Pigmentation occurs when the skin produces too much melanin, leading to uneven skin tone. It commonly appears on the face, neck and decolletage and can take different forms, including sunspots, freckles, birthmarks and melasma. This can be caused by sun exposure, inflammation, hormones or skin trauma.
For those looking to address these pigmentation concerns, intense pulsed light (IPL) and laser treatments are two widely used options. While both approaches utilise light energy, they function differently and may be better suited for specific skin concerns.
This article explores IPL vs laser for pigmentation, how each treatment works, key considerations and important factors to check before scheduling a consultation for either one.
Understanding IPL for pigmentation
IPL is a light-based skin treatment that delivers pulses of broad-spectrum light to address certain pigmentation concerns. Unlike laser treatments, which use a single wavelength of light, IPL emits multiple wavelengths, allowing it to target various skin conditions, including pigmentation irregularities and vascular lesions.
How IPL works
IPL treatment uses light energy to target melanin on the skin. The light energy heats and breaks down pigmented areas, allowing the body to remove the damaged tissue naturally. Over time, this process helps improve skin tone and reduce the appearance of scars and pigmentation.
Considerations for IPL treatment
- IPL is commonly used for individuals with lighter skin tones where the contrast between pigmentation and surrounding skin is more distinct.
- A patch test may be performed before treatment to assess skin response and minimise the risk of post-inflammatory pigmentation changes.
- Multiple sessions are typically required, and outcomes vary depending on individual skin conditions.
Understanding laser treatments for pigmentation
Laser treatments use concentrated beams of light at specific wavelengths to selectively interact with pigmentation. Depending on the depth and nature of the pigmentation concern, various laser types may be considered.
Types of laser treatments for pigmentation
There are several types of laser treatments, each designed with different techniques and purposes:
- ND:YAG Long Pulse Laser — Utilises controlled pulses of laser energy to target vascular lesions, diffuse redness and address post-inflammatory hyperpigmentation. Can be suitable for various skin types, including darker tones.
- Er:YAG Laser — An ablative laser that creates micro-perforations in the skin, supporting skin resurfacing. May be used for acne scarring, sun damage and textural concerns.
- CO2 Laser Treatment — Uses a carbon dioxide laser to interact with skin layers and encourage collagen synthesis. Commonly considered for deeper pigmentation, scars and skin texture irregularities.
- ClearSkin PRO Alma Laser — A non-ablative laser that penetrates deep into the dermal layers while maintaining epidermal integrity. Features vacuum and contact cooling technology for a controlled experience. Supports skin rejuvenation and acne-related concerns.
Considerations for laser treatment
- Laser treatments can be tailored to address pigmentation at varying depths within the skin.
- Suitability varies based on skin type, pigmentation severity and individual goals.
IPL and laser for pigmentation — factors to consider
Before undergoing IPL or laser treatment, an initial consultation with a dermal clinician is essential. They will check and discuss your skin type, medical history and skin goals to determine whether the treatment is suitable for you. If you’re eligible, your clinician will create a bespoke treatment plan tailored to your specific needs. They will also outline realistic expectations and answer any questions you may have.
Certain individuals may not be candidates for IPL or laser treatment, such as those who:
- Are pregnant or breastfeeding.
- Have a history of keloid scarring.
- Are taking medications that increase photosensitivity.
- Have active skin infections or open wounds in the treatment area.
- Are immunocompromised.
If the treatment isn’t suitable for you, your clinician will suggest alternative options that better align with your needs and circumstances.
Potential side effects
While IPL and laser treatments are commonly used for pigmentation concerns, there are potential side effects to consider.
- Redness and swelling — Common after both IPL and laser treatments, typically subsiding within a few hours to a few days.
- Blistering or crusting — More common with ablative laser treatments, where the skin may form scabs that heal over time.
- Scarring — While uncommon, there is a risk of scarring, particularly if aftercare instructions are not followed.
Your clinician will provide a more detailed explanation of potential side effects during your consultation. To support healing, minimise risks and optimise results, it’s important to follow all post-treatment care instructions, such as limiting sun exposure, avoiding strenuous exercise and pausing the use of cosmeceuticals with active ingredients. If you experience any unusual or persistent symptoms, contact us and your healthcare provider as soon as possible.
Book a consultation at Advantage Skin Clinic
At Advantage Skin Clinic, our team of dermal clinicians provides comprehensive treatments that target various skin concerns. Whether you’re considering IPL vs laser for pigmentation or exploring other skin solutions, contact us today to schedule an appointment.