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Brown and Red Spot Removal Treatment Options

As our skin ages, it is very common to develop brown and red spots. There are many different types of brown spots. Being able to identify the type of brown spot will determine the best treatment choice. This is where Dr. Noll can help. Below is a list of all of the different brown and red spots treatments we offer in Sacramento & Davis, CA. Don’t worry about knowing which treatment is best. Dr. Noll will help you with that.

Hyfrecator

Hyfrecation or electrosurgery uses a pencil-like device with a needle-sized tip to precisely deliver pulses of electricity that can be used to remove certain brown and red spots from the surface of the skin. The treated spots will often turn into a scab. The scab will fall off once the skin underneath heals, usually within one to two weeks.

Liquid Nitrogen (Cryotherapy)

Liquid nitrogen can be used to freeze some brown spots. It is often used to treat non-cancerous growths like seborrheic keratosis (also called wisdom spots, age spots, and barnacles) and warts. Treated spots often turn into scabs, which fall off in one to two weeks.

Chemical Peel

Some brown spots can be removed through chemical exfoliation. The chemical solution penetrates the outer layer of the skin, forcing cellular turnover. As the skin turns over, the top layer of skin peels off, taking with it the pigmentation and revealing refreshed skin. Peeling typically occurs from days three to seven after the peel is applied. Some brown spots will require multiple peels. Lightening creams and sunscreen are recommended.

Shave Removal

Some spots are best removed surgically. Shave removal is a minor procedure done under local anesthesia. These growths are shaved at the base at skin level and take approximately two weeks to heal.

Laser and Light Treatment (Excel V, PicoGenesis, IPL, Erbium)

We have several laser and light treatments that can specifically target brown and red spots. These treatments are often more precise and may have added benefits like collagen stimulation. Multiple treatments may be needed if the pigment is located deeper than one treatment can reach. It is recommended that lightening creams and sunscreen be a regular part of the skincare routine when treating brown spots.

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Products

We call using products "Protecting Your Investment." We carry several skincare products that are clinically proven to lighten and prevent dark spots. We highly recommend incorporating these products into your skincare routine. They will help you get to your results faster and keep them longer. Aging never stops. Let our knowledgeable staff help you find the perfect product for you.

What Patients Are Saying

Thorough, professional, and kind.

You can tell she truly cares about her patients—not just their skin, but their overall wellbeing.

Everyone that works there is just as amazing as Dr. Noll.

I’m a new client… I will now be a regular client.

Each treatment feels like an hour with a girlfriend.

My HydraFacial was amazing, and so were the results! I wasn’t sure what to expect, but the HydraFacial gently removes (a ton) of dead skin cells, leaving skin hydrated, smooth, and glowing. The best part was the care given to me by Dr. Noll’s staff.

I just had a HydraFacial, and it was amazing! My skin feels so soft, hydrated, and brand new!

Davis Derm is a gem!

I have been coming here for services and products for a couple of years now. Dr. Noll and staff are wonderful! Everyone is friendly, helpful, and professional. My skin has never looked better after laser treatments. Davis Dermatology is a gem!

My skin has never been better.

I have been coming here for services and products for a couple of years now. Dr. Noll and the staff are wonderful! Everyone is friendly, helpful, and professional. My skin has never looked better after IPL and Vivace treatments.

Excellent results.

Excellent results from IPL treatment and wonderful customer service throughout. Thank you, Dr. Noll.

They know what they are doing.

I've got to say, they know what they are doing. I went in for some CoolSculpting. Been working on losing weight and had some areas that needed some extra help. The Dr. and staff are very personable and professional.

Fillers look gorgeous.

Dr. Noll did an amazing job with my lip fillers! She took the time to really understand what I wanted, gave a little recommendation, and they look gorgeous and very natural.

The best.

I come here to get filler from Dr. Noll, and she’s the best. At the first consultation appointment, she took her time to educate me on the process, the type of filler, possible complications, etc. She’s very knowledgeable and has years of experience.

I’m a forever client.

I have been going to Davis Dermatology for several months now for laser hair removal. I honestly cannot say enough good things about their business. They are one of the best businesses I’ve worked with in so many years. Their prices are fair, their communication is outstanding, and I am having such great results from my sessions. Love Davis Dermatology! You have a forever client.

Dr. Noll goes above and beyond.

It is such a gift to be able to see the same physician for both health care and aesthetic goals. Dr. Noll goes above and beyond to ensure her patients are informed and comfortable.

Best place to be.

Came for my second visit. I am pleased and satisfied with the treatment I received from Dr. Noll. She’s amazing, she cares about her patients. Best place to be.

Saw results in one week.

I tried countless products for my acne, and nothing worked. In fact, it ONLY MADE IT WORSE. Luckily, I was able to go to Davis Dermatology. During the appointment, Dr. Noll prescribed me something that could help my acne. After one week, so many people noticed the change and improvement in my skin.

