Chemical Peels, Lasers, IPL for Age Spots: What Works, Risks, Downtime, and Who Should Avoid

February 10, 2026

You've been using vitamin C and sunscreen religiously for six months. Those dark spots on your cheeks and the backs of your hands? Still there. You're ready to consider something stronger - maybe a chemical peel, IPL, or laser treatment.

Professional procedures can fade age spots faster than topical products alone. But here's what many people don't realise: choosing the wrong treatment for your skin type, or going to an inexperienced provider, can actually make pigmentation worse. This is especially true for deeper skin tones or anyone prone to post-inflammatory hyperpigmentation (PIH).

The good news? When done correctly by a qualified professional, these treatments can significantly reduce the appearance of sun damage. The key is understanding which option suits your skin, what realistic results look like, and how to protect your investment afterwards.

This guide breaks down chemical peels, IPL, and laser treatments for age spots - including what actually works, expected downtime, serious risks to know about, and who should proceed with extreme caution or avoid certain procedures altogether.

What Are Age Spots and Who This Guide Is For

Age spots (solar lentigines) are flat brown patches caused by years of UV exposure. They cluster melanin in specific areas, which is why topical products can take months to show improvement - they work slowly to break down that concentrated pigment.

Professional treatments target these melanin clusters more directly, either by removing surface layers of skin (peels), heating pigment with light energy (IPL), or fragmenting melanin deposits (lasers). This accelerates the fading process but requires careful aftercare to prevent rebound darkening.

This guide is for adults considering professional treatment for age spots on the face or hands. We'll focus on realistic outcomes, recovery time, and safety considerations -particularly for those with deeper skin tones or a history of reactive pigmentation.

Important: Any spot that's changing, bleeding, irregular, or new and rapidly evolving should be medically evaluated before cosmetic treatment.

Quick Comparison: Which Treatment Fits Your Goal

Best for single, dark spots: Laser (Q-switched or picosecond types)

Best for diffuse sun damage across the face: IPL or medium-depth chemical peel

Best for hands specifically: IPL or laser (peels less practical for hands due to thin skin; hands also tend to heal more slowly and are harder to keep protected from sun and friction during recovery)

Shortest downtime: Superficial chemical peel (3–5 days mild peeling)

Most targeted precision: Laser treatments

Higher risk if you have deeper skin tones (Fitzpatrick IV–VI): All three options require an experienced provider; IPL and lasers carry higher PIH risk

History of melasma or post-inflammatory hyperpigmentation: Proceed with extreme caution; some may not be suitable candidates

Option 1: Chemical Peels

How They Work

Chemical peels use acids to remove the top layers of skin, taking surface pigmentation with them. As skin regenerates, it often appears more even-toned.

Common types:

Superficial peels (glycolic, lactic, salicylic acid): target outermost layer
Medium-depth peels (TCA, Jessner's): penetrate deeper for more stubborn pigment
Deep peels (phenol): rarely used for age spots; significant risks and downtime

Important note: Deeper isn't always better for pigmentation—overly aggressive peels increase inflammation risk, which can trigger PIH.

Best Candidates

Light to medium skin tones with mild to moderate surface pigmentation and some texture concerns. Peels work well for people wanting gradual improvement across a wider area rather than targeting individual spots.

What to Expect

Most people need 3–6 sessions spaced 3–4 weeks apart. Results build gradually.

Downtime: 3–7 days of redness and visible peeling (longer for medium-depth peels). Your face will look obviously "treated" during this time.

Key Risks

Irritation and prolonged redness
Post-inflammatory hyperpigmentation (PIH), especially in darker skin tones
Infection if you pick at peeling skin or skip aftercare
Uneven results if application isn't consistent

Who Should Avoid or Be Cautious

Deeper skin tones (IV–VI) unless treated by a provider experienced with your skin tone
History of PIH or very reactive skin
Recent isotretinoin use: policies vary. Some clinicians still recommend waiting around 6 months, but newer evidence suggests some procedures (like superficial peels and certain fractional lasers) may be performed sooner in appropriate candidates. Your provider should assess your risk based on the procedure type.
Active eczema, rosacea, or compromised skin barrier
Very sensitive skin that reacts to most products

Aftercare Essentials

Minimise sun exposure for at least two weeks and use strict daily SPF 50+ (plus hats and shade when outdoors). Use gentle, fragrance-free products. Don't pick or pull peeling skin. Apply broad-spectrum SPF 50+ daily, even indoors.

