Freckles

Q: Common reactions (in the short term after treatment)

Post-laser Redness and warmth (1–4 resolves within hours; cold compress may be applied) Frosting response at treated spots (frosting) — Immediate whitening at treated spots, darkening within a few hours Scabbing phase — Treated spots turn into small brown-black dots, 5–10 naturally sheds within days (do not pick or scratch) Mild flaking (as scabs naturally shed) Skin sensitivity and dryness (1–2 weeks; mandatory SPF 50+ and gentle moisturization)

Q: Serious risks (rare, but require informed disclosure)

Post-inflammatory hyperpigmentation (PIH) — Extremely rare (< 1%), most often seen in Fitzpatrick IV–V skin types with inadequate sun protection Hypopigmentation (Hypopigmentation, rare with picosecond technology) Misidentifying moles as freckles and treating them as such (when no pre-procedure dermoscopy assessment was performed) Unidentified co-existing melasma → worsened by high-energy treatment Scarring (extremely rare with PicoSure Pro; more commonly associated with improper aftercare or picking at scabs)

Q: Relative contraindications (require careful assessment)

Active tanning or unresolved sun exposure within the past 2 weeks Currently using photosensitizing medications (e.g., tetracycline, sulfonamides, St. John’s Wort) Active herpes simplex (cold sores) Unclassified pigmentation (dermascopy required before treatment) co-existing uncontrolled melasma

Q: Absolute Contraindications (Do Not Treat)

Pregnancy / breastfeeding Active infection or open wound Oral Accutane / isotretinoin use within the past 6 months keloid-prone skin type Suspected malignant pigmented lesion (refer to dermatology/surgery first) Unable to tolerate a 5–10 day crusting period

Q: Our physician’s mandatory safety protocol

Every patient receives a pre-treatment assessment covering Wood’s lamp analysis, dermascopy, Fitzpatrick skin typing, and a full medical history review. A test spot is mandatory for high-risk patients (Fitzpatrick IV–V with a prior history of post-inflammatory hyperpigmentation). Written informed consent form signed before each treatment session All treatments are personally performed or directly supervised by our physician Post-treatment photos are taken and archived after every session for progress comparison and fine-tuning Local follow-up appointments available in Nanjing

What Are Freckles? How Are They Different from Melasma and Sun Spots?

REAL PATIENT RESULTS

Our physician’s Real Freckles Treatment Cases

The following before-and-after images are authentic clinical records of freckle treatments performed by our physician at Luowei Medical Aesthetics Clinic (Nanjing). All clients have signed a written Media Release Form authorizing public use. Photos are unretouched clinical documentation. Individual results may vary based on skin type, Fitzpatrick classification, and post-procedure sun protection compliance.

BEFORE

AFTER

Case 3 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 03: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 4 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 04: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 5 · Freckles Real Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 05: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 7 · Freckles: Real Clinical Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® + Vbeam® and 1 additional modality — 5 treatments total (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 07: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 9 · Authentic Freckle Treatment Record

Client Profile: Asian Male · Fitzpatrick IV · Long-Term Results
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® — 6 modalities (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Annual follow-up + long-term SPF 50 · Touch-up session if needed

Case 09: Freckles Before & After · Asian Male · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 11 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 11: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 12 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 12: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 13 · Freckles Real Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 13: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 15 · Freckles: Real Clinical Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 15: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 16 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 16: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 17 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 17: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 18 · Freckles Real Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 18: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 19 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 19: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 20 · Freckles: Real Clinical Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 20: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 21 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® and 4 additional modalities — 7 treatments total (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 21: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 22 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® and 5 additional modalities (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 22: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 23 · Freckles Real Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® and 5 additional modalities (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 23: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 29 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 29: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 31 · Freckles: Real Clinical Record

Client Profile: Asian Female · Fitzpatrick IV · Long-Term Results
Key concerns: VISIA Assessment · Solar Freckles · Epidermal Pigmentation
Treatment plan: Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 31: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 32 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 32: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Lasting 6–12 Months · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 33 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 33: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 34 · Freckles Real Record

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 34: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 40 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick I
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: (3 multiple sessions within months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 40: Freckles Before & After · Asian Female · Fitzpatrick I · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 6 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D + Fotona® 4D Lift and 14 additional modalities — 17 treatments total (multiple sessions over 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 06: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 7 · Freckles: Real Clinical Record