Dr. Noll works wonders.

I had a wonderful experience at Davis Dermatology. Dr. Noll works wonders. This was my first time getting Botox and fillers, and I have no regrets. The results are so natural.

So excellent.

I’ve been coming here for more than three years for Botox and other cosmetic procedures. I’ve hesitated to write this review because Dr. Noll’s work produces such natural results that no one knows that I get anything done. She is thoughtful, gentle, and has an amazing eye. You will not be disappointed.

Thoughtful care.

The team at Davis Dermatology is kind, thoughtful, and genuine. They consider every detail of your care and are thoughtful about preparation and outcomes.

Does a wonderful job.

I cannot recommend Davis Dermatology more! I have been getting injections for many years and have not had such nice results as I have had with Dr. Noll. She takes her time and does a wonderful job. If you want great results, you should go to Davis Dermatology. Go here for beautiful, natural-looking cosmetic procedures.

I am beyond satisfied.

Imagine meeting up with your best girlfriend to talk about your skin…this is what it’s like to be treated by Dr. Noll. She’s so at ease, but confident and knowledgeable.

Great doctor and very personable.

Dr. Noll recently treated me and immediately put me at ease, as I had concerns as a Lupus patient. Dr. Noll explained everything thoroughly, and I was extremely happy with everything.

Fan-freaken-tastic

Dr. Noll is fan-freaken-tastic!!! I had been struggling with adult-onset acne for a number of years, and it was taking a toll on my self-esteem, professional and personal relationships, and my over…[incomplete]

The staff here is very professional.

There is no reason for any negative reviews. The staff here is very professional and helpful. All my questions have been answered, and the services were excellent. Do not hesitate to use Dr. Noll.

Dr. Noll is the best dermatologist.

Dr. Noll is the best dermatologist HANDS DOWN. After my first consultation, it’s clear her only concern is her patient and their results. By far the best bedside manner I have ever experienced.

This is the best place to be

I came for my second visit. I am pleased and satisfied with the treatment I received from Dr. Noll. She’s amazing, and she cares about her patients. This is the best place to be. I am glad I picked this place. Thank you, Dr. Noll.

Dr. Noll is very knowledgeable and professional

Dr. Noll and her staff are incredible. From the minute you walk in, Daniel makes you feel very welcomed and very comfortable. Dr. Noll is very knowledgeable and professional, and you can tell that she really cares about her patients and wants to help them meet their goals. The service provided by her and her staff went above and beyond my expectations, and I have recommended all my friends to go see her, and they, too, have had nothing but the best things to say about their experience as well.

Amazing, timely service, super nice staff, and a beautiful office area.

I've had terrible acne since high school and didn't go see a dermatologist till college, and this place is the best. It's super close to campus, Dr. Noll really makes the effort to find the right medications for you, and makes you feel like you're her only patient. Also, Daniel at the front desk is the nicest happiest person ever.

I once got my dates mixed up and went to my appointment two days late, and they still managed to fit me in within the hour. The wait is never long.

I'm always happy to go to my appointments here.

I will continue to recommend others to Dr Noll

I have been coming to Dr Noll for a few years. I have had Vanquish on my tummy and Botox, Juviderm, and Boletero on my face. The entire office staff is friendly and helpful. Daniel made me feel welcome immediately and always strives to please. Besides being an extremely nice person, Dr Noll is knowledgeable and a true professional. I have never been rushed in any manner and am able to have all my questions answered before deciding on a procedure. Afterwards, she always wants to know how I liked the results. She has a genuine concern that any...

Strongly recommended for your dermatology needs!

Wonderful staff. Dr. Noll is great. What kept me coming back was how friendly Carla, Daniel, and Dr. Noll are. Dr. Noll was willing to answer all my questions and concerns and share with me the different treatment plans without hassle. Strongly recommended for your dermatology needs!

The space is beautiful, relaxing, and very well run

My experience at Davis Dermatology is always incredible. The space is beautiful, relaxing, and very well run. The front desk manager, Daniel, is very kind and professional, and is always so easy to talk to if I have any questions. All of the office staff at Davis Dermatology are so warm and professional, which really makes for such a pleasant experience. Dr. Noll is such a wiz and is always searching for new products and techniques to make her patients more comfortable and have better results. Most of my family has seen Dr. Noll and has beco...

Dr. Noll is so knowledgeable!

This is a great office! The staff, Daniel and Carla, are very friendly and helpful, and Dr. Noll is so knowledgeable! Very willing to help with any dermatology or skincare questions, and I find the location to be very convenient also.

The whole office is extremely professional and helpful

Dr. Noll, Daniel, and Karla are wonderful. The whole office is extremely professional and helpful. My skin was so damaged from all the sunbathing I did in the 80s, and Dr. Noll has completely changed that. I have had some really bad experiences with doctors in the past, so I get very nervous when I enter any medical facility. This office is so pleasant and relaxing, I don't experience any of my usual anxiety when I go to see Dr. Noll. She is very competent and I trust her completely, 100%. I highly recommend her.

