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Hyperpigmentation Treatment
in Portland, OR

Our patients in Portland can benefit from advanced hyperpigmentation treatment that relies on Aerolase® technology to safely and effectively reduce the appearance of dark spots and uneven skin tones. This innovative laser procedure targets excess melanin production without damaging healthy skin cells. Multiple gentle sessions provide gradual but long-lasting lightening 
of stubborn hyperpigmentation with no significant side effects. Ortho-Rejuv Wellness and Aesthetics is the top destination for cosmetic procedures 
in Portland because we use the latest technology and always prioritize patient comfort.

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What Is Hyperpigmentation?

Hyperpigmentation refers to patches of skin that become darker than surrounding areas. It occurs when there is an excess production of melanin (the pigment that gives skin its color). Hyperpigmentation can look like flat or raised patches of skin. The darkened areas may be limited to small regions or cover larger body areas. While hyperpigmentation is usually harmless, many people seek treatment for cosmetic reasons to address their uneven skin tone. This condition can affect individuals with all skin colors and types. In rare cases, hyperpigmentation may 
be an early sign of skin cancer, so it is essential to have regular checks.
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Types of Hyperpigmentation

Hyperpigmentation can appear in different forms, depending on the cause and the patient’s anatomy, genetics, and sun exposure. Here are the main skin concerns that people typically have:

Melasma
Melasma causes light brown or tan patches on the face. It is triggered by sun exposure, hormones, or pregnancy.
Sunspots are flat, tan, or brown formations caused by sun exposure. They typically appear on the face, hands, and arms in middle age.
PIH causes dark spots to appear where previous acne scarring has healed. The patches occur when excess melanin is produced during the recovery process. Hyperpigmentation may appear after mild acne or severe acne scars.

These are tan, brown, or black spots that form on exposed areas due to solar damage. They are associated with aging and typically appear on the face, hands, arms, and other sites.

Cafe-au-lait spots are flat, light brown birthmarks that vary in size. They are caused by a localized increase of melanin.

These are small, flat, tan spots that mainly appear on sun-exposed skin. They are hereditary and associated with fair skin types.

Melasma
Melasma causes light brown or tan patches on the face. It is triggered by sun exposure, hormones, or pregnancy.
Sunspots are flat, tan, or brown formations caused by sun exposure. They typically appear on the face, hands, and arms in middle age.
PIH causes dark spots to appear where previous acne scarring has healed. The patches occur when excess melanin is produced during the recovery process. Hyperpigmentation may appear after mild acne or severe acne scars.

These are tan, brown, or black spots that form on exposed areas due to solar damage. They are associated with aging and typically appear on the face, hands, arms, and other sites.

Cafe-au-lait spots are flat, light brown birthmarks that vary in size. They are caused by a localized increase of melanin.

These are small, flat, tan spots that mainly appear on sun-exposed skin. They are hereditary and associated with fair skin types.

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What Causes Uneven Skin Tone?

Sun Exposure
Prolonged sun exposure can lead to hyperpigmentation. It occurs because UV rays from the sun stimulate melanin, causing it to produce more pigment. Areas of skin that have had more exposure, like the face, arms, and hands, are more prone to developing hyperpigmentation. Using sunscreen and protective clothing helps to prevent this condition.
Fluctuations in hormones like estrogen and progesterone can stimulate melanin production and cause areas of skin to become darker. This type of hyperpigmentation often appears as patches on the face and is sometimes called melasma if it occurs in pregnant women. Keeping hormones balanced may help to prevent and treat this condition.
As skin ages, it becomes more prone to hyperpigmentation since cell turnover decreases. Age and sun spots are common problems in older adults, even with limited sun exposure. Genetics can also play a role in the development of hyperpigmentation, especially in people with darker tones. Those with a family history of skin discoloration tend to be more susceptible. While the natural aging process and genetic traits cannot be controlled, diligent sun protection and avoiding irritants may help mitigate pigment changes from these causes.
Laser hair removal uses light energy to target melanin in hair follicles. This process can also affect melanin in the surrounding skin, which may cause hyperpigmentation. Proper treatment settings and care are required during laser hair removal to minimize the risk of this side effect. However, it is not always possible to completely prevent it.
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How Is Hyperpigmentation Treated?

