Cosmetic Dermatology, BIBI CLINIC, Bangkok, Thailand | 9.00 am. - 8.00 pm.
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about dark spots and freckles 

Pico laser

A laser device that uses ultra-short picosecond pulses to generate shockwaves, effectively targeting pigmentation concerns such as dark spots, freckles, birthmarks, dullness, and acne scars.
Sylfirm X

A microneedle radiofrequency (RF) treatment that creates tiny channels in the skin using ultra-fine needles and delivers RF energy deep into the skin to address melasma, redness, acne scars, enlarged pores, and other skin concerns.
 
Lhala Peel

A gentle chemical peel containing LHA (lipohydroxy acid) that promotes skin turnover and removes dead skin cells with minimal peeling or downtime.
Exosome

A regenerative treatment that injects exosomes—cell-repairing and activating components extracted from stem cell culture fluid—into the skin to support overall skin health and renewal.
 
 Glutathione Drip

Glow from within with antioxidant-rich glutathione
 
High-Dose Vitamin IV Drip

This treatment replenishes high concentrations of vitamins and minerals through intravenous infusion, helping to reduce fatigue, boost immunity, and promote healthy skin.
 
about dark spots and freckles
WHAT IS THIS?

Spot? Freckles?

Dark spots (also known as age spots or sun spots) are a type of pigmentation caused by factors such as UV exposure, aging, and hormonal imbalances.
They typically appear as well-defined brown patches, most commonly on areas frequently exposed to sunlight, such as the cheeks and the backs of the hands. These spots tend to become more noticeable with age.

Freckles, on the other hand, are usually caused by genetic factors. They appear as small, light brown spots scattered across areas like the nose and cheeks.
Although freckles can darken with sun exposure, many are present from childhood and are considered hereditary in nature.

The main differences between dark spots and freckles lie in their size and cause. Freckles are generally smaller than dark spots and are more strongly influenced by genetics.

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Types of common dark spots and freckles

Solar Lentigines (Age Spots)
Solar Lentigines (Age Spots)
Solar lentigines are dark spots caused by prolonged sun exposure. They are the most common type of pigmentation, and the term “dark spots” often refers to this condition.
Although they typically appear after the age of 30, they can also develop in teenagers or young adults. These spots are usually round with well-defined borders and tend to become darker or increase in number with age.
Freckles (Ephelides)
Freckles (Ephelides)
Freckles, also known as ephelides, are small, light brown spots that appear symmetrically across the cheeks and under the eyes, mainly around the nose. They are often caused by genetic factors and tend to become more noticeable during adolescence. In many cases, they fade or disappear with age. Freckles are more common in fair-skinned women than in men and are typically lighter in color than age spots. They may darken with sun exposure.
Melasma
Melasma
Melasma is a type of pigmentation that appears symmetrically on the cheekbones with blurred edges. It is believed to be caused by hormonal changes and is commonly seen in women in their 30s to 50s, when hormone balance tends to fluctuate. In many cases, melasma fades after menopause, and it is rarely seen in women over 60.
ADM (Acquired Dermal Melanocytosis)
ADM (Acquired Dermal Melanocytosis)
ADM, or Acquired Dermal Melanocytosis, appears symmetrically on both sides of the cheeks and forehead. While it may resemble melasma or dark spots, it is actually a type of acquired dermal pigmentation, not a true dark spot. ADM is characterized by its grayish or bluish tone and often occurs alongside melasma, making accurate diagnosis essential.
Reasons

Causes of spots and freckles

 

Melanin Buildup as the Primary Cause
Melanin is a pigment produced by the skin as a protective response to external stimuli such as UV rays. Under normal conditions, melanin is naturally expelled through the skin’s turnover process. However, when excessive melanin is produced due to sun exposure or when turnover slows down, melanin accumulates in the skin and becomes visible on the surface—this is how dark spots form.
Melanin Buildup as the Primary Cause
Other Contributing Factors
Besides melanin accumulation, various factors can trigger dark spots and freckles. Imbalanced nutrition due to poor diet, lack of sleep, smoking, stress, and hormonal fluctuations can all contribute. Aging is another major factor, as it slows down the skin’s natural turnover, making it harder for melanin to be expelled, which increases the likelihood of dark spot formation.
Other Contributing Factors
Treatment List

BIBI CLINIC
Dark Spot & Freckle

Personalized Dark Spot & Freckle Treatments
Effective treatment for dark spots and freckles begins with identifying the type of pigmentation and evaluating the skin’s condition. At BIBI CLINIC, we offer a combination of external and internal approaches. These include laser treatments to reduce the visibility of spots, procedures that promote skin turnover, and oral medications to target the root cause from within. We also provide preventive care for developing pigmentation—not just visible spots.

Treatment strategies differ depending on your goals, whether you want to remove specific dark spots or improve your overall skin condition.

Consultations are available in both Japanese and English, so you can feel confident receiving professional care in Thailand. If you’re considering treatment for dark spots or freckles, feel free to contact us.
Personalized Dark Spot & Freckle Treatments
Direct Laser Approach to Reduce Dark Spots and Freckles
For those who want to diminish dark spots or erase freckles, BIBI CLINIC offers several effective treatment options tailored to various pigmentation concerns.

One of our main treatments is the Pico Laser, which comes with three different modes. For pigmentation issues, we primarily recommend:
Pico Spot：Targets individual spots with focused energy.
Pico Toning： Delivers low-energy laser across the entire face for overall brightening and even skin tone.

However, melasma cannot be treated with typical laser methods, as excessive stimulation can worsen it. Instead, we recommend Sylfirm X, a treatment that uses microneedles to deliver radiofrequency energy into the dermis. This approach helps address pigmentation, melasma, and other skin concerns by gently heating deeper layers of the skin.
Direct Laser Approach to Reduce Dark Spots and Freckles
Internal and Regenerative Approaches to Support Skin Turnover
At BIBI CLINIC, we don’t just focus on eliminating pigmentation directly—we also offer treatments that work from within to improve overall skin function.

One effective method is stimulating skin turnover, which helps expel excess melanin naturally. Our LALA Peel is a gentle peeling treatment with minimal to no downtime. It enhances skin renewal and encourages the removal of melanin through exfoliation.

We also offer injections and IV drips formulated with ingredients known to target pigmentation, such as Vitamin C and Glutathione. These allow for more efficient absorption compared to oral supplements and, when done regularly, can help suppress melanin production and gradually reduce the appearance of dark spots and freckles.

Another powerful option is the Exosome Injection, which promotes cellular repair and skin regeneration. By normalizing the skin’s turnover process, exosomes support the removal of melanin and improve pigmentation, dullness, and overall skin clarity.
Internal and Regenerative Approaches to Support Skin Turnover
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