Dark spots - whether they stem from acne, sun exposure, or hormonal changes - can make skin appear uneven, dull, and aged. But with today’s dermatological advances and curated skincare, you no longer have to live with them. Let’s explore the seven most effective treatments for facial dark spots, from in-clinic lasers to gentle at-home topicals, including personalized care at ROHTO AOHAL CLINIC - the leading dermatology clinic in Vietnam following strict Japanese medical standards.
Dark spots on the face, also known as hyperpigmentation, include a variety of skin conditions like melasma, sunspots, and post-inflammatory hyperpigmentation (PIH). These discolorations happen when excess melanin—the natural pigment that gives skin its color—is produced in response to internal or external triggers.
Dark spots are extremely common and affect people of all skin types and ages. The primary culprits? Sun exposure, aging, acne scarring, hormonal changes (like pregnancy or oral contraceptives), and certain medications.
While some pigmentation may fade on its own, most cases require targeted treatments. Selecting the right method can mean the difference between years of frustration and clearer, glowing skin. In this article, we break down the most trusted options—both professional and over-the-counter—so you can choose a strategy that works for your skin.
UV exposure is one of the main causes of dark spots.
UV rays stimulate melanocytes (pigment-producing cells) in the skin to produce melanin as a natural defense. With repeated exposure—especially without sunscreen—melanin builds up unevenly, resulting in sunspots, also called solar lentigines. These typically appear on the forehead, cheeks, and temples.
This form of hyperpigmentation arises after skin trauma like acne, eczema, insect bites, or burns. PIH is especially common in darker skin tones and can linger for months if untreated.
Melasma is linked to fluctuating hormones, often occurring during pregnancy, due to birth control pills, or hormonal therapy. It causes symmetrical, blotchy brown patches, most often on the cheeks, upper lip, forehead, and chin.
As we age, cell turnover slows down, and the accumulated damage from years of sun exposure begins to show. Age spots, also called liver spots, are a result of both internal aging and external damage.
The ideal treatment depends on multiple variables:
Skin type: Sensitive or darker skin may react poorly to strong exfoliants or lasers.
Pigmentation cause: Melasma responds differently than acne-induced PIH or sunspots.
Severity: Superficial pigmentation may fade with creams, while deeper spots need lasers.
Budget and time: Some treatments offer faster results but are more expensive or require downtime.
It’s crucial to consult a dermatologist for proper diagnosis and to avoid worsening pigmentation. Skin imaging technology like VISIA, commonly used at clinics such as ROHTO AOHAL CLINIC, helps assess the depth and severity of pigmentation accurately.
Laser therapy works by targeting melanin deposits beneath the skin surface, breaking them into tiny fragments that are naturally cleared by the body. Some of the most popular options include:
Q-Switched Nd:YAG: Ideal for deeper pigmentation like melasma or age spots.
Helios Pro Laser: Combines multiple wavelengths and fractionated laser tech, suitable for all skin types.
PicoSure Laser: Uses ultra-short pulses, minimizing heat damage while targeting pigment.
Who it’s best for: People with stubborn melasma, sunspots, or PIH that haven’t responded to topicals.
Risks & side effects: Mild redness, peeling, or post-treatment sensitivity.
Downtime: Minimal to moderate, depending on laser type.
Sessions required: 4–6 sessions spaced 3–5 weeks apart.
Chemical peels involve applying a solution that exfoliates the outer skin layers, allowing fresh, even-toned skin to emerge. Common acids used include:
Glycolic Acid (AHA): Great for surface-level pigmentation.
Trichloroacetic Acid (TCA): Deeper peel, suitable for more stubborn spots.
Mandelic Acid: Gentle option for sensitive skin.
Aftercare is critical—sun exposure should be minimized, and hydration must be maintained to avoid irritation or post-inflammatory pigmentation.
Best for: Surface-level pigmentation, acne scars, and early melasma.
Not ideal for: Deep dermal melasma or very sensitive skin.
Sessions required: 3–6 sessions every few weeks.
Microdermabrasion mechanically exfoliates the skin using tiny crystals or a diamond tip to polish off the upper layers.
Microneedling, especially with advanced devices like Sylfirm X, involves creating microscopic channels in the skin to stimulate collagen and allow deeper product absorption.
When combined with skin-brightening serums or PRP (platelet-rich plasma), these treatments can be powerful against lingering spots.
Who benefits: Those with mild pigmentation or looking to maintain results after lasers or peels.
Frequency: Every 3–6 weeks, depending on the method.
Topical treatments remain the first line of defense for many. Dermatologists often prescribe:
Hydroquinone (2%–4%): A gold-standard skin lightener.
Retinoids (like Tretinoin): Promote cell turnover and reduce melanin.
Azelaic Acid: Gentle but effective, especially for acne-prone skin.
Cautions: These may cause dryness, peeling, or temporary darkening if not used correctly.
Best used under medical supervision, especially hydroquinone, which is regulated in many countries.
If you're not ready for in-clinic treatments, some actives available in OTC skincare can fade pigmentation over time:
Niacinamide: Reduces melanin transfer and improves barrier function.
Vitamin C (L-Ascorbic Acid): A potent antioxidant that brightens skin.
Kojic Acid: Naturally derived ingredient that inhibits melanin production.
Licorice Root Extract: Soothes while brightening.
Pros: Low irritation, accessible, budget-friendly.
Cons: Takes longer to see results (2–4 months).
Unlike lasers that focus on a single wavelength, IPL uses multiple light wavelengths to target pigmented and vascular lesions.
Best for: Sunspots, redness, or rosacea in fair to medium skin tones.
Downtime: Mild redness; peeling may occur.
Comparison with lasers: Less aggressive, less targeted but effective for diffuse discoloration.