Option 2: IPL (Intense Pulsed Light)

How IPL Works

IPL delivers broad-spectrum light that targets pigment clusters. The melanin absorbs the light energy, heats up, and eventually sheds off as your skin renews itself. It's technically not a laser - it uses multiple wavelengths rather than a single focused beam.

Best Candidates

Lighter skin tones (Fitzpatrick I–III) with sun spots and diffuse photo-damage. IPL works well on both face and hands, though hands may require more sessions due to thinner skin and slower healing.

What "Working" Looks Like

Immediately after treatment, spots often darken - like tiny coffee grounds. Over 5–10 days, these darken further, then flake off. Remaining pigment gradually fades over weeks. It's not instant.

Sessions Required

Usually 3–5 sessions spaced 4–6 weeks apart. Hands may need additional treatments.

Downtime

Expect 5–10 days of redness, mild swelling, and the "coffee ground" darkening phase. Most people can wear makeup after 24–48 hours, but spots will still be visible as they flake off.

Serious Risks

Post-inflammatory hyperpigmentation (PIH): significantly higher risk in deeper skin tones
Burns or blistering if settings are too aggressive
Hypopigmentation (permanent light spots)
Activating or worsening melasma
Uneven results if skin tone isn't uniform

Who Should Avoid or Be Extra Cautious

Fitzpatrick IV–VI: higher burn/PIH risk unless your clinician has extensive experience with your skin tone and appropriate device settings (often with patch testing first)
Active melasma or history of melasma
Recent tan or sun exposure
Photosensitising medications (antibiotics, certain acne treatments—check with your provider)
History of keloid scarring

Provider Selection Tips

Ask about device type, request a patch test, and confirm they've successfully treated your specific skin tone. Conservative settings on the first session reduce risk.

Laser for Age Spots: Which Laser Types Are Used and What to Expect

How Lasers Work

Lasers use a single, focused wavelength of light. Pigment-targeting lasers (Q-switched or picosecond types) break up melanin into smaller particles your body can clear away. Fractional lasers create controlled micro-injuries to trigger collagen and skin renewal - they're less precise for individual spots but can improve overall tone.

Best Candidates

People with discrete, well-defined age spots who want faster results. Lasers can be effective on both face and hands, though settings must be carefully adjusted for thin hand skin.

Sessions and Downtime

Pigment lasers: often 1–3 sessions, 4–8 weeks apart. Downtime varies - expect redness for 3–7 days and possible bruising or crusting.

Fractional lasers: 3–5 sessions; downtime can be 5–10 days with significant peeling and redness.

Serious Risks

Post-inflammatory hyperpigmentation or hypopigmentation
Burns, especially if settings aren't matched to skin tone
Scarring (rare but possible with aggressive treatment)
Rebound pigmentation if sun protection fails
Uneven lightening

Higher-Risk Groups

Deeper skin tones (IV–VI) - requires an experienced provider with a conservative approach and demonstrated results in your skin tone
History of PIH or melasma
Tendency toward keloids or poor wound healing
Recent sun exposure or active tan

Important Caution

"Laser" isn't a single treatment. Outcomes depend heavily on laser type, specific settings, and operator skill. A poorly calibrated laser can cause permanent damage.

Who Should Avoid These Procedures

Certain people face higher risks and need specialist assessment or should avoid specific treatments:

Fitzpatrick skin types IV–VI unless treated by a provider with demonstrated expertise in your skin tone
Active melasma (heat and light can worsen it)
Recent sunburn, tan, or heavy sun exposure (wait until skin returns to baseline)
Pregnancy or breastfeeding (most providers postpone elective aesthetic procedures)
History of keloids or abnormal scarring
Active skin infection, eczema flare, or compromised skin barrier
Tendency to develop PIH (dark marks after acne, cuts, or irritation)
Unrealistic expectations or inability to commit to strict sun protection

If you have darker spots that have changed shape, size, or colour, see a dermatologist for evaluation before considering cosmetic treatment.

