Just about everyone has a few obvious brown spots on their skin. Age spots, freckles, and various birthmarks are just a few of the commonly known marks. Although most brown spots are easily ignored, many are quite conspicuous and can be detract from your skin’s natural beauty. Removal of pigmented lesions is performed by Dr. Green for patients in the DC, Virginia, and Maryland regions.

What Causes These Unwanted Pigmented Lesions?
Melanin is what gives our skin its color. Dark or light complexioned, we all have varying amounts of melanin. Pigmented lesions are dark in color simply because melanin is abnormally concentrated in one area of the skin. High concentrations of melanin can be due to various factors. Some types are present at birth, but most occur with age or as a result of overexposure to the sun’s damaging ultraviolet rays.

How Does the Laser Remove Unwanted Pigments in the Skin?
The laser is one of the most technologically advanced lasers from removing pigmented lesions. The laser removes pigmented lesions with the energy of light. A laser is designed to produce one or more specific light wavelengths, which are absorbed by the pigment. Pigmented lesions are either lightened or removed when the laser light is absorbed by the abnormal concentrations of melanin. The unwanted pigment is destroyed leaving the treated skin looking uniform in color and texture.

What types of brown spots or pigmented lesions will lasers remove?
Lasers are commonly used for removing brown age spots, “liver spots”, freckles and other brown birthmarks, such as café-au-lait spots. Our physician and staff will identify your specific type of lesion and discuss the removal success rate associated with your condition.

Important: The laser cannot be used for the removal of lesions that are cancerous or suspected to be cancerous. If there is any doubt, we will discuss the appropriate treatment methods with you.

Is the laser process painful?
The laser emits light in very short pulses. The impact of the energy from the powerful pulse of light is similar to a snap of a thin rubber band. After the treatment, the area will feel similar to a slight sunburn. Typically, within 15 minutes or so, any discomfort disappears. The area may remain red for two to four weeks. After the redness clears, the skin returns to its natural color and texture.

How many laser treatment sessions will it take to remove the pigmented lesion?
Most common pigmented lesions are removed with one or two treatments. If a lesion covers a large area, the doctor may want to treat the area in several stages, to avoid unnecessary discomfort.

Can the excess pigmentation come back?
Common pigmented lesions do not return. Some birthmarks may return after a period of several months to a year. However, the procedure can be repeated with similar results.

“You cannot go wrong with this dermatologist. Dr. Green and his staff are the very best! They go out of their way to assure patient satisfaction. I have used many services in the Bethesda location, and have always been more than satisfied. I highly recommend Dr. Green.” 

Susan E.

Dr. David Green, M.D.

Dr. David Green is a Board certified Dermatologist in Bethesda, Maryland. Dr. Green specializes in Dermatology, Dermatologic Cosmetic and Laser Surgery and the treatment of Varicose Veins and vascular disorders.

He is Certified by the American Board of Dermatology, is a Fellow of the American Academy of Dermatology, and a Member of the American Society for Dermatologic Surgery, and the American College of Phlebology. He treats patients from Maryland, Washington DC, Virginia and throughout the Mid Atlantic region.


Dr. David Green proudly offers services in his Bethesda, Maryland office.

4800 Montgomery Ln.,
Suite LL50
Bethesda, MD 20814
Phone: 301.907.7250


10.32.09: Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices. This is a Maryland safety regulation that governs who can legally perform medical cosmetic procedures.  Dr. Green administers all injectable treatments (including Botox™, Juvederm™, Voluma™, Kyblella™, and other fillers & Sclerotherapy) and laser treatments.