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 07: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 8 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 08: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Lasting 6–12 Months · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 8 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination treatment + Pico® brightening + PicoSure® + PicoSure Pro® — 5 procedures (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: PRP Once per quarter + Ultherapy® 18-month maintenance + strict sun protection

Case 08: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 9 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® and 5 modalities (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 09: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 12 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® and 5 modalities (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 12: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 13 · Freckles Real Record

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 5 Years
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 13: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Results Maintained 5 Years · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 14 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® + thread-lift double eyelid — 16 procedures (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Botox Micro-dose 4-month maintenance + Juvéderm® lip line enhancement

Case 14: Freckles Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 17 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 5 Years
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 17: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 5 Years · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 18 · Freckles Real Record

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 18: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 20 · Freckles: Real Clinical Record

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 20: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 21 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 21: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 22 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick I · Results Lasting 5 Years
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + IPL Photofacial (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 22: Freckles Before & After · Asian Female · Fitzpatrick I · Results Maintained 5 Years · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 38 · Freckles: Real Patient Results

Client Profile: Asian Male · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + Pico® skin brightening + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 38: Freckles Before & After · Asian Male · Fitzpatrick IV · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 39 · Freckles: Real Clinical Record

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 39: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 40 · Freckles: Real Patient Results

Client Profile: Asian Male · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + Pico® skin brightening + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 40: Freckles Before & After · Asian Male · Fitzpatrick IV · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 41 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + Pico® skin brightening + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 41: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 42 · Freckles Real Record

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 42: Freckles Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 45 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 45: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 46 · Freckles: Real Clinical Record

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 46: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 49 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 49: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 52 · Authentic Freckle Treatment Record

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 52: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 53 · Freckles Real Record

Client Profile: Asian Female · Fitzpatrick IV
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Regular sun protection + monthly at-home care + quarterly assessment

Case 53: Freckles Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 71 · Freckles: Real Patient Results

Client Profile: Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
Key concerns: Freckles (comprehensive improvement with multimodal combination protocol)
Treatment plan: Dual picosecond combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant freckle improvement · Natural-looking overall results
PIH status: No PIH
maintenance: Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+

Case 71: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Combination Protocol Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

WHAT IS FRECKLES (EPHELIDES)

What Are Freckles? How Are They Different from Melasma and Sun Spots?

Freckles (Medical Term: Ephelides) is a condition caused by Genetic predisposition + UV-triggered small, discrete pigmented spots, typically < 5mm in diameter, symmetrically distributed across Bridge of the nose, upper third of both cheeks, and forehead. Most clients notice freckles as early as childhood (ages 5–10). They darken noticeably with increased UV exposure in summer and fade during winter.

5 Key Differences Between Freckles and Common Pigmented Spots

Primarily genetic — not simply “caused by sun exposure”

The primary cause of freckles is MC1R Genetic predisposition, UV exposure is an aggravating factor, not the root cause. This is why clients with a family history of freckles may develop them even with diligent sun protection — whereas sunspots (solar lentigines) are caused entirely by cumulative UV damage.

Appear in childhood — not in middle age

Freckles typically first appear between ages 5 and 10 and often increase during puberty. Melasma, by contrast, develops between ages 30 and 50 and is driven by a combination of hormonal changes and UV exposure.acquired pigmentation condition.

Well-defined borders — small discrete spots that do not merge

Typical freckles measure 1–4mm in diameter, appearing as small discrete spots,Well-defined borders, non-confluent. Melasma, by contrast, presents as large, diffuse patches with poorly defined borders, distributed symmetrically over the cheekbones.

PIH risk is very low — high energy settings are well tolerated

Epidermal freckles have a straightforward structure. After targeted picosecond laser treatment,PIH Very low rate of post-treatment darkening (PIH). This is the exact opposite of melasma, which requires ultra-low energy settings and a much more cautious approach.

1–2 Results visible after one session — ongoing maintenance required

PicoSure Pro 755nm Clearance rates for freckles are very high,1–2 Significant fading or clearance achievable in one session. Ongoing care simply requires SPF 50+ sun protection and a once-yearly check-in at the end of summer. This is entirely different from the lifelong management required for melasma.

