Skin Pigmentation removal using the Excel V Cool Glide Laser: The pigmentation treatment that really works. Another great option for pigmentation removal is a Chemical Peel.  No more need to cover up spots!

Read on for more information and we look forward to your visit.

Dr R.Targett

"Trust Your Face to a Doctor Trained in Dermatology and Cosmetic Medicine"

Dr Targett is qualified in Primary Care Dermatology with a special interest in Skin Cancer and Cosmetic Medicine.

She is a natural results advocate, facial shaping artist, ambassador of elegance, leader in her field, and the mother of two children.

Pigmentation and Ageing

Ageing can be attributed to three main things;

  1. Uneven skin pigmentation
  2. Loss of skin volume
  3. Wrinkles and fine lines

At Advanced Cosmetic Medicine we are experts at addressing these three pillars of ageing.

The dark spots or hyperpigmentation caused by excessive UVA exposure is something that can be easily erased by using the Excel V laser.  This laser pigmentation removal treatment is like having a special eraser for your skin.  Say goodbye to brown spots today, and say hello to a younger-looking you!

What is Hyperpigmentation and Why Does It Occur?

Hyperpigmentation can be seen as spots on the skin as a result of overproduction of melanin.  The spots can be seen on the skin ranging in colour from light brown to black and may vary in shape and size.

There are numerous types of hyperpigmentation, but the following three are the most common;

Age Spots: Are pigmented spots caused by exposure to the sun. They appear on parts of the body that are exposed to the sun, mostly the hands, arms and face.  They are usually small and darkened areas seen on the skin.

Melasma or Chloasma:  Often is also called “the mask of pregnancy”, because 90% of pregnant women are affected by it.  The cause is the result of hormonal changes that occur during pregnancy and also by the use of the birth control pill.  It can cause large, dark and irregular shaped areas on the face and arms.

Post-Inflammatory Hyperpigmentation: This happens after an injury to the skin which leaves a pigmented area behind as it heals. It is often seen amongst people that suffer acne.

There are other conditions that can cause the skin to have dark patches, such as birthmarks, scarring, moles, skin cancers.  These, however, are not considered hyperpigmentation in the usual sense.  It is important to have these checked by your doctor if they are new or changing in colour or size.

How Will I Know If I Have Hyperpigmentation?

Hyperpigmentation will be known to you because you will have areas of brown marks on your body or face that are darker than the surrounding normal skin. Hyperpigmentation is a very common condition and most people will have some pigmentation such as freckles and age spots.

Pigmentation Types That Can Be Treated By Laser Pigmentation Removal:

  • Age Spots
  • Freckles
  • Poikiloderma
  • Hyperpigmentation
  • Melasma
  • Post Inflammatory Hyperpigmentation
  • Melasma
  • Moles

How Does Excel V Laser Treatment For Pigmentation Work?

At Advanced Cosmetic Medicine, hyperpigmentation treatment is performed using the Excel V Laser operated by Dr R.Targett. The Excel V is a grade four medical laser and is one of the most advanced machines on the market, being sold only to doctors.

The Excel V  laser works by using the 532nm wavelength of light.  This wavelength is preferentially absorbed by brown pigmentation which causes the skin cells having brown pigment to heat up and be destroyed.  The surrounding tissue remains unharmed.

The brown pigmentation marks will become deeper in colour after the laser treatment. The lesion created will form a crust which will flake off over a period of fourteen days.

Laser treatment for hyperpigmentation using 532 nm can only be used on light colour skin.  For darker colour skin laser genesis using the 1064nm wavelength will be beneficial.

Is The Pigmentation Removal Permanent?

If SPF sunscreen is not used regularly when going into the sun, the pigmentation in the treated area may return over time. If this happens, further laser treatment can be performed.

How Long Does The Laser Pigmentation Removal Treatment Take?

The time taken for the treatment will depend on the size, type and number of pigmented lesions that need to be treated.  Treatment seasons are charged by fifteen-minute blocks. Usually, treatment can be done in one or two sessions.

Does The Laser Pigmentation Removal Treatment Hurt?

The Excel V laser has a cool glide surface which helps to cool the skin before the laser is fired.  This helps reduce the pain felt as well as helping to protect the surrounding skin from a heat injury.

The pain felt is often described as being similar to a rubber band being flipped against the skin.  Most people are able to tolerate treatment with ease.

After the laser pigmentation removal treatment, the skin may feel red and hot a bit like a sunburn.  Ice packs may be used after the treatment to help reduce any inflammation and redness.

How Will My Skin React To Laser Pigmentation Removal Treatment?

Everyone’s skin is different and will react differently to the laser pigmentation treatment. A test patch is performed first to see how your skin will react. This will allow the ideal settings to be used.  After the treatment, the pigmentation will look darker and worse than before. Do not fret. After a few days, a crust will begin to form and the dead skin cells will flake off over a two week period.

What Results Can I Expect?

Most clients are very happy with the results and can notice significant improvements, even after only one pigmentation treatment. Often a second treatment is needed to clear the pigment to the desired level.

What Areas Can Be Treated?

Pigmentation treatment may be performed on any area of the body.  The usual areas are the areas that have been exposed to the sun, such as the décolletage, hands and face.

Will The Treatment Cause Me To Scar?

A test patch is performed first to determine the correct machine settings. Also, the treated area is pre-cooled to help protect surrounding tissue.  The 532nm wavelength does not penetrate deep into the skin, so the underlying dermis will not be damaged during the treatment.  Any damage done to the superficial skin will resolve as the skin cells from the deeper dermis migrate upwards.