I highly recommend this office

I really like this office, soooo professional. I love the treatments I've had here (botox, fillers, tightening, and laser resurfacing). Prices are reasonable, and Dr. Noll listens and then advises on what she thinks will work best for your budget. She is a great doctor, and I love the results. Her staff are the nicest I've had at a doctor's office and go out of their way to make you feel comfortable, the costs and co-pay are stated right up front ( no surprises). I highly recommend this office.

I couldn't ask for a better dermatologist!

Dr. Noll is an ideal medical professional! She is warm, has an excellent bedside manner, is intelligent, listens to your needs and concerns, and truly cares about her patients. Her office and staff are top-notch, and I (as a medical professional myself) would highly recommend her to anyone searching for a dermatologist. I no longer live in Davis, but I still drive nearly 3 hours to see her. I couldn't ask for a better dermatologist!

Her staff was also very friendly and helpful

I had my very first consultation with Dr. Noll today, and it was a very pleasant experience. I was a bit nervous, but Dr. Noll made me feel very comfortable, almost as if I were talking to a very good friend. She explained the procedures in a way that was easy for me to understand, and she made me feel very safe in choosing her for my procedure. I would strongly recommend her for any dermatological procedure. Her staff was also very friendly and helpful.

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“Uneven pigmentation is a natural part of skin aging. Some dark spots are related to sun exposure, some to age, and others to genetics. While we don’t currently have a cure for them, there are some very effective treatments and products available to make them better.” – Dr. Noll.

“Let me be your guide. I’m here to help.” -Dr. Noll

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Why Choose Davis Dermatology

At Davis Dermatology, we are committed to providing personalized care to each of our patients, using the most advanced technology available. Under the guidance of our board-certified dermatologist, Dr. Noll, our team of knowledgeable skin care professionals strives to provide the highest quality of care in a welcoming, friendly environment. During your consultation for dark or red spot removal in Sacramento & Davis, CA, we will listen to your specific concerns, evaluate your condition, and design an individualized treatment plan that is customized to your needs.

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A Closer Look at Melasma

Melasma is a common skin condition that causes brown or grayish patches to appear on the face, usually on the cheeks, forehead, nose, or upper lip. It’s more common in women, often related to hormonal changes during pregnancy or the use of birth control pills. As it darkens easily with sun exposure, many patients seek treatment after recent sun exposure.

Sunscreen Alone Isn’t Enough

One of the biggest misconceptions is that sunscreen alone will prevent the darkening of melasma when the skin is exposed to the sun.

While sunscreens help protect the skin from skin cancer, aging, and pigmentation, they do not completely prevent melasma or other brown spots from worsening.

Smart Sun Protection for Melasma

In addition to using a sunscreen containing zinc or titanium with a minimum SPF of 30, patients with melasma should sun protect using:

  • Hats
  • Umbrellas
  • Sunglasses
  • Clothing that blocks direct sun on the face and body

When spending time near reflective surfaces like water or metal bleachers, protective gear such as a face bandana or neck gaiter is strongly recommended.

Reapplication Is Critical

Melasma darkens quickly with sun exposure. For the best protection:

  • Reapply sunscreen every two hours.
  • Use physical blockers in combination with topical sunscreen.
  • Be diligent even on cloudy or cooler days.
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Treating Melasma: A Combined Strategy

While melasma currently has no cure, there are effective treatments that can significantly improve its appearance and help prevent recurrence.

Our Recommended Approach

We advise a combined approach to manage melasma. This often includes:

  • Chemical peels to lift visible pigment
  • PicoGenesis laser treatments to reduce recurrence
  • Prescription and over-the-counter topicals to speed and extend results

This multi-pronged method ensures better results than any single solution alone.

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Understanding Types of Sun Exposure

Sun exposure can be classified into two categories:

Intentional Sun Exposure

Occurs when patients plan to be in the sun for long periods, such as:

  • Beach trips
  • Sporting events
  • Outdoor gatherings

Unintentional Sun Exposure

Happens during everyday activities like:

  • Driving
  • Walking from a car to a building
  • Running errands

All of this still counts as sun exposure.

A Common Pattern: Left Side Darkening

Many patients don’t realize the cumulative impact of unintentional exposure. In the U.S., the left side of the face—the driving side—often shows more pigment than the right.

This is a direct result of daily sun exposure through car windows and must be factored into melasma management.

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Getting to Know Dr. Noll

"When I talk to patients about treating and preventing melasma, I speak from experience. Melasma is difficult, but not impossible to treat. I am very diligent about preventing sun exposure and very consistent at applying the right products twice a day, and it is still a battle."

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