{"id":27887,"date":"2025-06-18T13:05:25","date_gmt":"2025-06-18T11:05:25","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&#038;p=27887"},"modified":"2026-11-09T10:35:52","modified_gmt":"2026-11-09T09:35:52","slug":"laser-hand-spot-treatment","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/en\/infographie\/laser-traitement-taches-mains\/","title":{"rendered":"Comment le laser peut-il traiter les taches pigmentaires sur les mains ?"},"content":{"rendered":"<h1>HOW CAN LASER TREAT PIGMENT SPOTS ON HANDS ?<\/h1>\n<p class=\"translation-block\">With age, hands often mirror the passing years. Exposed daily to daylight, sun and external stresses, they develop visible changes reflecting accelerated photoageing. Pigment spots \u2014 also called solar lentigines \u2014 are prominent among these signs. These small brown spots, often scattered or grouped on the backs of hands, directly result from chronic UV exposure.<br>While the face has long received specific aesthetic treatments, hands are too often neglected. Yet their rejuvenation is now integral to an overall aesthetic approach.<br>Among practice-based options, pigmentation lasers are among the most effective, precise and lasting solutions for removing spots without affecting surrounding tissue. Technological advances allow new-generation lasers to selectively target the melanin responsible, with excellent tolerance.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"220\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp\" alt=\"image of young hydrated skin\" srcset=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp 300w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau-16x12.webp 16w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\t\t\t\t\t<a href=\"https:\/\/drromanovaleria.ch\/en\/contact-doctor-romano-valeria\/\"><br \/>\n\t\t\t\t\t\t\t\t\tBook an appointment<br \/>\n\t\t\t\t\t<\/a><\/p>\n<h2>\n\t\t\t\tContents\t\t\t<\/h2>\n<p>\t\t\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/p>\n<h2>Why do pigment spots appear on the hands ?<\/h2>\n<p class=\"translation-block\">Skin pigmentation is regulated by cells called melanocytes, located in the basal layer of the epidermis. Under the effect of ultraviolet (UV) rays, these cells increase their production of melanin, a pigment responsible for protecting the skin against sun damage.<br>Due to repeated exposure, particularly on uncovered areas such as the backs of the hands, this production becomes irregular. Hyperpigmented areas appear; these are commonly referred to as age spots or solar lentigines. Although benign, these spots make the skin appear older.<br>Their appearance is influenced by several factors: age, repeated sun exposure, hormonal changes, certain photosensitizing medications, and the patient\u2019s phototype.<br>While depigmenting creams can sometimes reduce the most recent spots, only medical laser treatment allows a truly targeted and effective approach, with visible results from the first session.<\/p>\n<h2>What is the best laser for hand pigment spots ?<\/h2>\n<p class=\"translation-block\">Several laser types exist, but not all suit pigmented lesions. Device choice depends on pigmentation type, melanin deposit depth and skin phototype.<br>Commonly used pigmentation lasers include\u202f:<\/p>\n<ul>\n<li>Q-Switched laser (Nd:YAG 532 nm or 1064 nm) : delivers intense energy extremely briefly (a few nanoseconds), fragmenting pigment without heating surrounding tissues. Particularly indicated for well-defined lentigines.<\/li>\n<li>Alexandrite laser (755 nm) : highly effective for superficial spots, precisely absorbing melanin. Often reserved for fair skin.<\/li>\n<li>Picosecond laser : works like Q-Switched but with an even briefer pulse. It provides faster treatment with less heat diffusion and better safety in slightly olive skin.<\/li>\n<li class=\"translation-block\">Fractional or continuous <a href=\"https:\/\/drromanovaleria.ch\/en\/solutions\/lasers\/fraxel-co2-laser\/\">ablative laser<\/a> : unlike non-ablative pigmentation lasers targeting melanin alone, ablative lasers vaporise the superficial skin layer (epidermis) to induce controlled regeneration. They mainly suit spots accompanied by altered texture, mild laxity or superficial wrinkles. They treat spots while improving overall skin quality. However, use on the backs of hands requires considerable expertise because skin is thin, low in fat and slower to heal. It gives the best results but technical difficulty makes it less widespread.<\/li>\n<\/ul>\n<h2>How is a laser session for hand pigment spots performed ?