, to achieve the best results.
You should consult a specialist doctor to assess the correct and appropriate treatment for your skin condition.
How much does laser treatment for freckles cost?
| Skin problems/treatment | Price per session. | Price for a 5-session course. |
|---|---|---|
| tone | ||
| Freckles/age spots | 4,500.- | 20,000.- |
| จุดด่างดำ | 4,500.- | 20,000.- |
| Acne scars/dark spots | 4,500.- | 20,000.- |
| Tighten pores | 4,500.- | 20,000.- |
| Dull skin | 4,500.- | 20,000.- |
| fractional | ||
| Fractional Mode | 5,500.- | 22,000.- |
| Scar | ||
| แผลเป็น | Starting at 1,500.- | Starting at 6,000.- |

The price of laser treatment for freckles depends on the treatment area, the number of sessions, and the severity of the freckles. The starting price may vary depending on the doctor's assessment. For promotions and the best value prices, please inquire at D' Lovevery Clinic.
Preparation before and after laser treatment for freckles to achieve the best results.
Things to know before getting laser treatment for freckles and melasma.
Proper preparation helps ensure effective and safe treatment.
- Consult a doctor.The most important thing is to consult a doctor to assess your skin condition, analyze the type of freckles, and plan appropriate treatment.
- Please provide your medical history.Inform your doctor about any medications you are currently taking, skincare products you use, and any other medical history you have had.
- Avoid using certain medications.Your doctor may recommend that you stop using certain medications, such as peeling creams, acne medications, or some types of birth control pills.
- No makeupOn the day of your treatment, please refrain from wearing makeup.
- Avoid sunlight.Avoid direct sunlight or apply sunscreen with an SPF of 30 or higher for at least one week before laser treatment.

How to take care of yourself after laser treatment for freckles.
Post-laser skin care is crucial for proper skin recovery and long-lasting results.
- Avoid direct sunlight as much as possible.Apply sunscreen with an SPF of 30 or higher daily and wear a wide-brimmed hat to protect yourself from the sun.
- Avoid activities that cause excessive sweating.For example, avoid strenuous exercise to prevent irritation.
- Avoid using products that irritate the skin.Avoid products containing AHA, BHA, high concentrations of Vitamin C, or ingredients that may irritate the skin.
- Attend your doctor's appointment.To monitor treatment results and continuously assess skin condition.
Frequently asked questions about laser treatment for freckles.
| Things you should know | The description |
|---|---|
| Is laser treatment painful? | Laser treatment for freckles can be slightly painful during the procedure, but the level of pain varies depending on the type of laser and individual skin sensitivity. A numbing cream is generally applied before treatment to minimize discomfort. |
| How many laser treatments are needed to see results? | Results can be seen after approximately 3-6 treatments, depending on the severity and amount of freckles, and the type of laser used. |
| Do laser treatments really work for freckles? | Laser treatment for freckles can be effective in removing or fading freckles, especially sun freckles caused by excessive melanin accumulation. Results depend on several factors, including the type of laser, intensity, and number of treatments. |
| How many laser treatments are needed for sunspots? | Generally, 3-6 laser treatments for removing sunspots are recommended, spaced 4-6 weeks apart. The actual number of sessions required depends on the severity of the sunspots and the desired results. |
| What should you avoid after laser treatment? | Avoid direct sunlight, hot showers, or washing your hair until the redness subsides. Also, avoid rubbing or scratching the skin vigorously, as this may cause irritation. |
| Is laser treatment for skin tags painful? | (The information in the references is not explicitly stated, but generally, laser treatment for skin tags may feel similar to other types of laser treatment for freckles: slightly painful and with the use of topical anesthetic.) |
| What foods can help reduce freckles and melasma? | - Vitamin cHelps reduce skin pigmentation (found in fresh fruits). - Vitamin EHelps reduce the abnormal process of skin pigmentation (found in various plants). - GlutathioneHelps reduce melanin production (found in leafy green vegetables, soybeans, and peas). - Drink plain water.Helps eliminate waste from the body. |
| What helps reduce freckles? | - Skin care products containing natural extracts such as vitamin C, ascorbic acid, and arbutin. – Sunscreen with a high SPF value that provides good UVA/UVB protection. – Avoid prolonged exposure to direct sunlight. – Maintain adequate hydration in the body. |
| Does taking collagen help reduce wrinkles? | Collagen doesn't directly reduce freckles or melasma, but it helps nourish the skin, keeping it moisturized and slowing down skin cell aging. This indirectly helps reduce wrinkles, dark spots, and sun-induced freckles. |
| Will freckles reappear after laser treatment? | Laser treatment can permanently remove freckles, but genetic factors, hormone levels, or unprotected sun exposure may cause them to reappear. |
Reviews of treatments for sunspots, skin tags, sun freckles, and genetic melasma.
