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Age spots and Pigmentation

Age spots are a common skin concern that often develops gradually over time. Led by Medical Director Dr Joney De Souza, our medical team focuses on understanding the cause before considering treatment.

What Are Age Spots?

Age spots, also known as solar lentigines, are flat areas of increased pigmentation that develop on sun-exposed skin. They most commonly appear on the face, hands, chest and shoulders. Age spots are benign and do not pose a health risk, but they can affect skin clarity and overall appearance.

PicoSure is a laser treatment used to reduce the appearance of age spots by targeting excess pigment in the skin. Age spots develop as melanin accumulates unevenly over time due to sun damage and ageing. Using ultra-short pulses of laser energy, PicoSure breaks down pigment into tiny particles that the body can clear naturally. This helps fade discolouration and create a more even skin tone, with minimal downtime and gradual, natural-looking results.

Treat age spots with Picosure

Why Do Age Spots Develop?

Age spots develop when repeated sun damage leads to increased melanin production in certain areas of the skin.

Contributing factors may include:

  • Cumulative ultraviolet exposure

  • Age-related changes in skin repair

  • Genetic predisposition

  • Reduced ability of the skin to regulate pigment evenly

They often become more noticeable over time without adequate sun protection. Skin boosters are injectable treatments used to improve the appearance of age spots by enhancing overall skin quality rather than directly targeting pigment. Age spots often become more noticeable as skin hydration, resilience, and turnover decline with age and sun exposure. By delivering hyaluronic acid into the skin, skin boosters improve hydration, support repair processes, and promote a brighter, more even-looking complexion. Over time, this can help soften the appearance of age spots and improve skin clarity, with results developing gradually and naturally.

More about Skin boosters
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How We Assess Age Spots

Assessment focuses on confirming that pigment changes are benign and understanding their depth and distribution. Our medical team evaluates skin type, sun exposure history and any previous treatments.

This allows us to explain which management options may be appropriate and how to reduce the risk of recurrence.

Ask us about age spots
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Age Spots Treatments at Dr Joney De Souza

Age spots are flat brown marks left by years of sun exposure, and they respond well to treatments that break up excess pigment and renew the skin surface. At our Marylebone clinic a consultation looks closely at your skin and matches you to the right option.

PicoSure Laser
From £250
Ultra-fast laser pulses shatter clustered pigment into fine particles your body clears, fading age spots with minimal impact on surrounding skin.
MaxG IPL Photorejuvenation
From £350
Broad-spectrum light targets brown patches across the face and hands, lifting scattered age spots and evening out overall tone.
UltraClear Laser Resurfacing
From £850
Cold fibre laser resurfaces sun-damaged skin, clearing stubborn age spots while refreshing texture and tone for a brighter, more even finish.

Book a consultation at Dr Joney De Souza to find the right treatment for your age spots.

Frequently Asked Questions

What is one of the most commonly discussed treatments for age spots?

Laser treatment is one of the most commonly discussed options for age spots. Technologies such as PicoSure use ultra-short laser pulses to target pigment while also supporting overall skin quality, making them a popular non-surgical choice for treating sun damage pigmentation.

 

How can age spots be improved?

Improvement depends on the depth and extent of pigmentation. Options discussed at our clinic may include UltraClear laser resurfacing, medical-grade skincare, polynucleotide treatments, skin boosters and Profhilo. The aim is gradual improvement and prevention of recurrence.

Are age spots the same as freckles?

No. Age spots develop later in life due to sun damage, while freckles are often genetic and appear earlier.

Are age spots harmful?

Age spots are benign. However, any new or changing pigment should be assessed to confirm diagnosis.

Can age spots come back after treatment?

They can recur, particularly without sun protection and ongoing skin maintenance.

Does everyone with age spots need treatment?

No. Many people choose not to treat age spots once they understand their nature and progression.

Are age spots more common on certain areas of the body?

Yes. Age spots most commonly develop on sun-exposed areas such as the face, hands, chest and shoulders.

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Kind words that made our day 🤍

We were so touched to receive this lovely feedback from a recent client following her PicoSure face treatment with Roma - this one’s for David, Roma, and Dr Joney.