What Do Freckles Look Like? Typical Appearance

shape: Flat, light- to dark-brown spots (1–4 mm in diameter; not raised, not painful, not itchy)
Borders: Typically Clear (unlike the diffuse, poorly defined borders of melasma)
Symmetry: bilaterally distributed,not necessarily symmetrical (unlike the symmetrical, patch-like appearance of melasma)
Color: Light to dark brown; more visible in lighter skin tones — freckles are actually less common in clients with deeper skin tones
Seasonal: Darkens in summer, fades in winter (extremely high UV sensitivity)

3 common freckle distribution patterns

Nasal-Malar Type

Nasal-cheek type (most common)

Distributed across the nose bridge and upper cheeks in a butterfly-like lateral spread. Approximately 70% of freckle clients present primarily with this pattern.

Diffuse Pattern

Diffuse type

Distributed across the full face — including the forehead, chin, and temples. Most common in clients with lighter skin tones (Fitzpatrick I–II) and Northern European heritage.

Sun-Exposed Type · Sun-Exposed

Sun-exposed type

Distributed across chronically UV-exposed areas such as the neck, shoulders, chest, and back of the hands. Most common in outdoor workers and clients with a long history of inadequate sun protection.

4 step self-assessment

Whether it is Small spots (< 5mm) with well-defined borders?
Whether appearing as early as childhood (ages 5–10)?
distributed on Nose bridge / both cheeks / forehead?
whether in summer Noticeably darker?

⚠️ If 3–4 criteria are met,Most likely freckles (ephelides), A consultation is recommended for definitive diagnosis. However, accurate diagnosis requires PicoSure Pro Pre-treatment Wood’s lamp examination — the treatment protocols for freckles, sunspots, melasma, and moles are entirely different from one another.

CAUSES & TRIGGERS

Common Causes of Freckles (5 Key Factors)

The key characteristic of freckles is Genetics > UV exposure > other factors. Understanding the weight of each triggering factor determines your treatment strategy and long-term sun protection plan.

Genetic predisposition (MC1R gene · strongest contributing factor)

Most patients with freckles carry MC1R gene variants, which cause melanocytes to over-respond to UV exposure. More than 60% of freckle patients report a family history; freckles are common across Asian, European, and mixed-heritage backgrounds.

Clinical significance: Genetic predisposition cannot be reversed, but Phenotype is manageable— Sun protection combined with laser treatment can significantly improve the appearance.

UV radiation — UVA / UVB (primary aggravating factor)

UV radiation directly stimulates genetically susceptible melanocytes to overproduce melanin. This is why freckles darken in summer and fade in winter. Even on cloudy days, through windows, or indoors, UVA can still trigger this response.

Clinical significance: SPF 50+ Year-round sun protection is essential for maintaining treatment results The one essential prerequisite.

High UV exposure during childhood (sensitive developmental period)

5–10 During childhood, melanocytes are highly active, and insufficient sun protection early in life can significantly increase freckle count and density. This pattern is particularly common among clients who grew up in Nanjing or had extensive summer sun exposure before immigrating.

Clinical significance: Parents with a family history of freckles should start their children on strict sun protection from an early age.

Fitzpatrick I–III Higher risk in lighter skin tones

Freckles are most common in clients with lighter skin tones (Fitzpatrick I–III), and are actually less prevalent in deeper skin tones (Fitzpatrick V–VI). Most Asian women fall within Fitzpatrick III–IV, placing them at higher incidence than those of deeper Asian or South Asian heritage.

Clinical significance: Fitzpatrick Your Fitzpatrick type determines the starting treatment energy and whether a test spot is required.

Seasonal variation (fades in winter, darkens in summer)

Seasonal variation is a key diagnostic marker for freckles. If your spots darken noticeably in summer (Nanjing, May–September) and fade significantly in winter (November–March), this is a classic feature of freckles — distinguishing them from melasma (present year-round) and sunspots (which do not fluctuate with the seasons).

Clinical significance: The optimal treatment window is Late autumn to early spring (10 November–March), UV levels are lower, making this the best window for post-treatment maintenance.

DIFFERENTIAL DIAGNOSIS

Freckles vs. Melasma / Sunspots / Moles / Post-Acne Marks

Many clients arriving for a consultation at Luowei Medical Aesthetics Clinic (Nanjing) refer to all facial spots simply as “spots” — yet several clinically distinct pigmentation conditions can look nearly identical,Treatment protocols are entirely different. Our physician uses a three-dimensional diagnostic approach — Wood’s lamp, dermascopy, and Fitzpatrick skin typing — for precise differentiation.