We treat hyperpigmentation with an Aerolase® laser by directing focused beams of light at the affected areas of the skin. This device targets and destroys overproduced melanin pigment in the skin. Multiple treatments spaced weeks apart are typically needed to achieve the desired results. Each Aerolase® session lasts around 10 to 20 minutes on average. The laser gradually breaks down the excess melanin during these treatments, making the skin tone more even. This procedure is often combined with topical medications to achieve the results faster.
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Combination Treatments for Enhanced Results

For optimal results, we recommend combining Aerolase® laser therapy with:
  • Perfect 10 Peel – A medical-grade chemical peel that smooths texture and fades discoloration.
  • Microneedling – Stimulates collagen to improve tone, scars, and fine lines.
  • Skin Brightening Pads (15% Niacinamide) – Target excess pigment and boost skin clarity.
This combination accelerates pigment reduction, refines skin texture, and enhances overall brightness.
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Preparation for Hyperpigmentation Treatment

Our laser treatment requires some preparation before it can be provided. If the patient has a medical condition affecting the skin or immune system, they should consult their primary care physician to ensure this intervention is safe. Here are the main steps in preparation for laser procedures:

Consultation

The patient meets with our doctor to discuss their skin concerns and goals. The provider evaluates the skin and determines if Aerolase® is an appropriate option. A treatment plan is also created to address all issues.

The doctor reviews medical history, including any conditions or medications that can cause complications. The patient may be asked to stop taking certain pharmaceuticals or supplements 1-2 weeks before treatment.
The patient reviews and signs consent forms indicating that they understand the potential risks and benefits of Aerolase® laser therapy. This includes possible side effects, such as redness and swelling.
Patients should avoid unprotected sun exposure for 2 weeks before and after treatments, or longer if possible.
To enhance the results, our doctor may recommend using retinoids, alpha hydroxy acids, or hydroquinone four weeks prior to the procedure.
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Hyperpigmentation Treatment Procedure

The Aerolase® device does not cause pain or damage the skin, so anesthesia 
is unnecessary. The doctor thoroughly cleans the treatment zone and applies 
a cold gel to protect the skin’s surface. The Aerolase® laser handpiece is then moved over the target area systematically. It penetrates deep into the skin to target melanin and disperse patches of hyperpigmentation. Patients feel a warm sensation as the laser pulses. Treatment time depends on the size of the target area. Most small patches can be covered in 5-20 minutes. After the procedure, the doctor removes the gel from the patient’s skin.
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Recovery After Laser Treatments

The recovery period after a hyperpigmentation treatment session with Aerolase® is typically short and involves no serious symptoms. Most people do not require any downtime. There is little to no pain, swelling, redness, or irritation associated with this laser treatment. Patients can usually return to their normal activities immediately after the procedure.
Over the next few days, the treated areas gradually get darker as the melanin comes to the surface before it sheds off. Patients notice a lightening of the pigmented areas within a week or two. Multiple sessions spaced several weeks apart may be necessary to see optimal results. The non-invasive nature of the Aerolase® technology makes this a very tolerable treatment.
Strict sun protection is essential during recovery to protect and maintain the improvements achieved. Overall, Aerolase® laser offers a low-risk and convenient option for treating stubborn hyperpigmentation and making the skin tone more even.

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Candidates For Hyperpegmentation Treatment
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Candidates for Hyperpigmentation Treatment

Hyperpigmentation is a common condition that may affect people of different ages, ethnicities, and genders. Typical candidates for this treatment include:
  • Middle-aged and older adults. Hyperpigmentation often develops in middle age due to cumulative sun exposure and hormonal changes. Many middle-aged people seek treatment for dark spots and uneven tones.
  • Those with a family history of this condition. People with a family history 
of hyperpigmentation are at higher risk and may consider proactive treatment.
  • Patients with darker skin tones. Those with Fitzpatrick skin type IV-VI are more prone to hyperpigmentation. Early intervention can stop the development of dark spots.
  • Anyone concerned by the appearance of hyperpigmentation. This condition 
is almost always harmless, but some people seek treatment for cosmetic reasons or to even out skin texture and tone.
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Benefits of Hyperpigmentation Treatment