Downtime and Timeline: What to Expect

First 24–48 Hours

Redness, warmth, mild swelling (especially with IPL or laser). Treated spots may darken immediately. This is normal.

Days 3–7

Peeling, flaking, or crusting begins. Pigment often looks worse during this phase—don't panic. Avoid picking. Use gentle, healing products only.

Weeks 2–6

Redness fades. Pigment continues lightening gradually. You may not see final results until 8–12 weeks post-treatment, as skin turnover takes time.

Why it looks "worse before better": Procedures bring deeper pigment to the surface before it can shed. This temporary darkening is part of the process, not a treatment failure.

How to Choose a Reputable Provider

Look for these essentials:

Board-certified dermatologist or qualified medical aesthetician under dermatologist supervision
Proven experience treating your specific skin tone and concern (ask to see before/after photos)
Willingness to perform a patch test before full treatment
Clear, written aftercare instructions
Conservative approach - especially if you're PIH-prone or have deeper skin

Red flags: providers who guarantee "permanent" results, rush you into treatment, or dismiss your concerns about skin tone or history.

Maintenance Plan After Procedures

Results can fade or reverse without ongoing protection:

Daily broad-spectrum SPF 50+ is non-negotiable - especially on hands, which get constant UV exposure. Reapply every two hours outdoors.

Gentle brightening actives once skin is fully healed (4–6 weeks): vitamin C, niacinamide, azelaic acid, or tranexamic acid can help maintain results. Introduce slowly.

Avoid irritation and picking at your skin. Inflammation triggers melanin production.

Think of professional treatments as a reset, not a cure. Without prevention, new sun damage will create new spots.

FAQs

Which treatment is best for age spots on hands?

IPL or pigment-targeting lasers tend to work best for hands. Chemical peels are less practical because hand skin is thinner and heals more slowly. Hands also tend to be harder to keep protected from sun and friction during recovery. Expect longer downtime and possibly more sessions for hands compared to the face.

Is IPL or laser better for age spots?

For deeper skin tones, the safest option depends on the device type, settings, and provider expertise. Some laser approaches can be used safely by experienced clinicians, but PIH risk remains higher overall - patch testing and conservative settings matter. For lighter skin with diffuse sun damage, IPL works well. For precise individual spots, lasers may be more effective.

Can these procedures remove age spots permanently?

No treatment permanently removes age spots if you continue getting UV exposure. Procedures can significantly fade existing spots, but new ones will form without diligent sun protection. Results can last months to years, but new spots can form again with ongoing UV exposure - maintenance and daily sunscreen largely determine longevity.

How do I avoid rebound pigmentation?

Strict sun protection starting two weeks before treatment and continuing for at least 12 weeks after. Avoid heat (saunas, hot yoga) for 1–2 weeks post-treatment. Follow aftercare instructions exactly. If you're prone to PIH, ask your provider about pre-treatment skin prep.

The Bottom Line

Chemical peels, IPL, and lasers can all reduce the appearance of age spots when performed correctly by a qualified provider. The right choice depends on your skin tone, the type and location of pigmentation, your risk tolerance, and how much downtime you can manage.

Safe, gradual improvement is realistic - but only with careful provider selection, appropriate treatment settings, and meticulous aftercare. Prevention and maintenance matter as much as the procedure itself.

If you have deeper skin, a history of melasma, or tend to develop dark marks easily, seek a dermatologist experienced in treating pigmentation in your skin type. A conservative approach protects you from worsening the very problem you're trying to fix.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a board-certified dermatologist or qualified medical professional before undergoing any cosmetic procedure. If you notice any spot that's changing, bleeding, or looks irregular, seek medical evaluation immediately.

Sources:

British Journal of Dermatology. "Chemical Peeling in Ethnic Skin: An Update."
"Complications in Lasers, Lights, and Radiofrequency Devices." Review on adverse events and prevention strategies.
"Complications of Dermatologic Lasers in High Fitzpatrick Phototypes IV–VI." Focused review on conservative approaches in deeper skin tones.
"Isotretinoin and Timing of Procedural Interventions: Systematic Review and Consensus Recommendations."