Laser Treatment

Hyper-pigmentation occurs when the skin produces more melanin, the pigment that gives skin its colour. This can make brown spots on the skin appear darker than surrounding areas.

Hyper-pigmentation is a common skin condition. It affects people of all skin types and any age.

Some forms of hyper-pigmentation, including melasma, freckles and sun spots, are more likely to affect areas of skin that get the most sun exposure, including the face, arms, and legs.

Sunspots, age spots and freckles can be removed safely and non – invasively with pigment lasers. 

The laser works by heating the pigmented area and causes the pigment to shatter. The action of the laser draws the pigment to the surface. There is no harm to surrounding non – pigmented tissue. The pigmented lesion fades and dries, flaking off from the treated area of skin. Once the area has been treated and healed the patient is left with skin which has a more even tone. 

Pigment lasers can be used to treat: 

  • Freckles 
  • Age spots 
  • Sun damage / Rejuvenation 
  • Birthmarks 
  • Hormonal pigmentation 
  • Pigmented acne scars


Pigment laser treatment is generally not too painful and there is only a low level of discomfort during the treatment. Crusting and scabbing of sun spots can occur for 7 to 10 days post treatment. The expected down time in 7-14 days.

VBeam Prima is the gold standard for Rosacea treatment. 

The VBeam Prima is a pulsed dye laser with dual wavelengths. This laser delivers an intense but gentle burst of light into selectively targeted areas. It uses 595nm and 1064nm wavelengths to target blood vessels as well as blue veins, venous lakes and wrinkles. 

The VBeam can be used to treat:

  • Facial erythema 
  • Facial telangiectasia (veins) 
  • Nasal telangiectasia 
  • Wrinkles 
  • Poikiloderma – sun damage to the neck, face and cheeks. 
  • Acne scars 
  • Inflammatory acne 
  • Striae (stretch marks) 
  • Port Wine stains 
  • Spider neavus (angioma) 
  • Scars – surgical and trauma scars. 
  • Cherry angioma and haemangiomas 
  • Venous lake 
  • Leg veins 


What to expect

There may be some redness or mild swelling in the treated area immediately following treatment and this usually goes away in a few hours (in rare cases it may last a few days). 

Bruising may occasionally occur, but this is transient and usually disappears in 5 to 10 days. 

Swelling – this can last a few hours and up to a few days. 

Avoid sun exposure immediately post treatment, use of a sunblock with a high SPF is recommended. 

All treatments are carried out by Dr A.Ciconte, who is a qualified dermatologist with over 10 years experience in laser use.

Acne scarring can form on the face, chest, shoulders and back. They occur in 30% of patients with moderate to severe acne vulgaris.

Acne scarring can cause redness on the skin, hyperpigmentation, raised and depressed scars.

The types scars that are seen with severe acne are:

  • Ice-pick scars – these are deep, narrow, pitted scars
  • Rolling scars – broad depressions with a sloping edge
  • Boxcar scars – broad depressions with sharply defined edges
  • Atrophic scars – flat, thin scars or depressed scars
  • Hypertrophic or keloid scars – thick lumpy scars.
  • Treatment of acne scars is complex and requires more than one treatment method and they require multiple treatments.

Treatment options can include:

  • Topical treatments
  • Laser resurfacing
  • Vascular laser
  • TCA Cross
  • Peels
  • Nonablative laser
  • Pigment laser
  • Surgery (punch excision, subcision, surgical excision)
  • Dermal fillers
  • Radiofrequency microneedling


As acne scarring is complex a realistic long-term approach is required to achieve the best results.

Ablative lasers such as CO2 and Erbium are more invasive, but produce the best clinical results. They work by vaporizing the outer layers of the skin. This process causes the skin to heal and restructure, and increases collagen production.

Ablative lasers are great for treating visible signs of aging and the results generally last for 1 to 5 years. They can also be used to treat acne scarring, pigmentation irregularities and unwanted lesions.

It is important to note however, that ablative lasers present a longer recovery and a higher degree of risk than non-ablative lasers. Most patients require 1 to 2 weeks of recovery time. Some risks associated with ablative lasers include:

  • Redness or swelling
  • Acne
  • Infection
  • Skin colour changes
  • Scarring


Ablative lasers can treat the following dermatological conditions:

  • Acne Scarring. Both non-ablative fractional lasers and ablative fractional lasers have been shown to be effective in treating acne scars, especially rolling scars, atrophic scars and boxcar scars. Fractional lasers have significant advantages over fully ablative lasers in terms of decreasing downtime and side effects such as the post laser, skin colour changes frequently seen with fully ablative lasers.
  • Surgical, traumatic and burn scars
  • Skin rejuvenation
  • Sun damage and sun spots
  • Syringomas, Epidermal Neavi, Xantholasma, Rhinophyma, seborrheic keratoses


Non Ablative  Laser are far less invasive than ablative treatments. They work by heating up the targeted tissue, without actually destroying it. This process stimulates your body’s collagen production to fill in unwanted skin imperfections such as fine lines or wrinkles.

Because they do not resurface the skin as invasively as ablative lasers, multiple treatment sessions will be necessary to achieve modest clinical results. However, patients benefit from almost no downtime and the risk of undesirable side effects is greatly reduced. Some risks associated with non ablative laser:

  • Infection
  • Skin colour changes
  • Mild redness or swelling
  • Blisters or scars


Non ablative lasers can be used for:

  • Acne and acne scarring
  • Skin textural irregularities
  • Pigmentation
  • Scars
  • Melasma
  • Skin rejuvenation  


Talk to Dr Ciconte to see which treatment is best suited to your skin type and skin issue.

CoolPeelTM is a brand-new way to safely, and comfortably deliver the benefits of a traditional CO2 resurfacing treatment.  By targeting just, the superficial layer of skin tissue, damaged skin is gently removed, revealing brighter and healthier looking skin. The Smartxide Cool Peel fractional CO2 laser system delivers a scatter pattern of dots of laser energy to the skin. A fraction of the skin surface is ablated during each treatment so healing occurs quickly from the islands of untreated skin and takes place over a couple of days. The thousands of tiny superficial thermal injuries produced by the laser, stimulate collagen synthesis as part of the healing process.

The benefits of a CoolPeel laser treatment includes a reduction or elimination of surface pigmented lesions like sun spots, sun damage, fine lines, wrinkles and unevenness of the skin from mild acne scars. Treatments can reveal brighter, more even and healthier looking skin. 

CoolPeelTM is suitable for ALL skin types.  This means almost everyone is suitable for treatment, although some people with certain medical conditions may not be able to have this treatment. Usually, .3-4 sessions are generally needed for the best results. Sessions should be spaced about 4-6 weeks apart.