Vs Melasma

MELASMA · CHLOASMA

shape	Large, symmetrical patches · poorly defined borders
appear	30–50 years of age, hormone-related
Triggers	Hormones + UV + Heat
post-treatment darkening / PIH	Moderate–High (proceed with caution)
Treatment Plan	PSP Low energy 4–6 sessions+ Cyspera

Vs Sunspots / Age Spots

SOLAR LENTIGINES

shape	Scattered, individual larger spots (5–20mm)
appear	40 years and older, caused by cumulative UV exposure
Location	Cheeks, backs of hands, shoulders, and upper chest
Seasonal	Not pronounced (does not change with the seasons)
Treatment Plan	PSP targeted 1–3 cleared in one session

Vs Mole (Nevus)

MELANOCYTIC NEVUS

shape	May be flat or raised · Well-defined borders
Color	Dark brown to black, uniform in color
Triggers	Present from birth or appearing during developmental years
Seasonal	No change
Treatment Plan	Requires dermoscopic evaluation + surgical excision (laser is not appropriate)

Vs Post-acne marks / PIH

POST-INFLAMMATORY HYPERPIGMENTATION

Location	Confined to acne-affected or trauma areas
Symmetry	Distribution follows the underlying condition
appear	Post-acne / post-eczema / post-trauma
spontaneous resolution	Partial maintenance possible (6–24 months)
Treatment Plan	PSP 3–5 sessions+ managing the primary cause

Diagnosis cannot rely on visual inspection alone — it requires Wood’s lamp examination, dermoscopy, and a three-dimensional Fitzpatrick skin type assessment. Under Wood’s lamp: epidermal freckles fluoresce brightly with well-defined borders; mixed-type melasma shows uneven enhancement; nevi do not fluoresce. Our physician performs this assessment during your Free 30-Minute Consultation in Nanjing.

ASIAN SKIN · FITZPATRICK III–V

What makes freckle treatment different for Asian skin?

Although freckles are most common in clients with lighter skin tones (Fitzpatrick I–III),Freckle treatment in Asian skin (Fitzpatrick III–V) requires its own unique considerations..

1. Freckles in Asian skin frequently co-exist with other pigmentation conditions

Among Asian female clients in Nanjing,Freckles frequently co-exist with melasma, sun spots, and post-inflammatory hyperpigmentation (PIH). Clinically, more than 30% of clients presenting with freckles are found during consultation to have undetected early melasma or post-acne pigmentation as well. This is why precise subtyping with a Wood’s lamp before treatment is essential — different lesions separate protocols.

2. Freckles in deeper skin tones (Fitzpatrick IV–V) require a cautious starting approach

Although the risk of post-inflammatory hyperpigmentation (PIH) from freckle treatment itself significantly lower than with melasma, That said, clients with deeper Asian skin tones (Fitzpatrick IV–V) may still experience temporary pigmentation changes with high-energy laser treatments. Our physician’s protocol:

Fitzpatrick IV–V clients undergo a test spot first
Starting at low-to-moderate energy settings, then safely and gradually increasing
Mandatory SPF 50+ sun protection for 4 weeks post-treatment
Avoid peak summer UV exposure (Nanjing: June–August)

Under our physician’s protocol, the post-inflammatory hyperpigmentation (PIH) rate for freckle treatments in Fitzpatrick IV–V clients is <1%.

3. “one precise treatment” principle — freckles can be cleared in a single session

This is the key distinction between freckles and melasma — Epidermal freckles have a straightforward structure, PicoSure Pro 755nm Targeted spot treatment can achieve significant clearance in just 1–2 sessions. Our physician does not recommend spreading treatment across 4–5 “conservative” sessions — doing so only makes long-term sun protection maintenance more challenging.

Fitzpatrick Grading × Freckles Treatment Strategy

Fitzpatrick	Skin tone	PIH risks	Our physician’s Protocol
We–II	fair / fair-skinned	extremely low	Standard-energy PSP × 1 session + SPF
III Light Asian	Beige	Low	Medium-to-standard energy × 1–2 sessions + SPF
IV Typical Asian	golden-yellow	Low–Moderate	Moderate energy × 1–2 sessions + test spot + SPF
V Deeper Asian / South Asian	Light brown	Medium	Low-energy start × 2 sessions + test spot mandatory

TREATMENT PROTOCOL

Freckles Treatment Protocol (Devices + Sun Protection)

The primary treatment for freckles is Targeted laser spot treatment+ Long-term maintenance with SPF 50+ sun protection. Unlike melasma, freckles No topical medication required alongside treatment. Our physician designs your treatment protocol based on your Fitzpatrick skin type, the density and distribution of your freckles, and your prior treatment history, selecting from the modalities below.

