Hx: Patient presented with concerns about the sun damage and brown pigmented lesions on her hands.

Tx: We performed 2 x treatments of Intense Pulsed Light (IPL) to the backs of our patient’s hands, at intervals of > 3 weeks. As is visible in the before and after comparison, in just these two sessions, our patient has experienced approximately 85% resolution of pigmentation. As the rest of her body is also freckled, the patient has been happy to retain some pigmentation so that the improvement blends seamlessly.