Why choose D' Lovevery Clinic for laser treatment of freckles?
Choosing a reputable and trustworthy clinic is crucial, especially when it comes to laser skin treatments. That's why we are committed to providing you with the best possible experience in every aspect.
- Private and attentive.
At D' Lovevery Clinic, you will receive close and personalized care. Our experienced doctors will provide detailed one-on-one consultations to assess your skin condition and plan the most suitable and effective Pico Laser treatment for you. - Relaxed and free from pressure.
We understand your concerns, which is why we don't have a pushy sales policy or force you to buy unnecessary laser treatment courses. We want you to receive complete information and make a decision with complete peace of mind. - Convenient payment options, choose your preferred method.
We offer a variety of payment options, including deposits, installment plans, and payments via participating credit cards, to make accessing high-quality laser treatments easier. - Continued care by the same doctor.
To ensure your confidence in the results and continuity of your skin care, the doctor treating your laser freckles will closely monitor your progress and provide guidance at every step. - Genuine reviews from real customers.
We take pride in the results of our laser treatments for freckles and have compiled reviews from real customers, not celebrities or influencers, so you can see the true experiences and results from D' Lovevery Clinic. - Highly experienced and verifiable doctors.
Our medical team is highly experienced in treating freckles with Pico Laser, ensuring your utmost confidence. - A standard clinic with convenient transportation.
D' Lovevery Clinic is certified and offers a clean, safe, and conveniently located environment with ample parking for your peace of mind. - Transparent and verifiable.
We prioritize transparency. All products and equipment used for laser treatment are FDA-approved in Thailand and verifiable, ensuring safety and the best possible results for you.

- Paseo Town Ramkhamhaeng Branch Call 064-424-6526
- Crystal Design Center (CDC) branch Call 095-236-4546


Many patients are shocked by this, because they always use sunscreen regularly, rarely get strong sun exposure, and no one in their family has thick melasma. But as soon as they have children, suddenly their faces are covered in melasma. The doctor has the answer.
Postpartum melasma Also known as Melasma Gravidarum, it is caused by a condition... Estrogen and progesterone hormones In the body, increases in melanin levels during pregnancy stimulate melanin-producing cells to work abnormally hard, combined with skin aging. Photosensitivity More often, this can cause brown patches to appear on the face, even if there was never any prior melasma. This type of melasma usually... It will fade on its own within a few months. After hormone levels return to normal, it is necessary to... Apply sunscreen diligently. And avoid stress to prevent melasma from becoming permanently embedded.
I've seen patients show me videos from TikTok before. In this era of advanced and safe medical and cosmetic technology, we should no longer risk using methods like tying rubber bands to remove skin tags. Although this method may seem simple, it carries risks of infection, excessive bleeding, and potential scarring.
"Don't put unnecessary risks to your body." In this era of advanced medicine, the safest way to remove skin tags is with a single laser treatment. Otherwise, we might create new health problems.
Each lesion requires a different number of treatments.
Making Picosecond Laser There needs to be proper spacing and frequency of sessions, as lasers work by delivering energy to stimulate skin regeneration and destroy pigments or skin problems that need treating.Too frequent The skin may not have had enough time to fully recover, potentially causing irritation or side effects such as redness or dark spots. Conversely, if there is a gap...Too long The results may be inconsistent and the effectiveness of the treatment may decrease because the skin regeneration process requires consistent stimulation at the appropriate time.
