Pigmentation Removal – Adelaide

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!

Book Your Appointment Today

If you are ready to book your initial cosmetic consultation or cosmetic procedure, please book online by clicking the button below. Alternatively, you may call the friendly team at ACM on 0403 690 031

*Your initial cosmetic consultation fee is waived if you have a cosmetic procedure performed on the same day.

*An $80 online booking fee applies. This is redeemable upon checkout.

Find Answers to All Your Questions

Please find answers to many common questions by clicking the link below.

If you have any unanswered questions, please scroll down to the “Ask a Question” section below.

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!

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.

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.

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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


  • 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.

Why Choose Advanced Cosmetic Medicine

At ACM We Make The Process Easy
Consistent Treatment by the Same Doctor Every Time
Exceptional After Care
Open Until 6pm Weekdays and Until 2pm Saturday for Your Convenience
Friendly Professional Service
Reduced Injection Pain for Your Comfort

Our Commitments

Our commitment to you is to provide you with the highest standard of service, treatment and patient care. You will always receive personal attention and treatment from Dr Rahma Targett each and every time you visit us.

Dr Targett will take the time to listen to your cosmetic needs and provide you with sound advice and realistic expectations. We will work with you to develop a plan tailored to your specific needs and goals.  Dr Targett will take the time to explain the procedure and provide you with expectations of the outcomes.

Following your treatment, we will provide you with the aftercare and advice that you deserve.  At Advanced Cosmetic Medicine, you will have the peace of mind that you are being treated by a qualified doctor in aesthetic medicine.

Dr Targett and her team will provide you with everything you need to achieve your aesthetic and health goals.

Ask a Question

Please feel free to ask us a question.  We will try to answer your question within one hour.  Thank you for your patience.

Please send us an email, or for a more rapid response, please use Facebook Messenger.

ACM Gift Cards & Loyalty Cards

Are you looking for that perfect gift idea? A gift card from Advanced Cosmetic Medicine is the perfect way to spoil a loved one for any occasion.  Gift cards are available for purchase in-store.

Ask about our Loyalty Card next time you visit and start earning points to help pay for future treatments.


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Also see our Prices and Online Specials in the App.

ACM Location

Advanced Cosmetic Medicine

Unit 58/41-47 Melbourne St

North Adelaide

SA. 5006

Ph: 0403 690 031

ACM Car Parking

Free parking is available in Dunn Street car park(3 hours) and also along Melbourne Street (1 hour).

ACM Cancellation Policy

Advanced Cosmetic Medicine is an appointment-based business.  Please follow our cancellation policy guidelines.

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