A Doctor’s Advice for Banishing Brown Spots

Dr. Brandith Irwin is a Seattle-Based dermatologist and the author of  The Surgery-Free Makeover: All You Need to Know for Great Skin and a Younger Face.  I recommend it to anyone who is concerned about skin changes that occur during the menopause transition.  Dr. Irwin’s book does a good job explaining the reason for these changes (dryness, wrinkles, etc.) and what, if anything you can do about them.

Of particular interest to me was her chapter on brown spots and age spots.  A cluster of them have formed a big dipper constellation on one of my hands and I asked her if there was anything I could do to make them vanish.  Since I know I’m not the only 50-something woman who has contemplated wearing gloves to keep my hands pretty (or is it too late?), I’ll share her advice here.  Dr. Irwin’s own website has lots of information that you’ll find helpful too.

Dr. Irwin: I’m often asked if there is anything besides lasers treatments that are effective for brown spots on the hands. The answer really depends on how many and how long you’ve had them. The longer they’ve been there and the darker they are, the tougher they are to treat.

First, you’ve got to use a sunscreen on your hands because that’s what causes these – not age itself.  If we’d all worn little white gloves all our lives, we wouldn’t have them. I like the Colorescience sunscreen powder with the self contained brush because it’s not greasy, is quick to apply and is water resistant.

So called “bleaching creams” that are prescription and contain four percent hydroquinone (Triluma and Alustra are examples of products in this category)  are the most effective of the topical choices.  However, there is some controversy, currently unresolved, about the long-term safety of these. I’ve never seen an over-the-counter cream for this that really worked.

Unfortunately (because of the expense), a clinic that does really effective IPL (intense pulsed light) treatments is the best. Don’t go to a spa because the IPLs they use are very low power and generally ineffective. Look for IPLs made by Lumenis or Palomar with a doctor on site full-time. A series of three to five treatments should run $750-$2,000 depending on the area in which you live. Usually one maintenance treatment a year is needed.  (If you’re curious about IPLs, I’ve included a video demonstration on my website).

Note from Wendy:   I’d be interested in knowing about bleaching (or other) products that have worked for you.  Thanks!