PicoSure Pro® 755nm Picosecond laser first-line choice for freckles

Freckles’Gold standard device. The 755nm wavelength delivers the strongest epidermal pigment absorption, and the picosecond pulse width (550ps) works by photoacoustic effect Instantly shatters melanin particles with minimal thermal damage. For freckles on Asian skin, 1–2 sessions can achieve significant clearance, FOCUS The FOCUS lens array can simultaneously improve pore appearance and overall skin tone. For more information, see PicoSure Pro treatment page.

1–2 Results visible after 1 session (most clients achieve 80%+ clearance in a single session)
Recovery period 24–72 hours (crusts fall off naturally)
Fitzpatrick I–V Safe
NMPA dual certification

PicoSure Pro FOCUS lens array (full-face brightening adjunct)

Clients seeking freckle treatment often wish to address overall skin tone and pore appearance at the same time. The FOCUS lens array can be applied after targeted spot treatment to Full-face uniform treatment, Stimulates collagen regeneration and promotes even pigmentation. Minimal downtime — performed in the same session as targeted spot treatment.

Same-session add-on, 15 additional minutes
Overall skin brightening + pore refinement
Fitzpatrick III–V Safe

Ai BBL® HEROic™ IPL (Diffuse freckles (adjunct treatment)

Sciton Smart IPL, suitable for Diffuse freckles (Fitzpatrick I–III) in fair-skinned patients Highly effective for treating scattered small freckles across the full face in a single pass.Fitzpatrick IV High-energy IPL is not recommended for darker Fitzpatrick skin types, our physician will recommend PicoSure Pro as an alternative.

HydraFacial / Medical-grade skincare (recovery support)

Can be performed 2–3 weeks post-treatment HydraFacial Helps accelerate crust shedding and replenishes moisture to support barrier repair. Not a primary freckle treatment — used solely as a post-procedure soothing adjunct.

SPF 50+ Sun protection + antioxidant skincare cannot be skipped

No freckle treatment can deliver lasting results without adequate sun protection. Our physician’s protocol always includes:

Daily SPF 50+ mineral or chemical sunscreen (reapply every 2 hours / wear a hat outdoors)
Antioxidant serum (Vitamin C / E / resveratrol)
Oral sun protection supplement (such as Heliocare) — intensified during summer months
Avoid deliberate sun exposure (Minimize outdoor exposure when Nanjing’s summer UV index reaches 8+

Protocol Recommendations by Freckle Type

Client Type	Recommended Protocol
Classic nose-and-cheek distribution · Fitzpatrick III	PicoSure Pro Targeted spot treatment × 1 session + long-term SPF 50+
Dense distribution · Scattered across the entire face	PicoSure Pro Targeted spot treatment + FOCUS lens array × 1 session (same visit)
Fitzpatrick IV–V Deeper skin tone	Test spot → Medium-to-low energy PSP × 2 sessions + SPF
Freckles + melasma overlap	Freckle targeted PSP treatment × 1 session → separate melasma protocol
Sun-exposed areas: neck, chest, and backs of hands	Targeted spot treatment × 1–2 sessions + lifelong sun protection

Our physician’s 6-STEP PROTOCOL

How does our physician develop a freckle treatment plan? (6-Step Process)

This is the fundamental difference between Luowei Medical Aesthetics Clinic and a typical medspa in Nanjing — the same freckles, treated with the right protocol, can clear in a single session. The wrong device choice risks misidentifying melasma as freckles and making the condition significantly worse.

Accurate diagnosis (first confirming whether the spots are truly freckles)

Wood’s lamp Examination— Epidermal freckles fluoresce brightly; mixed-type melasma shows uneven enhancement
Dermoscopy— Evaluating pigment structure and border characteristics
Fitzpatrick Classification / Subtyping— Determining skin tone risk level
Medical History Assessment— Childhood onset, family history, worsening in summer
Photo documentation on file— Baseline photos taken under standardized lighting for future comparison

Distinguishing pure freckles from mixed pigmentation conditions

More than 30% of clients believed they had only freckles when they arrived at Luowei. In reality:

Freckles only → PicoSure Pro targeted spot treatment, 1–2 sessions
Freckles + early melasma → separate protocols (freckles addressed in 1 session; melasma managed gradually)
Freckles + sun spots → targeted PSP treatment in a single session
Moles misidentified as freckles → referred for surgical evaluation; laser treatment is not appropriate

Assess PIH risk level

PIH risk associated with freckle treatment Overall very low, However, clients with Fitzpatrick IV–V skin, recent sun exposure, or a history of post-inflammatory hyperpigmentation (PIH) still require a test spot evaluation. In our physician’s protocol, the presence of any single high-risk factor warrants Test spot mandatory (Small test spot behind the ear, observed over 4 weeks).

