Choosing the most effective brown spot treatment in Portland

Brown Spots, Thrive Aesthetic & Anti-Aging Center

Thrive is located in Portland, OR, providing high quality antiaging and wellness enhancing therapies for patients throughout the area. Our office is equipped with state-of-the-art technology, and we use premium products, to deliver the best results possible.

One of the most common complaints that we hear is brown spots on the skin. Many patients ask, “What is the most effective treatment?” The answer depends on several factors, including your skin type, any other cosmetic concerns that you wish to treat, and the type of brown spots that you are struggling with. In most cases, IPL (intense pulsed light) or chemical peel treatment is recommended.

What causes brown spots

Melanin is skin pigment, the component responsible for coloring. Ideally, melanin is uniformly distributed across an area. However, sometimes, excess amounts accumulate in a specific spot. Medically this is called hyperpigmentation. It can take many forms, as discussed below. In most cases, it is caused or aggravated by UV exposure.

Common types of hyperpigmentation include:

  • Solar lentigines, more commonly called age spots, sun spots, or liver spots, are small areas of hyperpigmented skin. They can occur at any age, though they are more common in adults over 50. These spots are a cosmetic concern for many men and women, but they do not pose a health. However, skin cancer can resemble solar lentigines, so it is important that spots be accurately identified. If you have any doubts, call us for an examination.
  • Melasma is sometimes referred to as pregnancy mask, is characterized by large patches of dark skin. It is most common on the face, but it can occur on other areas of the body, especially those frequently exposed to sunlight. Elevated hormones seem to be a factor in melasma, making it especially common among pregnant women.
  • Ephelides, better known as freckles, are small dark spots that develop or worsen after sun exposure. They are most common in fair-skinned people. Freckles are harmless and considered attractive by some. However, some people intensely dislike their freckles.
  • Post-inflammatory hyperpigmentation (PIH) is a skin reaction to injury. It commonly occurs after severe acne has healed, and it may be mistakenly called acne scarring. However, PIH is flat, whereas acne scars are either raised or indented.
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IPL for brown spots

IPL is a light-based treatment, but it is not a laser. The difference is that laser devices emit a powerful single-wavelength light. IPL works with broad spectrum light, which is filtered to target specific skin components. Additionally, the light is applied in short pulses, making it gentler than most laser procedures.

When used for the treatment of brown spots, IPL is adjusted to target pigment. It does not zap away the spots instantly. Instead, it triggers a skin reaction that causes upper layers to slough off over the next several days, revealing fresher and more uniformly colored skin. There is no downtime and minimal discomfort following IPL treatment. A series of several sessions may be needed to achieve optimal results.

Chemical peels for brown spots

IPL Treatment, Thrive Aesthetic & Anti-Aging CenterDespite the plethora of new technology in aesthetic medicine, some of the longest-standing skin treatments are still incredibly effective. Chemical peels have been used in some form since the days of the legendary beauty Cleopatra, who is said to have bathed in sour milk (a primitive lactic acid peel). The formulas and techniques have evolved and advanced dramatically through history, but one thing remains the same. Chemical peels are equally beloved by modern legendary beauties.

A versatile treatment, the ingredients and strength of peels can be adjusted to your specific needs. For treatment of brown spots, we typically recommend Rejuvenize, Illuminize, or Vitalize peels. They work by penetrating the surface of the skin, stimulating rapid exfoliation. As skin is shed, so are many skin flaws, including excess pigmentation.

Some peels have no downtime, while others require a bit more recovery. This depends on the depth of the peel. Milder peels may require a series of treatments to achieve optimal results. During your consultation, we will explain your options, devise a customized treatment plan, and discuss what you should expect during and after the procedure.

The best choice

This depends on many individual factors. What is most effective for another patient might not be a good choice for you. The reverse is also true. The best way to discover the ideal solution for you is to visit Thrive for a consultation. Call us at (503) 928-6505 to schedule.

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Front office team was lovely; responsive and helpful from start to finish. Dr. Maddox was the cherry on top, my woes were treated promptly with meticulous care. Results were awesome and noticeable within 5-7 days (post treatment). Confidence boost - YES! Looking forward to my next visit.