Laser treatments are currently the most effective way to address hyperpigmentation. They provide a wide range of advantages in terms of quality and safety. Our Aerolase® laser:
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Targets hyperpigmentation at the source without damaging surrounding healthy skin cells
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Improves the appearance of aging skin by fading dark spots and discoloration
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Requires little to no downtime, so patients can quickly resume normal activities
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Provides long-lasting results with a reduced risk of hyperpigmentation returning
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Effective on all skin types, even for sensitive areas like the face and neck
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Non-invasive and drug-free alternative to more aggressive pigmentation removal procedures
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Boosts collagen production to reveal fresher, younger-looking skin over time
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Comfortable treatment sessions with no need for anesthetic creams or cooling devices
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Cost of Hyperpigmentation Treatment in Portland

The cost of hyperpigmentation treatment in Portland, OR, ranges from $100 to $800 per session, depending on the size of the target area and the number of visits needed. Aerolase® laser technology is an effective solution for addressing stubborn hyperpigmentation and dark spots on the skin. When used by our experienced doctor, Aerolase® can safely reduce the appearance of discoloration without discomfort, downtime, or adverse side effects.

Ortho-Rejuv Wellness and Aesthetics offers flexible payment options to make laser procedures more affordable. Our patients can treat themselves today and pay later. We provide accurate cost estimates during initial consultations and create comprehensive plans for each person’s unique situation.

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What Makes Ortho-Rejuv Wellness and Aesthetics the Best Place to Treat Skin Concerns?

Ortho-Rejuv Wellness and Aesthetics is an excellent option for treating stubborn hyperpigmentation and uneven skin tones. We utilize advanced Aerolase® laser technology 
that can safely and effectively reduce the appearance of dark spots and discoloration on all skin types. Our experienced doctor customizes treatment plans to target excess melanin without damaging surrounding tissue. Multiple gentle sessions provide gradual but long-lasting lightening with no significant side effects.

We also offer flexible payment plans to make this innovative treatment more affordable. With proven results and compassionate care, Ortho-Rejuv Wellness and Aesthetics helps patients achieve clearer skin over time. People choose us due to our personalized care, excellent results, and commitment to safety.

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Hi, I’m Venus! I’m a Certified Advanced Esthetician and pre-nursing student with a passion for medical aesthetics and patient-centered care. I’m dedicated to helping clients achieve healthy, radiant skin through result-driven, customized treatments tailored to their unique needs. As a patient advocate at heart, I love working with all skin types and creating long-term skincare plans that focus on both results and overall skin health.

My favorite treatments include Aerolase, NeoGen, and microneedling, innovative options that deliver real, transformative outcomes. Outside of the treatment room, I enjoy creating social media content, exploring new food spots, and spending time with friends and family.

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Certified Advanced Esthetician

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Katherine is a Certified Advanced Esthetician dedicated to helping every client feel confident and comfortable in their skin. She takes a personalized approach to skincare, creating customized treatment plans and at-home routines that work for you. Katherine is passionate about finding effective, thoughtful skincare solutions for all skin types and tones, with a special emphasis on acne-prone skin. She aims to provide a safe space in the treatment room to ensure every client feels welcomed and supported no matter where they are in their journey. She looks forward to meeting you soon!
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Dr. Nancy Yen Shipley experienced in the use of ultrasound and orthobiologics in the treatment of musculoskeletal conditions. And is additionally certified in Laser treatment of medical conditions, post-surgical and post-traumatic scars, PRP, injectable neuromodulators for medical and aesthetic applications.
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Ms. Kylie Farwell is a board-certified Physician Assistant and a native Idahoan. Trained in orthobiologics, PRP, ultrasound-guided interventions, laser therapy, and neuromodulators such as botox, and fillers, Kylie is passionate about helping patients overcome their post-surgical and post-traumatic scars, and present their best selves forward to the world.
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Dr. Natalie Mesnier, the driving force behind Ortho-Rejuv Wellness and Aesthetics, stands at the forefront of aesthetic innovation. With a rich background in the aesthetic realm, she is notably skilled in anti-aging laser therapies, skin revitalization, and the meticulous use of injectables and fillers. Alongside her certifications in advanced aesthetic procedures, including PRP and neuromodulator applications, Dr. Mesnier’s mission is singular: to empower patients to experience and radiate their utmost beauty and confidence.