“From the moment I arrived, David and Roma made me feel so welcome and completely at ease. Roma was caring, professional, and took the time to explain the treatment thoroughly, making sure I felt comfortable and reassured throughout. Even after just one session, my skin already feels smoother and looks much more refreshed.”

Moments like this are exactly why we do what we do. It’s not just about the results (although we’re so pleased with how her skin is already responding!), it’s about making every client feel genuinely cared for from the second they walk through the door.

Thank you to our amazing client for such kind words, and to David, Roma, and Dr Joney for the warmth and care you bring to every single appointment 🫶HydraFacial: the secret to that red-carpet glow ✨

Ever wondered what actually happens during a HydraFacial? Here’s a look inside the treatment, step by step, at Dr Joney De Souza.

It begins with a deep cleanse and exfoliation to clear away impurities and prepare the skin, followed by gentle extractions that refine congestion with complete comfort and precision. 

From there, targeted serums and boosters are infused into the skin, tailored entirely to your individual needs, before LED light therapy supports the skin’s long-term health and renewal. 

The treatment finishes with an antioxidant infusion, sealing in radiance for that lit-from-within finish.

This particular treatment was our Deluxe HydraFacial, though for those wanting to elevate the experience further, our Platinum HydraFacial also includes lymphatic drainage, perfect for extra de-puffing and detoxification alongside all the usual glow-boosting benefits.

The result is skin that looks cleansed, replenished, and effortlessly glowing, delivered with the precision and care that defines every treatment here.

📍 Marylebone, London | 020 7043 0748 📱Sculptra vs Juläine: which biostimulator is right for you? 💭

Both Sculptra and Juläine are poly-L-lactic acid (PLLA) biostimulators - meaning rather than simply adding volume, they work by encouraging your skin to produce its own natural collagen over time, for results that look and feel truly you.

Sculptra is the original PLLA injectable, with a long-established track record for stimulating collagen and improving skin structure and firmness gradually over several months, with results that can last up to two years.

Juläine is a newer generation PLLA treatment, using more uniform, highly purified microspheres engineered to mix more evenly, which can help reduce inflammation caused by treatment. Like Sculptra, results build gradually, with visible improvements from a few weeks in and full effects developing over a few months. 

Both are excellent options for restoring facial volume, improving skin quality, and softening lines. The right choice really depends on your skin, goals, and what your practitioner recommends for you.

Not sure which is best suited to your skin and goals? Get in touch with us today to book your consultation.

📍Marylebone, London | 020 7043 0748 📱Product Spotlight | Daily Power Defense ✨

ZO Skin Health’s Daily Power Defense is one of those products that quietly does a lot of the heavy lifting in a skincare routine, and it’s become a firm favourite of ours here at the clinic.

Formulated with Vitamins A and E, it helps protect the skin against environmental damage and free radicals, while supporting barrier restoration and long-lasting hydration.
Over time, this can mean fewer visible signs of premature ageing and a stronger, more resilient complexion.

It’s a lightweight daily step, but one that adds up - the kind of product that supports your skin quietly in the background, day after day.

If you’re curious whether it fits into your routine, drop us a DM, or ask at your next appointment 📅

How can you find us?

Our clinic is located in Marylebone, London, in the heart of one of Central London’s most prestigious and renowned medical districts. Perfectly positioned for convenience and discretion, we are easily accessible from across the capital and beyond.

We welcome patients from Mayfair, Harley Street, Marylebone, Knightsbridge, Belgravia, Chelsea, Kensington, Fitzrovia and St John’s Wood, as well as international patients visiting London for specialist treatment.

Our location benefits from excellent transport connections, with close proximity to major Underground stations, mainline rail links and direct access to Heathrow, Gatwick and London City airports. Several secure parking facilities and convenient chauffeur drop-off points are available nearby, ensuring a seamless and comfortable visit.

Whether you are travelling from elsewhere in London, across the UK or internationally, our clinic offers a calm, private and exclusive setting in one of the world’s leading medical destinations.

Opening hours
Monday
9 am to 6 pm
Tuesday
9 am to 6 pm
Wednesday
9 am to 6 pm
Thursday
9 am to 6 pm
Friday
9 am to 6 pm
Saturday
Closed
Sunday
Closed
Dr Joney De Souza
49 Blandford St, London W1U 7HH
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