Brown Spot & Pigmentation Treatments in Portland, OR

Reveal Clearer, Brighter Skin at Thrive Aesthetic and Wellness

Whether you’re dealing with sun damage, acne scars, melasma, or uneven skin tone, Thrive Aesthetic and Wellness offers a comprehensive range of cutting-edge treatments to reduce brown spots and pigmentation. Our expert team uses advanced laser technology and medical-grade chemical peels to rejuvenate the skin, all with minimal to no downtime.

At Thrive, we tailor every treatment plan to your unique skin type and pigmentation issue to achieve safe, effective, and lasting results.

The removal of brown spots, sun damage, and melasma is easier now with new laser technologies

Listen to Dr. Adam Maddox, Medical Director of Thrive Aesthetic & Wellness describe how they treat brown spots, sun damage, and melasma, depending on whether the damage has occurred closer to the surface or deeper in the skin.

Video Transcript

I think the most important thing with addressing brown spots is to determine where the brown spot is at within the skin. So there’s multiple layers of the skin and we need to determine if it’s closer to the surface or if it’s deeper into the skin. Most of us have a superficial or very surface oriented sun damage or brown spots, and those are relatively straightforward and simple to remove. We have a number of different laser technologies available to us and our patients that we use, including IPL photo facials and laser 5 32, and that also really does a nice job at just removing the superficial sun damage. Now for deeper pigmentation such as melasma, we have to use a different type of laser because it doesn’t respond to the more superficial treatments, and we can also get a very nice, consistent result with that as well.

Understanding Pigmentation Concerns

Brown spots and pigmentation can develop due to sun exposure, aging, inflammation, or hormonal changes. Common types include:

Sun Damage and Age Spots
Post-Inflammatory Hyperpigmentation (PIH)
Melasma
Scars and Acne Discoloration
Redness and rosacea
Acne scars

Laser Brown Spot Removal Treatments

We offer several advanced laser technologies to treat pigmentation and restore a more even skin tone.

SmoothCool IPL (Intense Pulsed Light)

SmoothCool IPL Photofacials target pigmentation near the skin’s surface using broadband light. This non-invasive treatment breaks down excess melanin, leaving skin clearer and brighter.

Best for: Sun damage, actinic keratosis, redness, rosacea, facial veins, hemangiomas, pigmented scars

Great for: Face, neck, décolleté, hands and full body pigment reduction
Downtime: Minimal
Results: Visible improvement in 1–2 sessions, with full correction in 3–6 sessions

LaseMD

LaseMD is a gentle, non-ablative laser that creates microchannels in the skin to break down pigment and stimulate collagen production. It’s safe for all skin types and particularly effective for sensitive pigment conditions like melasma.

Best for: Melasma, PIH, fine lines, sun damage, and skin texture

How it works:
- Targets pigment directly to reduce melanin production
- Stimulates collagen for improved elasticity and tone
- Enhances penetration of topical agents like tranexamic acid
Downtime: Very low—mild redness may occur
Safe for: All skin tones, including melasma-prone skin

Q-Switched Laser Spectra™

The Spectra Q-Switch laser offers zero-downtime treatments ideal for pigment concerns on all skin types. It uses targeted light pulses to shatter pigment particles, which are naturally absorbed and eliminated by the body.

Best for: Melasma, PIH, sun spots, actinic keratosis

No downtime: Safe, comfortable treatment
Suitable for: All ethnicities and sensitive skin types
Also known as: Spectra Laser Peel

Brown Spots & Melasma – Before and After Results

View More Results

Medical-Grade Chemical Peels for Pigmentation

Chemical peels gently exfoliate damaged skin layers and stimulate new cell growth to reveal healthier, more even-toned skin. At Thrive, we offer customizable peel options for every skin type and pigmentation issue.

BioRePeel

A cutting-edge 30% TCA peel with no downtime, BioRePeel targets pigmentation by promoting cell turnover and brightening the skin.

Best for: Hyperpigmentation, melasma, sun damage, uneven texture

Benefits:

Little to no downtime. Quick, painless treatment.
Year-round treatment suitable for most skin types.
Treats uneven skin tone, texture, acne, pore appearance, fine lines and wrinkles.

