Hyperpigmentation treatment is a safe, non-invasive procedure that uses state-of-the-art laser technology to eliminate dark spots and patches caused by excessive sun exposure, acne lesions, skin trauma, or congenital skin conditions. It reduces excess melanin in pigmented areas by penetrating the deepest layers of the skin and encouraging new tissue regeneration and collagen production.

The Palomar Icon™ XD Aesthetic System is an FDA-approved cosmetic laser that provides a long-lasting, virtually painless solution to hyperpigmentation issues. It can be adjusted to suit the patient’s specific skin type, allowing for ultra-precise results with dramatic improvement in both skin tone and texture.

Reasons To Undergo This Procedure

Hyperpigmentation is caused by the overproduction of melanin in affected portions of the skin. It can be faded or removed through several methods, including the use of topical creams and skin care products with active ingredients. However, laser hyperpigmentation treatments usually offer the fastest and most noticeable results.

Skin discoloration issues can make people highly self-conscious, particularly when the hyperpigmented areas are on the face.

The  Palomar Icon™ XD laser addresses the following issues:

  1. Age spots or sunspots
  2. Post-inflammatory hyperpigmentation
  3. Melasma
  4. Textural irregularities

What Are The Benefits?

The Palomar Icon™ XD laser technology is a multitasking system that reduces hyperpigmentation and achieves even-toned skin while simultaneously refining the skin surface for a smoother texture. It also entails minimal downtime and produces faster results compared to other skin resurfacing procedures.

Laser treatments must be performed by a certified and licensed medical professional to ensure the best outcome. Under the skilled hands of a double-board certified facial plastic surgeon like Dr. Jacob Sedgh, you can expect the following positive results from your hyperpigmentation treatment:

  1. Brighter, more even skin tone
  2. Reduced brown spots and redness
  3. Improved skin texture
  4. Younger-looking skin

Prior to your first Palomar Icon™ XD session for hyperpigmentation removal, Dr. Sedgh will meet with you to discuss your specific skin concerns and find out what you’d like to achieve with the treatment. He will then conduct a thorough assessment of your skin and the hyperpigmented areas, which will allow him to determine what settings to use during treatment and the number of sessions required to achieve the desired result.

You can expect the following from your initial consultation:

  1. Physical assessment and skin test
  2. Inquiry about your medical history and relevant lifestyle details
  3. Explanation of the treatment and how it is performed
  4. Discussion on number of sessions

For those who cannot come in for a consultation, Dr. Sedgh can also meet with you and visually assess your skin concerns through a virtual consultation via video conferencing.

Hyperpigmentation Treatment Procedure

The Palomar Icon™ XD treats hyperpigmentation by using laser light to penetrate the skin and stimulate collagen production and skin regeneration. It only targets cells with excessive pigmentation, meaning it will not cause damage to the surrounding tissues.

There are a few specialized handpieces that can be used with this state-of-the-art machine. The appropriate handpiece and frequency will be selected depending on the skin type, color, and other concurrent abnormalities such as undesired hair or dyschromias.


  • 525-1200 nm spectral range
  • used for hair removal and benign pigmented lesions
  • skin types I to IV on the Fitzpatrick Skin Type Scale


  • 525-1200 nm spectral range
  • used for hair removal and benign pigmented lesions
  • skin types I to IV on the Fitzpatrick Skin Type Scale


  • 500-600 and 870-1200 nm spectral range
  • used for benign pigmented lesions, port wine stains, rosacea, etc.
  • skin types I to IV on the Fitzpatrick Skin Type Scale


  • 400-700 and 87-1200 nm spectral range
  • used for acne treatment and benign pigmented lesions
  • skin types I to IV on the Fitzpatrick Skin Type Scale


  • 1540 nm spectral range
  • used for fractional non-ablative skin resurfacing, soft tissue coagulation, and removal of acne scars, melasma, surgical scars, and stretch marks


  • 1064 nm spectral range
  • used for hair removal and benign pigmented lesions
  • all skin types, including darker skin


  • 2940 nm spectral range
  • used for fractional ablative soft tissue coagulation, skin resurfacing, and removal of wrinkles and fine lines, irregularities in skin texture, pigmented lesions, and vascular dyschromia

Prior to the treatment, a numbing cream will be applied to clean skin to ensure the patient’s comfort throughout the procedure. Specialized safety glasses will also be provided to protect the eyes from the laser light.

Once all the necessary preparations have been made, Dr. Sedgh will begin the treatment by targeting small portions of the affected skin. This will continue until all pigmented areas have been addressed.

After the session, thick layers of cooling cream and sunblock will be applied to help soothe and protect the skin.


Laser hyperpigmentation removal is performed in the doctor’s clinic as an outpatient procedure. You may experience redness or swelling immediately after the treatment, but this should gradually dissipate within 7 to 10 days.

You will be advised to take the prescribed medications and follow all aftercare instructions to ensure proper healing. As a rule of thumb with cosmetic skin treatments, it is important to treat your skin gently and avoid sun exposure during the recovery process.

Dr. Sedgh is dedicated to providing a superlative patient experience, which is why he makes it a point to personally check in with his patients after each procedure or session to see how well they are responding to the treatment, and to assess their overall health and wellbeing. This allows him to closely monitor your recovery and ensure the best possible results.

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