Pigmentation issues like freckles, Hori’s nevus, and solar lentigines can affect both your skin and confidence. At Bangkok Aesthetic Clinic, we combine technology with attentive care to restore an even-toned, glowing complexion. Discover the unique characteristics of each pigmentation type and how we can tailor solutions just for you.
Freckles are small, flat, light brown spots on the skin, darker than the surrounding area. They appear more frequently with continuous sun exposure, especially in fair-skinned individuals. Common areas include the cheekbones, nose, face, shoulders, and upper arms.1,2,3
Hori's nevus, also known as acquired bilateral nevus of Ota-like macules, is a skin condition characterized by multiple blue-grey to grey-brown spots on both cheeks. It typically appears in adulthood and is most common in middle-aged Asian women.4
Solar lentigines, also called sun spots or age spots, are flat brown or black patches caused by cumulative sun exposure. They commonly appear on the face, hands, and shoulders, especially in older adults.5,6,7
Program
The Picoway laser program uses ultra-short picosecond pulses and Resolve technology to break down melanin into ultrafine particles while reducing impact on surrounding tissue1. This results in minimal downtime, fewer side effects, and effective treatment for stubborn pigmentation issues like freckles, solar lentigo, Hori’s nevus, and melasma2. PicoWay program’s multiple wavelengths, suitable for all skin types, offers a reliable solution for clearer, more even-toned skin in fewer sessions.8
PicoWay Program
The Fraxel Dual program or pigmentation removal laser rejuvenates skin by breaking down melanin clusters for natural clearance.9 It enhances skin tone and texture while promoting renewal for a radiant, refreshed look.
The Revlite laser program or pigmentation reduction laser gently targets freckles and pigmentation, breaking down excess melanin into tiny particles for natural removal.10 This treatment improves uneven tones, leaving your skin brighter, smoother, and more radiant!
At BSL Clinic, we understand that every individual’s skin type and pigmentation concerns are unique. Using laser technologies, we develop treatment plans tailored to diverse skin needs with precision and care.
Designed to address surface pigmentation, including freckles and pigmented lesions. It focuses on melanin to help improve skin clarity for Fitzpatrick Skin Types 1-2.11
Helps manage melasma and improve skin appearance, particularly for Fitzpatrick Skin Types 3-5.11
Suitable for treating deeper pigmentation in Fitzpatrick Skin Types 4-5, addressing conditions such as Hori’s nevus, birthmarks, and dermal melasma while minimizing the risk of post-inflammatory hyperpigmentation (PIH).11
The Revlite SI Laser Program is designed to support melasma treatment by targeting pigmentation and the underlying blood vessels associated with melasma.10
Pigment laser treatments can fade freckles by reducing melanin, the main cause of pigmentation. A combination of laser techniques for pigment reduction and removal typically requires approximately 3 treatments for noticeable pigmentation fading.
Hori’s nevus can be effectively treated with laser, which penetrates the skin to break pigments into tiny granules. White blood cells then remove these granules, reducing dark spots and preventing further pigmentation. The surrounding skin remains unaffected, while the treatment leaves it smoother and more radiant. Typically, about 6 sessions are needed to fade pigmentation.
Solar lentigo (Sun spots) can be effectively faded with laser treatment. Pigmentation typically lightens after 1–3 sessions.
There are 4 stages that involve the prevention of new melanin production:
Minimal downtime is required, and patients can resume daily activities immediately. A slight pinkish tint may appear and fade within 24 hours. Patients should avoid scrubbing but may wash their face as usual. Avoiding sun exposure for 5–7 days is recommended. If sun exposure is unavoidable, sunscreen must be applied for protection.
Ms. Puti, a finance professional from Indonesia, has been living in Bangkok for two years. Despite her success in her career, she faced a long-standing personal insecurity: solar lentigines—the dark spots that had been present on both cheeks for more than a decade.
“As a woman, the face is our asset. I always felt insecure because of the spots on my face,” shared Ms. Puti.
For years, she tried various skincare products without success. After extensive research, she discovered that laser treatments were the most effective option for removing sun spots and restoring a clearer complexion.
As a non-Thai speaker, Ms. Puti needed a clinic where communication was clear, and the care was exceptional. She found her answer at the BSL Clinic.
The Revlite SI program uses Q-switched Nd:YAG laser technology to break down pigmentation into fine particles, which the body naturally removes. This process helps lighten dark spots, improve skin tone, and enhance skin smoothness with minimal recovery time.
The Fraxel Dual program targets both surface and deeper pigment layers by creating controlled micro-injuries that stimulate natural skin renewal. It effectively fades pigmentation, refines skin texture, and reduces the risk of post-inflammatory hyperpigmentation (PIH) with appropriate aftercare.
With each session, the difference became more visible. The dark spots faded, her skin tone evened out, and her complexion appeared fresher and more radiant.
“After the spots were gone, my confidence grew so much. Now, when I meet friends, they notice how clear and fresh my skin looks,” Ms. Puti shared joyfully.
Today, she proudly faces the world—without the need to hide behind makeup.