SkinMedica® Chemical Peels

Illuminize Peel

Best for: First-time peel patients, dull or tired skin

A gentle blend of acids helps increase skin radiance and prepare the skin for deeper treatments.

Vitalize Peel

Best for: Moderate pigmentation, photodamage, and melasma

This medium-depth peel is our most popular option and helps with sun damage, fine lines, and uneven skin tone.

Rejuvenize Peel

Best for: Deeper pigmentation issues and acne scars

Our strongest peel, Rejuvenize penetrates the skin to correct significant damage and discoloration.

Why Choose Thrive Aesthetic and Wellness?

At Thrive, your skincare journey begins with a comprehensive consultation. Our experienced providers evaluate your skin type, concerns, and goals to design a personalized treatment plan. Whether you need laser resurfacing, phototherapy, or a targeted chemical peel, we combine science and artistry to deliver radiant results with minimal discomfort and downtime.

Schedule Your Pigmentation Consultation Today

Ready to reveal a more even, glowing complexion? Contact Thrive Aesthetic and Wellness in Portland, OR, to book your personalized pigmentation treatment consultation. Let us help you Thrive in your skin.

Dr. Adam Maddox – Medical Director

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 & Wellness in Portland, OR.

Connect Dr. Adam Maddox on LinkedIn

Tried Several Treatments With Thrive and Its Perfect

Rachel has been coming to Thrive for a few years and has always enjoyed her visits. She finds her treatments comfortable, the staff super-friendly, and her overall experience amazing. Want a similar experience? Call us and schedule your consultation.

Hi, I’m Rachel Stahl. I’ve been coming to thrive for about five years. I definitely started on the lower end, just like a little bit of Botox a little bit of preventative ageing treatments and have always felt really, really comfortable. I felt that I can get an honest answer if I need a little more of a treatment, but I’ve also definitely had the experience feeling self-conscious and having the staff here totally put me at ease of like you look great. You don’t need to do a tonne more. I feel like I can really trust their opinion because I’ve been given positive feedback the whole time I’ve been coming here. I’ve recommended a tonne of friends because of that and I have never heard a negative review of the clinic. I’ve just always felt really, really comfortable. I got comfortable enough to start doing a little bit of laser therapy and I also got to do Miradry on my armpits and I’ve just never really been disappointed by anything. I feel like they make really solid recommendations and everybody is super friendly. It’s always been really easy to schedule, which is huge for me to working in the area. It’s just an amazing place. Everybody is really great.

Tried Miradry on My Armpits and Its Working - Highly satisfied patient

Listen to Sarah’s testimonial to understand how miraDry can save your day and bring you relief and comfort which may have been eluding you for years due to underarm sweating and odor. Head over to Thrive and see how the experience can change your life.