<\/h2>\n<p class=\"translation-block\">A laser session averages 10 to 20 minutes according to spot number and density. Prior consultation is essential for precise diagnosis, excluding suspicious lesions and adapting parameters to skin type.<br>The area is cleansed and protective glasses provided. The laser beam is delivered directly to spots. Each pulse may feel like tingling or warmth, similar to a small elastic-band snap. No anaesthesia is needed, but soothing cream may be applied immediately afterwards.<br>In the following hours, treated spots may darken slightly, then form small superficial crusts. These fall naturally within days, revealing more even, visibly brighter skin.<\/p>\n<h2>What results can be expected from laser treatment of hand pigment spots ?<\/h2>\n<p class=\"translation-block\">Results appear quickly, often from the first session\u202f: spots gradually fade, tone evens and skin looks smoother and younger. Hands regain a clearer, brighter appearance without skin damage.<br>Unlike creams or peels requiring repeated applications or sessions, laser acts precisely and immediately, with lasting results when photoprotection instructions are followed.<\/p>\n<h2>Why is hand spot laser treatment specific ?<\/h2>\n<p class=\"translation-block\">The treatment of pigmented spots on the back of the hands cannot be reduced to a simple transposition of the protocols used for the face. It is a different anatomical area, with its own characteristics. The skin is thin, poorly vascularized, and low in sebaceous glands, which limits its regenerative capacity. Thus, the post-laser healing phase may be longer, especially in patients over 60 years old or with dry skin.<br>Moreover, the hands are exposed to repeated aggressions: sun exposure, temperature variations, frequent washing, contact with household products. These factors can compromise the quality of healing if post-procedure recommendations are not scrupulously followed. A progressive, cautious, and clearly explained therapeutic approach is therefore essential to ensure an optimal and safe result.<\/p>\n<h2>How can pigment spots be prevented from returning after hand laser treatment ?<\/h2>\n<p class=\"translation-block\">Laser success involves more than immediate spot disappearance. Rigorous prevention is essential for longevity, with photoprotection central.<br>Often overlooked during sunscreen application, hands are among the most UV-exposed areas year-round, including urban environments. After laser, skin is fragile, and even moderate exposure can cause new spots, sometimes darker or more widespread than before.<br>Broad-spectrum SPF 50+ protection must therefore be applied several times daily. UV-protective gloves, particularly when driving, are a useful complement. This discipline is essential to preserve long-term benefits.<\/p>\n<h2>Which hand pigment spots can be treated with laser ?<\/h2>\n<p class=\"translation-block\">Not every skin spot is eligible for laser treatment. Some pigmented lesions have other causes : actinic keratoses, caf\u00e9-au-lait spots, cherry angiomas, atypical lentigines or even precancerous lesions.<br>Rigorous dermatological diagnosis is therefore essential beforehand. The doctor has a fundamental role : distinguishing benign lesions suitable for safe treatment from abnormalities needing specific monitoring, specialist opinion or biopsy.<br>This medical judgement ensures both satisfying aesthetic results and care meeting safety and professional ethical requirements.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/07\/photo-docteur-romano-valeria-150x150.webp\" alt=\"Photo of doctor Valeria Romano in Geneva\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>Article written by <a href=\"https:\/\/drromanovaleria.ch\/en\/\">Dr Romano Valeria<\/a><\/p>\n<p>SHARE THIS ARTICLE ON<\/p>\n<p>\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/p>\n<ul>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"mailto:dr.romano.valeria@gmail.com\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tdr.romano.valeria@gmail.com<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+41%2078%20209%2002%2089\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\t+41 78 209 02 89<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<\/ul>","protected":false},"featured_media":0,"template":"","class_list":["post-27887","infographie","type-infographie","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Taches brunes des mains : traitement laser \u2013 Dr Romano<\/title>\n<meta name=\"description\" content=\"Quelles taches brunes des mains peut-on traiter au laser ? 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