Designing a treatment timeline (freckle-specific)

The freckle treatment timeline is far simpler than that of melasma, however Timing and season selection are key:

[Week 0]Consultation + Wood’s lamp diagnosis + baseline photography
[Weeks 0–4]SPF 50+ Strict sun protection leading up to treatment (avoid pre-treatment tanning)
[Week 4]Test spot (high risk) or proceed directly to treatment
[Weeks 4–5]PicoSure Pro 755nm Targeted freckle treatment (45–60 minutes)
[Week 5–6]Scabbing phase (naturally sheds within 5–10 days)
[Week 8]4 Weekly follow-up + photographic comparison
[Week 10–12]2nd session (if residual pigmentation >20%)
[long-term]Annual late-summer review (October) + lifelong SPF 50+

Optimal treatment window:Late autumn to early spring (October–March), Nanjing’s UV index is lower during this period, making it the optimal time for post-treatment maintenance.

Post-treatment follow-up and refinement

4 Week follow-up (Photographic comparison and clearance rate assessment)
Scab management (do not pick or scratch; gentle cleansing; use of medical-grade dressings)
Sun protection check (inquire about product options and reapplication frequency)
Touch-up session as needed (For patients with >20% residual pigmentation, a second session is scheduled at 6 weeks.)

Long-term maintenance (freckles are a low-maintenance condition)

Maintaining freckle results is far simpler than managing melasma.. Full protocol:

SPF 50+ Year-round sun protection (daily + outdoors + cloudy days + through windows)
Annual follow-up once per year in late summer (October) (to check for any newly developed freckles)
Low-energy maintenance session once every 1–2 years as needed (individuals with high UV exposure)
Antioxidant skincare (Long-term use of vitamin C serum)

TIMELINE & RECURRENCE

How soon will we see results from freckle treatment? How many sessions are needed? Can freckles come back?

The greatest advantage of freckle treatment is Fast results + low recurrence rate. The three tables below answer the three most frequently asked questions.

How soon will we see results?

stage	Duration	Visible improvement
Immediately post-treatment	0–24 hours	mild redness and frosting reaction at treated spots
Scabbing phase	3–10 days	Treated spots darken, form natural crusts, and may show slight flaking
After scabs have shed	2–4 weeks	Significant clearance: 80%+ of freckles visibly eliminated or substantially faded
1 Assessment at 6 weeks after each session	6–8 weeks	Long-term results are stable: single-session clearance rate of 80–95%

How many sessions are needed?

Freckle types	Recommended Sessions	Interval
Classic nasal-cheek distribution · fair	1 sessions	—
Dense distribution · Moderate	1–2 sessions	6 weeks
Deeper skin tone · Fitzpatrick IV–V	2 sessions	6–8 weeks
Sun-exposed areas: neck, chest, and backs of hands	1–2 sessions (by zone)	4–6 weeks

Can freckles come back? Recurrence rates (reference statistics)

Maintenance	12 recurrence rate within months
Strict SPF 50+ application + antioxidant skincare	5–15% (mostly new freckles forming elsewhere; original treated spots do not return)
Basic sun protection (SPF 30, occasional reapplication)	20–35%
No sun protection at all, with frequent outdoor activity	50%+ (new freckle formation becomes apparent)

Important: Most cases of freckle “recurrence” are actually newly formed freckles (appearing in new locations — not the original treated freckles returning. This is why SPF 50+ Lifelong sun protection is the key — because genetic susceptibility cannot be changed, but melanocytes will not be activated as long as UV stimulation is avoided.

SELF-ASSESSMENT

Am I a Candidate for Freckle Treatment?

If the following applies to you Most people answer “yes”, You are likely a freckle candidate. We recommend booking a consultation at Luowei Medical Aesthetics Clinic (Nanjing) for a definitive assessment.