Hi, my name is Sarah and I’ve had hyperhidrosis for the past 17 years and I’ve tried many forms of treatment. I’ve done medications under the arms. I’ve switched medications that maybe would cause extra sweating under the arms. I’ve even tried Botox and I went as far as I was looking into treatment during surgery which I found to be very risky for myself with not very many good outcomes, and with the hyperhidrosis, it is a very embarrassing condition. It can affect relationships; it can ruin a lot of clothes. It has ruined a lot of clothes and it’s something that I’ve had to live with for So, long. I wanted to be able to have something done to be able to help with the effects of this and I was on the internet one day. It was actually on Facebook and I was going through, I was just scrolling through and I found an ad and it was talking about, do you have access sweating and I had clicked on it and was looking around and I found that there was a procedure for Miradry, and I was looking around trying to find a place that was near my area and I happened to find thrive, and I wanted to see that that it was a, a, good clinic with good ratings. A clinic that people have known about. I didn’t want to just go anywhere to be able to get this procedure done. So, I did my research and I decided to go ahead and book an appointment. I knew it was going to be less invasive than going through with the surgery, plus I couldn’t find a provider that was willing to send me for the surgery because of all the risks that could happen with me and not such a great outcome. So, I went ahead and I booked my appointment and I got to meet Tristan. I actually had every intention to listen to my music during the procedure because I knew it was going to be super nervous and I ended up not being able to find my headphones but Tristan was very personable. Great bedside manners and it was just like I was there talking to a friend and then I got to meet doctor Maddox who was able to do all the numbing under the arms. That’s the only part of the procedure that I actually felt was just the injections for the numbing. And then there’s a grid. It looks like a tattoo that goes on the arm, and then that is where the laser is on the arm and it just moves all around to the areas where I have all the excessive sweating. I don’t feel anything during the entire process. I was relaxed. I wasn’t nervous once I got in there and was able to talk to Tristan. She was able to explain everything, step by step, and I pretty much knew since my condition was severe and I’d had it for So, long I expected to have to have at least a second treatment, maybe even a touch up.
I knew that I wasn’t going to just need one treatment. I knew that going in there So, it was extremely grateful to be able to try this procedure to see if it would work and so, once I got done with the procedure, I, I, still didn’t feel any pain, just very I felt like my arms were pretty swollen. I was able to get myself ready to leave. I was given ice packs, So, I just continuously iced my arms. I wanted to follow all the instructions, exact because I wanted to be sure that this was going to work for me. I had invested my time everything into this procedure to ensure that it was going to work for me. I wanted this to be the most permanent. I didn’t want to have to keep dealing with this, 17 years is a really long time to have to deal with all of this and when I got home, I noticed, you know, I still had the swelling, which is expected you know, it can go on for several weeks. I continuously iced my arms. I noticed some bruising that was happening, which I was already warned about and I felt for the procedure that just having the bruising and the swelling, knowing that it was going to be going down, I was noticing improvement within the next couple of days as the swelling was going down. I would still have wetness under the arms but it was still healing, and it does take time to heal. It could take several weeks to heal and actually be able to see the full effect. So, I ended up doing a second treatment, which I’m glad I did because I knew that I was going to need a second treatment and everything was exactly the same process and making sure that I did all the icing and I followed all the instructions and now I can say since I’ve completed the second session, in that the underarm sweating has really diminished. I would say that I’m closer to a 75 80 percent. So, coming from someone who from the morning, I from the moment I would wake up in the morning to go into bed, I always had the underarm sweating. It never went away. There’s no on and off switch. There was nothing I could do. Even changing the environment being either in a warm environment, cold environment, calming environment, stressful. This was something that would never go away. I couldn’t, I couldn’t adjust but I’ve dealt with it for So, long and I know that the Miradry is working because I have proof of it. I have my pictures. I know how severe this was and I’m really grateful to be able to come here to the thrive clinic to be able to do this near dry and I would recommend it to any of my friends and family. Anybody who has this excessive sweating that is too embarrassed to come forward. Give it a try because I know that it’ll help change your life.

VanquishME and Cellutone

Tia is one happy patient of Thrive. She wanted to get rid of the extra fat she had gained around the mid-section after having two kids. Vanquish helped her do just that and now she sees a drastic change in her body which she is extremely satisfied with.

Hi, my name is Tia Sanders. I’m a mother of two very beautiful but large children. Um, let’s see. I thought I’d try this because. Uhm, after having kids I had a little extra in the mid-section and I was dieting and just starting to get back into working out. And you know this came along and I thought I’d give it a go. And the vanquished treatments were a little toasty. It definitely warmed you up, and luckily, we had a fan going to kind of keep me cool, and you can feel like little tingles. And definitely some warm, warm, throughout your whole midsection throughout your whole treatment. It was super. Easy come. The seller tone helps, like break up everything afterwards and I kind of made up the transitions a little bit smoother and it was. It was really relaxing to an extent after dealing with kids all day, I was able to lay down and just kind of get those extra little areas taken care of.

I was a little nervous about my results at first. But then luckily everyone took photos before and after and I there was a drastic change between the first time I was in here and the last time I was in here and doctor Maddox was telling me that I will continue to see results like the little back fat. Kind of like lifted and kind of started to like disappear. And that was huge for me and you could see like my belly that was, you know, post baby belly was starting to lift again and that was such a huge encouragement to like want to keep going. So, my clothes are definitely fitting a lot better around the waistline. I’m not to wear. My goal is, but it’s definitely I’m able to those pants that I have that many will put on for a couple of months. So, I’m definitely excited. And yeah, I’m happy. I would definitely. Recommend trying thrive or working with right because they are super personable, they’re. They’re very warm when it comes in it. Sometimes you’re worried about like a very clinical setting inside outpatient type doctors’ offices, it seems, but everyone kind of put you at ease and relaxed and, and, yeah, it just felt very comfortable.