Sessions: 3–5 spaced 4 weeks apart.
Located in Ho Chi Minh City, ROHTO AOHAL CLINIC is a top-rated skin clinic operated by the Rohto-Mentholatum Group. What sets it apart?
Japanese Dermatology Standards: Treatments follow high-precision protocols from Japan.
Modern Technologies: FDA-approved devices like Helios Pro, Q-Switched, Sylfirm RF, and BBL IPL.
Comprehensive Consultation: Uses VISIA skin analysis to customize plans per skin type and pigmentation type.
Multimodal Treatments: Lasers, peels, microneedling, PRP, and prescription skincare combined for long-term results.
High Satisfaction: Verified testimonials speak to visible results and quality care.
Free Consultations: Available for all new patients.
Bilingual Team: English-speaking dermatologists available for international patients.
When treating facial dark spots, your choice between in-clinic treatments and at-home solutions will depend on your skin condition, goals, budget, and time commitment. Each has unique benefits and limitations. Below is a more in-depth comparison to help you make an informed decision.
Pros:
Fast, visible improvements: Clinical procedures like laser therapy, IPL, and chemical peels deliver results faster than most over-the-counter products. Patients often see initial improvement after just 1–2 sessions, with significant fading after a full course.
Effective for deep or stubborn pigmentation: Treatments such as Q-Switched laser or microneedling with RF can reach the dermal layers where melasma and long-standing sun damage reside—something topical products can’t achieve.
Supervised by dermatologists: All procedures are performed or overseen by trained professionals who assess your skin condition, recommend the appropriate treatment, and monitor your progress to ensure safety and effectiveness. Skin imaging tools like VISIA analysis further enhance accuracy.
Cons:
Higher cost per session: Advanced devices and physician-led care come with a price tag. Depending on the technology and number of sessions required, total costs can range from several million to tens of millions VND.
Potential downtime (redness, peeling): Some treatments, such as TCA peels or resurfacing lasers, may cause temporary redness, flaking, or increased sensitivity for a few days post-treatment. Patients must follow strict aftercare protocols to avoid complications.
May require multiple sessions: For stubborn or deep pigmentation, a single treatment is rarely enough. Most patients undergo a series of 3 to 6 sessions, often spaced weeks apart, to achieve optimal results.
Pros:
Lower upfront cost: Skincare products containing niacinamide, vitamin C, kojic acid, or licorice root extract are widely available and budget-friendly. Even prescription creams, when supervised properly, offer cost-effective solutions compared to laser therapies.
Convenient and accessible: You can apply treatments in the comfort of your home, at your own pace, and without travel or appointment schedules. This makes at-home routines ideal for busy individuals or those without easy access to clinics.
Good for prevention or light pigmentation: Over-the-counter products work well to prevent the recurrence of dark spots, maintain results after in-clinic procedures, or fade early-stage discoloration caused by mild acne or short-term sun exposure.
Cons:
Slower to show results: Topicals typically take 6 to 12 weeks of consistent use to show visible fading. Results may be subtle and require patience.
Not always effective for dermal-level pigmentation: Conditions like melasma or long-term sun damage that reside deeper in the skin may not respond to topicals alone. These cases often demand stronger, device-based interventions.
Requires consistency and proper usage: Skipping applications or incorrect layering can limit results. Moreover, certain actives (like acids or retinoids) can irritate sensitive skin if misused or combined inappropriately.
Bottom line:
For quick, dramatic, and targeted results, in-clinic treatments are superior, especially for deeper or older pigmentation.
For long-term maintenance, prevention, or milder discoloration, at-home treatments are practical, safer, and affordable.
Combining both approaches—under the guidance of a dermatologist—often yields the most balanced and sustainable outcome.
Lasers: noticeable improvement after 1–2 sessions
Peels & microneedling: 3–6 sessions needed
OTC products: 8–12 weeks for visible change
Yes, especially under dermatologist supervision. Clinics like ROHTO AOHAL use customized protocols to reduce irritation.
Absolutely. Combining lasers, peels, and topicals often yields better and longer-lasting results.
Possibly, especially if the root cause (sun, hormones) isn’t managed. Sunscreen, maintenance, and follow-ups are essential.
No single solution fits all. The best results come from correctly identifying the cause of pigmentation and selecting treatments suited to your skin type and lifestyle. For those in Vietnam, ROHTO AOHAL CLINIC offers a uniquely effective, science-backed approach that merges technology, personalization, and safety.
The treatment will be performed directly by doctors and professional technicians.
Ready to begin your journey to clearer skin?
Book a free consultation today or explore personalized treatment plans at ROHTO AOHAL CLINIC. Don’t let dark spots define your skin—let innovation and expert care restore your radiance.
ROHTO AOHAL CLINIC - CONTACT INFORMATION
Branch: 02 Pham Dinh Toai, Vo Thi Sau ward, District 3, Ho Chi Minh City
☎ Phone: (028) 3930 9555
Branch: 207/4 Nguyen Van Thu, Da Kao Ward, District 1, Ho Chi Minh City
☎ Phone: (028) 3827 9737
Branch: 50 Nguyen Thi Thap, Tan Hung Ward, District 7, Ho Chi Minh City
☎ Phone: (028) 6686 8048
Branch: 136 Trieu Viet Vuong, Nguyen Du Ward, Hai Ba Trung District, Ha Noi City
☎ Phone: (024) 3375 5588
Email: info@rohtoaohalclinic.com.vn
Business License No. 3700239769-001 issued on 04/07/2014 by Ho Chi Minh City Derpartment of Planning & Investment
Managed by: BRANCH NO. 2 OF ROHTO-MENTHOLATUM (VIETNAM)