5 Quick self-assessment quiz

Do you have Small spots (< 5mm) with well-defined borders brown spots?
These spots appearing as early as childhood (ages 5–10)?
distributed on Nose bridge / upper cheeks / forehead and other areas?
Summer Noticeably darker, Fade in winter?
Do family members (parents or siblings) also have freckles?

✓ GOOD CANDIDATE

You may be a good candidate for freckle treatment if you:

Confirmed or strongly suspected freckles (not melasma or moles)
18 years of age or older, in overall good health
Not pregnant or breastfeeding
No intentional tanning or sunburn within the past 4 weeks
Willing to follow strict post-procedure sun protection with SPF 50+
Realistic expectations (understands that lifelong sun protection is required for maintenance)
No recent use of oral Accutane / isotretinoin
Not currently taking photosensitizing medications

✕ NOT SUITABLE

Treatment may not be suitable or requires careful evaluation if you:

During pregnancy or breastfeeding (laser contraindications)
Active skin infection or open wound present
Use of Accutane (isotretinoin) within the past 6 months
History of keloid or hypertrophic scarring
Currently taking photosensitizing medications (tetracyclines, sulfonamides, St. John’s Wort)
Active tan or sunburn within the past 2 weeks that has not fully resolved
May be a mole rather than a freckle (dermoscopic evaluation required)
Unable to tolerate a 5–10 day crusting period
Unrealistic expectations (expecting freckles to never recur)

WHY MEDSPAS GET IT WRONG

Why Do MedSpas Get Freckle Treatment Wrong? Real Cases

Client B — Asian female, age 30 · Fitzpatrick IV · Scattered freckles across the nose and cheeks + early-stage melasma over the zygomatic area (undetected by the client prior to our physician's consultation at Luowei)

Going to a MedSpa Treat on sight · No diagnostic evaluation

No Wood’s lamp diagnosis — No concurrent melasma detected
“just treat all the spots together” — high-energy IPL full-face × 3 sessions
The freckles were indeed cleared, however Zygomatic melasma with rebound hyperpigmentation
No test spot performed, no Fitzpatrick assessment conducted
no post-treatment follow-up, no sun protection guidance provided
Outcome: a patient who came in for freckles left with a new, significant melasma flare-up
Regret → returning to Luowei for melasma revision treatment (at additional time and cost)

At Luowei Medical Aesthetics Clinic Precise diagnosis · Separate protocols

Wood’s lamp Simultaneous identification of freckles and early-stage melasma
separate protocols: PicoSure Pro targeted spot treatment × 1 session to address freckles first
Once freckles are stable, a separate low-energy protocol × 4 sessions for melasma
Fitzpatrick IV Starting energy calibrated; no test spot required
Follow-up photos taken after each session for comparison
SPF 50+ Long-term sun protection + antioxidant skincare guidance
Outcome: freckles cleared in 1 session · melasma stably faded · no PIH

EXPERIENCE · EXPERTISE · AUTHORITATIVENESS · TRUSTWORTHINESS

Why Trust Luowei Medical Aesthetics Clinic for Freckles Treatment?

Google's E-E-A-T framework evaluates medical content across four dimensions. Below are the specific credentials supporting every claim on this page.

EXPERIENCE · Clinical experience

Real-world clinical experience

Complete Before & After photo records for every patient

EXPERTISE · Clinical Expertise

Wood’s lamp + Dermascope + multi-dimensional Fitzpatrick assessment
Precise differentiation of freckles, melasma, sunspots, and moles
Multi-device combination protocol design (PicoSure Pro / FOCUS / BBL)

AUTHORITATIVENESS · Professional recognition

Industry-recognized credentials

Every medical claim on this page is anchored to a named, clickable source — see Evidence & references below

TRUSTWORTHINESS · Credibility

Transparent and verifiable

A written informed consent form is signed before every treatment.
All Before & After images are unretouched

WHY THIS MATTERS

Freckle treatment is not simply “running a device” — it begins with an accurate diagnosis, followed by selecting the right technology.

That small brown spot on your face — is it a freckle, a sunspot, melasma, or a mole? The answer completely changes the treatment approach. As one of fewer than 50 Cynosure KOLs and a Nanjing-based physician, our physician’s clinical insights on pigmentation diagnosis and treatment in Asian skin have become a reference for peer training.

PRICING & PAYMENT

Freckles Treatment Pricing & Payment

Every patient presents differently — freckle density, distribution, Fitzpatrick skin type, and the presence of co-existing pigmentation conditions all vary — which is why we No standardized price list. Following your free 30-minute consultation, our physician will use Wood’s lamp findings to build a personalized treatment plan and provide a tailored quote.