Can I Go Into The Sun Before My Treatment?

Before your pigmentation treatment, it is very important not to expose your skin to the sun or any tanning treatments. This will cause your skin to darken and affect the ability of the laser to work on the pigmented lesions.  The laser light will be absorbed by the darker surrounding tissue instead.  Always wear SPF when you go out into the sun, both before and after your treatment.  The pigmentation may return if you expose yourself to the sun after your treatment.

Are Any Medications I Take Contraindicated?

At your first appointment at Advanced Cosmetic Medicine, it is important that you mention to the doctor all of the medications that you are currently taking.

Medications that are contraindicated to having Excel V laser include

  • Roaccutane
  • Retin-A

Both of these medications can affect the integrity of the skin. Please stop taking Roaccutance six months before your pigmentation treatment and Retin A two to four weeks before your treatment.

Blood thinners may also affect your risk of bruising.

What Other Methods of Pigmentation Treatment Are There?

Dr Targett will examine your skin hyperpigmentation to determine its type and depth.  She will recommend a treatment protocol to address your individual needs.

Other methods of treating pigmentation include;

  1. Excel V Laser Pigmentation Removal
  2. Laser Genesis
  3. Chemical Peel
  4. Microdermabrasion
  5. Skin Needling
  6. LED Light Therapy

How Many Treatments Are Needed?

Usually between two to six treatments will be required depending on the type of pigmentation, its colour, depth and area.

Before And After Excel V Laser Pigmentation Treatment Care


  • For four weeks prior to the treatment, no tanning or tanning treatments may be applied to the area.
  • The area being treated should be shaved and free of hairs.
  • Do not wear any makeup or lotions on the day of treatment.
  • Accutane must not be taken for six months prior to treatment.


  • Use a cold compress after the treatment to reduce any swelling, redness or burning.
  • Do not rub the skin area.  Use moisturiser to keep the skin moist.  makeup may be used as normal.
  • Avoid hot tubs and saunas and excessive sweating for two days.
  • Avoid skin irritants, skin peels and microdermabrasion for one week.
  • Wear sunscreen when you go into the sun.

Post-inflammatory hyperpigmentation is a condition that causes patches to appear on the skin.  The patches can be black brown or red and depend on the normal skin colour of the individual.  The darker patches are more prevalent in darker-skinned people, whereas a redder pigment is seen on lighter-skinned people.  This disorder occurs amongst all skin types and is most often seen as a result of acne.

Freckles can be seen on any sun-exposed skin surface and appear as small and flat brown spots.  They are an inherited characteristic that can be seen on light and dark skin types.  Freckles are most often seen on lighter skin types, especially those with red hair.  Freckles are more transient and can fade and disappear in the winter time.

Lentigines are caused by a local buildup of melanocytes.  The most common type is solar lentigines which accord in middle age and are the result of sun damage.  They are often known as age spots.  They are seen mostly on sun-exposed areas such as the hands and face.  They are more defined and larger than freckles.  Lentigines are permanent and do not disappear in winter like freckles.

Seborrhoeic keratosis is a common sign of ageing skin.  They appear warty type of spot.  It is not uncommon for some people to have hundreds of them.

These may also be known as a brown wart, senile wart, basal cell papilloma or a barnacle.

Melasma is a patchy grey, brown or tan facial skin discolouration.  It is usually seen amongst women of reproductive age from 25 to 50. It can appear on the chin, cheeks, upper lip and forehead.  It is rarely seen in males and mostly seen in women. It is thought to be related to a combination of sun exposure and internal (pregnancy hormonal changes) and external hormones( birth control pill).  Pregnant women with olive or darker skin have a greater risk of getting melasma.  Sun exposure and heat exposure are thought to be underlying factors in melasma.

Poikiloderma is a condition that exhibits areas of hypopigmentation, hyperpigmentation, telangiectasias and atrophy. Poikiloderma is usually seen on the neck or chest and is characterized by red/ brown pigment on the skin that is associated with damage from the UV radiation.

Poikiloderma of Civatte is a benign skin condition that affects the skin on each side of the neck. It is mostly seen in women. The shaded area under the chin is often spared, having a normal skin tone.

Dermatosis papulosa nigra is seen in darker-skinned individuals.  It is a benign skin condition and typically has multiple superficial, brown/black, round/domed or flat merciless or papules. The size of the lesions can range from 1mm to 5mm.  They can be seen on the face, neck or upper trunk.  The incidence increases with age and is rarely seen before puberty. It occurs twice as often in women.  There are a genetic predisposition and exposure to UV light appears to play a role.

Price of


Laser Pigmentation Removal (for 15 minutes)$350

Before and After

post inflammatory hyperpigmentation


post inflammatory hyperpigmentation

After Procedure

Other Related Pages

"At ACM it is our promise to work with you in a spirit of honesty and collaboration to help you achieve your aesthetic goals."

Please make phone bookings during opening hours.

Online bookings available 24/7

Our Location

Advanced Cosmetic Medicine

Unit 58/41-47 Melbourne St

North Adelaide

SA. 5006

Ph: 0403 690 031


Opening Times

Dr Targett will be away on annual leave from 24th Dec 2019 until 17th Jan 2020.  When she returns, she will be available at Unit 58, 41-47 Melbourne Street at the following times;

Monday10:30am to 5:00pm
Tuesday10:30am to 6:00pm
Wednesday10:30am to 6.00pm
Thursday10:30pm to 6:00pm
Friday9:30am to 5:00pm
Saturday9:00am to 2:00pm


acm parking

Free car park is available on Dunn St or free on street parking on Melbourne St if available.

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