Ms. Rungjit, an expert in dog training, is constantly exposed to the sun’s dangerously high levels of ultraviolet (UV) radiation, which raised serious concerns about her skin. She was diagnosed with freckles (ephelides), a condition commonly triggered and worsened by sun exposure. To improve her skin condition, she began a freckle removal program at BSL Clinic. The results surpassed her expectations, revealing smoother and more even-toned skin.
Consistent use of sunscreen before UV exposure is essential to prevent further skin damage and reduce the chance of new freckles forming after treatment.
The main types of laser technologies utilised by BSL Clinic are the combination of the pigment reduction and pigment removal lasers.
Laser beams penetrate the skin, breaking down pigments into tiny granules. White blood cells then remove these granules, reducing dark spots and preventing further pigmentation. This treatment leaves the skin smoother and brighter.
The laser targets and breaks down pigmentation, revealing a smoother, brighter complexion. The use of a specific laser for pigmentation removal can inhibit melanin production, reducing the risk of post-inflammatory hyperpigmentation (PIH) and preventing further darkening of pigmentation.
It takes about 3 treatments to gradually reduce broken pigments in the skin. Light brown spots fade over time, and the skin appears brighter and more even-toned.
*Individual results may vary depending on the patient.*
A patient presented to BSL Clinic’s doctors for the treatment of various skin conditions including freckles, hori’s nevus and seborrheic keratosis that have dispersed across both her cheekbones.
Freckles, Hori’s Nevus and Seborrheic Keratosis can cause an uneven skin surface due to excess melanin pigmentation.
*Individual results may vary depending on the patient.*
A patient presented to BSL Clinic with both freckles and solar lentigo skin conditions for treatment. She became uncomfortable in social situations and had anxiety in meeting new people. In the past she heavily used make-up foundations to conceal her skin conditions, but this was not a long-term solution. After undergoing treatment, it produced positive outcomes for her as the patient’s freckles and solar lentigo diminished. It gave the patient a new-found sense of self-confidence.
*Individual results may vary depending on the patient.*
Dr. Wipanee, representing BSL, provided an update on knowledge trends with in-depth insights into skin care from CICM 2025, bringing them back to further develop treatment methods for our clients.
CICM 2025 Aesthetic Dermatology: Evidence-Based Medicine is an annual event that BSL doctors never miss, in order to stay updated with knowledge and research on dermatological treatments — including acne, melasma, freckles, hair loss, and scalp issues — as well as aesthetic procedures such as facial, neck, and body skin tightening, weight loss, and body contouring, all aimed at achieving healthy and youthful-looking skin.
BSL Clinic Participates in Academic Conference Presentation
A stage that brings together dermatology and aesthetic medicine practitioners from various countries to exchange knowledge and experiences in skin care.
Dr. Wipanee Akkaraphusit (Medical License No. 39676) joined as a speaker, presenting on topics that reflect real experiences in patient care, while sharing holistic treatment approaches that emphasize “personalized understanding,” one of the key principles of modern aesthetic medicine.
BSL doctors joined to update treatment methods for acne scars, melasma, freckles, skin tightening, filler programs and laser technology at the 3rd International Conference of Laser, Aesthetic Medicine and Surgery (ICLAS) in order to develop new knowledge and various treatment techniques to achieve results that are suitable for each patient.
To develop approaches in skin care tailored to individual causes, laser technology that has been studied and applied in many countries is now available at BSL Clinic.
BSL Clinic had the honor to attend the Exclusive PicoWay® Symposium: Mastering Complex Pigmentation, with Dr. Wutthinan Sithipolvanichgul (Medical Council No. 39678) updating knowledge on the PicoWay® Program and approaches to managing skin pigmentation issues such as melasma, freckles, and uneven skin tone, while exchanging perspectives with doctors from various countries to find approaches suitable for each individual.
This learning covers knowledge in health promotion, disease prevention, and chronic condition management, with a focus on holistic health care from the level of genes, environment, and lifestyle behaviors. BSL doctors will apply the knowledge gained to consider and plan appropriate health and skin care for each individual client.
Doctors participated in a national academic conference to exchange knowledge in the treatment of dermatological and aesthetic issues. This conference emphasized methods of care, prevention, and the management of possible complications from treatments, enabling doctors to apply the information in planning care appropriate for each individual.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient
BSL Clinic had the honor to attend the Exclusive PicoWay® Symposium: Mastering Complex Pigmentation, with Dr. Wutthinan Sithipolvanichgul (Medical Council No. 39678) updating knowledge on the PicoWay® Program and approaches to managing skin pigmentation issues such as melasma, freckles, and uneven skin tone, while exchanging perspectives with doctors from various countries to find approaches suitable for each individual.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient
This learning covers knowledge in health promotion, disease prevention, and chronic condition management, with a focus on holistic health care from the level of genes, environment, and lifestyle behaviors. BSL doctors will apply the knowledge gained to consider and plan appropriate health and skin care for each individual client.
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BSL Clinic (Silom Branch)
30/8 Saladaeng Road, Silom, Bang Rak, Bangkok 10500, Thailand
BSL Clinic (Sukhumvit Branch)
Time Square Building Room 114 (Ground Floor). 246 Sukhumvit Road, Khlong Toei, Bangkok, Thailand 10110
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