Physician-performed

Consultation Pricing

Performed by our physician personally · Parameter design + differential diagnosis · Recommended for complex, mixed, or deeper skin tone cases

Performed by licensed aesthetic technician

Consultation Pricing

Performed by licensed aesthetic technician under our physician’s supervision · Suitable for typical epidermal freckles

Targeted spot treatment + full-face brightening package

Consultation Pricing

Targeted spot treatment + FOCUS lens full-face brightening · Package discount

Physician-performed and technician-performed treatments are priced differently. During your consultation, our physician will recommend the most appropriate approach based on your individual needs.

Payment is made at the clinic, after the consultation and before treatment begins
Nothing is paid in advance, and no deposit is required to hold an appointment
Cosmetic treatment is a self-pay item and is not covered by public medical insurance in China
All new clients receive a complimentary 30-minute Free Consultation & Assessment

RISKS & SAFETY · Informed consent

Freckles Treatment: Common Risks, Contraindications & Safety Protocol

The overall risk profile for freckle treatment is very low — but transparency is a mark of clinical integrity. We openly share all potential reactions, serious risks, contraindications, and absolute exclusions so you have complete information before your consultation.

Common reactions (in the short term after treatment)

Post-laser Redness and warmth (1–4 resolves within hours; cold compress may be applied)
Frosting response at treated spots (frosting) — Immediate whitening at treated spots, darkening within a few hours
Scabbing phase— Treated spots turn into small brown-black dots,5–10 naturally sheds within days (do not pick or scratch)
Mild flaking (as scabs naturally shed)
Skin sensitivity and dryness (1–2 weeks; mandatory SPF 50+ and gentle moisturization)

Serious risks (rare, but require informed disclosure)

Post-inflammatory hyperpigmentation (PIH)— Extremely rare (< 1%), most often seen in Fitzpatrick IV–V skin types with inadequate sun protection
Hypopigmentation (Hypopigmentation, rare with picosecond technology)
Misidentifying moles as freckles and treating them as such (when no pre-procedure dermoscopy assessment was performed)
Unidentified co-existing melasma → worsened by high-energy treatment
Scarring (extremely rare with PicoSure Pro; more commonly associated with improper aftercare or picking at scabs)

Relative contraindications (require careful assessment)

Active tanning or unresolved sun exposure within the past 2 weeks
Currently using photosensitizing medications (e.g., tetracycline, sulfonamides, St. John’s Wort)
Active herpes simplex (cold sores)
Unclassified pigmentation (dermascopy required before treatment)
co-existing uncontrolled melasma

Absolute Contraindications (Do Not Treat)

Pregnancy / breastfeeding
Active infection or open wound
Oral Accutane / isotretinoin use within the past 6 months
keloid-prone skin type
Suspected malignant pigmented lesion (refer to dermatology/surgery first)
Unable to tolerate a 5–10 day crusting period

Our physician’s mandatory safety protocol

Every patient receives a pre-treatment assessment covering Wood’s lamp analysis, dermascopy, Fitzpatrick skin typing, and a full medical history review.
A test spot is mandatory for high-risk patients (Fitzpatrick IV–V with a prior history of post-inflammatory hyperpigmentation).
Written informed consent form signed before each treatment session
All treatments are personally performed or directly supervised by our physician
Post-treatment photos are taken and archived after every session for progress comparison and fine-tuning
Local follow-up appointments available in Nanjing

EVIDENCE & REFERENCES

Where the medical claims on this page come from

Everything above about Freckles rests on published evidence rather than on our own word. The sources below are the ones behind those statements: peer-reviewed papers indexed in PubMed, and guidance written for patients by dermatology academies and national health services. Read them before you decide — and bring any of them to your consultation.

Peer-reviewedA Systematic Review of Picosecond Laser in Dermatology: Evidence and RecommendationsLasers Surg Med · 2021
Peer-reviewedCommon Dermatologic Procedures and the Associated Complications Unique to Skin of ColorDermatol Surg · 2021
Patient guidanceAcne: Lasers and lightsAmerican Academy of Dermatology

What these references can and cannot tell you. They describe what is known about the treatment itself — how well it tends to work, how long results last, and what can go wrong. They are not an assessment of this clinic, and no published study can tell you whether it suits your skin type, anatomy, or medical history. That judgement comes from the physician who examines you in person, and it may well be “not this one”.