The recommended number of sessions is 3-6 or more, depending on the skin problem, such as dark spots, melasma, freckles, or acne scars. Each treatment requires time to improve the skin step by step. Following your doctor's instructions will help achieve the best results without risking skin damage or wasting time unnecessarily. If you have any further questions, the doctor is happy to provide consultation to customize a treatment plan to suit your individual skin condition. You can send photos or visit the clinic for a consultation.
Good news! These types of skin tags don't require surgery. The solution is... CO2 Laser It is highly accurate and there is a good chance the skin will return to a smooth state. 95-98% It only takes a short time to make. 5-10 minutes Connect to a single point only.
The starting service fee is 2,500 baht per spot, plus 200 baht for topical medication.
A polyp with a large head but a small stalk is called... Acrochordon หรือ Pedunculated Skin Tag which is Benign tumor (non-cancerous) Yes, the main cause is... Skin friction Or it could be genetic. Although not dangerous, if left untreated, it could get caught in clothing and become inflamed. The standard and safest treatment is... CO2 Laser Treatment To remove skin tags for a smoother complexion. Leaves no unsightly scars. And you should not attempt to remove it yourself by any means. Even though the stalk is small, it can easily break or detach. It requires a proper, sterile method. Also, it has many blood vessels supplying it; improper methods can be painful, cause slow bleeding, and lead to numerous other complications.
CO2 laser treatment doesn't take long at all. Each session will take approximately... 20-30 minutes This includes skin preparation before laser treatment. The doctor will begin by cleaning the treatment area and applying a local anesthetic, leaving it on for about 10-15 minutes to ensure the patient feels comfortable and pain-free during the procedure. After that, the CO2 laser will only take a few minutes to complete the treatment. However, the duration may vary depending on the size and number of spots being treated, such as moles, skin tags, warts, or clogged pores.
After the procedure, patients can immediately return to their daily activities. Because it's a procedure that requires no downtime. However, for treatments on delicate facial areas such as around the eyes or larger areas, the doctor recommends avoiding strong sunlight and strictly following post-treatment care instructions to promote faster skin recovery and reduce the chance of scarring. Patients don't need to worry at all, as this laser is effective and safe.
Pico laser treatment can help fade brown birthmarks, but multiple sessions are generally needed to see noticeable results. Typically, about 10 sessions are recommended, spaced approximately one month apart.
The price is 4,500 baht per session.
But if you buy a 10-session course, you'll get a 20% discount.
The intensity of birthmarks and their response to treatment vary from person to person. The time or number of treatments may differ, and while we cannot guarantee 100% removal, most cases show a noticeable fading.
Skin tags on the face or neck are generally harmless, but they should be checked by a doctor for peace of mind. Considerations:
- Most Thai people have benign (non-cancerous) skin tags.
- May cause irritation or stain clothing.
- Sometimes it can be a sign of a skin condition or hormonal imbalance.
- If there are any changes in size, color, or shape, you should see a doctor immediately because there may be a risk.
- There are several methods to remove them, such as electrocautery, surgery, or laser treatment.
- The cost of treatment depends on the size, location, and needs of the patient.
Although most cases are harmless, it's best to consult a doctor for an accurate diagnosis and appropriate treatment.
A chemical peel performed by an experienced doctor will not leave pitted skin. Yes, because sunspots are only on the outermost layer of skin, the correct treatment will target only the pigment without damaging the deeper collagen layers. Pitted skin is often caused by using too much energy or by the patient picking at the scabs prematurely. Therefore, if you choose a reputable clinic and follow the doctor's instructions for wound care, you will definitely get smooth, radiant skin free from acne scars.
However, I have encountered many patients who received services in places that were not clinics or hospitals, and the people providing the treatment were not doctors. The methods chosen may be unsuitable, or may cause other side effects. I recommend consulting a doctor at a medical facility licensed by the Ministry of Public Health for greater peace of mind.