Dr. Adam Maddox - Medical Director

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A graduate from Northern Arizona University and the National College of Naturopathic Medicine, Dr. Adam Maddox is a very established professional in the field of integrative anti-aging and aesthetic medicine with a special interest in Botox, Restylane and Testosterone Replacement therapy for men to name a few.

As a board-certified physician, he has a passion to help people with their health especially as they get older. Dr. Maddox believes in maintaining a strong sense of empathy in order to better serve his patients whilst ensuring his care is personalized. In addition to practicing medicine, Dr. Maddox uses his time to train other medical professionals on various effective medical techniques used in the anti-ageing medical sphere such as injectable techniques. He is also the founder and medical director of Thrive Aesthetic and Anti-Aging Center in Portland, OR.

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Thrive Aesthetic & Anti Aging Center 94.6% Patient Satisfaction
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Say goodbye to armpit hair and underarm sweating. Mirror Smooth (miraDry??) will save your day.


You shave it. You wax it, you laser it. Heck, you might even dye it pink. Talking about armpit hair. Now some people are saying you can microwave it away once and for all. We’re revealing a new treatment right now and our procedure room. Take it away, Doctor Ashton.

Hi guys So, I’m back here with doctor sheila Nazarian, board certified plastic surgeon and our patient Aaron. You’re going to be demonstrating this new microwave procedure to hit axillary hair, but before we get to that, tell, tell me why this hair bothered you, Aaron? Because I mean, you’re blonde, you wouldn’t mind.

I’m a personal trainer. I spend 95% of my day in a tank top in the gym or in a bikini and shaving every day is such a pain. No one likes to do it. I tried laser hair removal. It doesn’t work. If you have blonde hair and darker skin. So, I heard about mirror smooth So, thought I’d give it a try.

And you said it’s your game, okay, So, doctor Nazarian,


Go ahead and lie back Aaron. So, as you start working tell us a little bit about this technology. Who’s a good candidate for it and how? Does it work?

Well, the beauty of this technology is that everyone is a good candidate. Any skin colour, any hair colour? I’ve actually had the procedure performed on myself, didn’t get any hyperpigmentation from it.

So, you numbed Aaron up before we started, right?

Arron’s been numbed already. We’ve placed a temporary tattoo which basically gives us little tick marks. It’s really paint by numbers at that point and we use the microwave technology of mirror smooth to remove not only 70% of her hair with one treatment, but also the sweat and odour glands are also eliminated. So, it’s basically a little suction and some you know heat is applied, but because she’s numb there’s no pain.

You feel anything?
Fine, just a little pull,


And So, how many treatments typically does it take to really get a good effect?

So, 80% of people really only need one treatment. You’re going to get an 82% reduction in the sweat and odour glands and a 70% reduction in the hair growth. Which, if you’ve ever had laser hair, you know you need multiple treatments in order to get anywhere close to 70%.

So, what’s the cost range for something like this?

This that’s a great question. So, the first treatment is around 2000 dollars, but it’s, but if you think about how many laser hair removal treatments to do. I mean, it really is a great benefit and also laser hair doesn’t remove the sweat and odour glands.

Nice, well, 2000 dollars, meaning that you could throw away all your razors for the rest of your life.


Never have to worry about sweating in your armpits again and being musty.

No more deodorant and think of all the money you spend on deodorant over a lifetime.

That’s true.

And it takes how long to do both pitch?

We usually schedule people for an hour at a time?
An hour!

So, can you imagine an hour and you’re done.
Oh my gosh,


Sign me up, scoot over.

Second string.


The one done idea is very appealing.

Exactly, yeah.

Thanks for sharing that with us and thanks for showing us your armpits,

Thanks for having me

You’re welcome.

Anti-aging Specialist

In Portland OR-Dr. Maddox

Get rid of unwanted fat from your waist and hips with Vanquish.

Anti-aging Specialist In Portland OR-Dr. Maddox

Feeling good and looking good. It’s not just about diet and exercise anymore. Aesthetic and anti-aging medicine makes a safe and effective addition to your routine. At thrive, we offer the very latest in non-invasive beauty technology like vanquish, a painless, non-surgical way to remove unwanted fat cells from your waist and hips. And best of all, treatments take less than an hour, leaving you plenty of time to enjoy the new you. Visit for complimentary consultation. Thrive aged beautifully.

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