Pigmented Lesions in Karachi
Age spots, sun spots, freckles and birthmarks cleared with the Fotona StarWalker MaQX Q-switched laser, after examination by a dermatologist.
Is Pigmented Lesions right for me?
- For age spots, sun spots, freckles, café-au-lait patches, some birthmarks and keratoses on the face, hands and body.
- Fifteen to thirty minutes; treated spots darken and flake for five to ten days.
- Most lesions clear in one to three sessions, six to eight weeks apart.
Spots, cleared.
Age spots, sun spots, freckles, café-au-lait patches, birthmarks and other pigmented lesions are treated at the clinic with the Fotona StarWalker MaQX, a high-performance Q-switched laser that removes pigment without ablating the skin. Its high-energy single pulses reach deeper pigment with large spot sizes, and four wavelengths in one system cover most pigmented and vascular lesions.
Every lesion is examined by Dr. Fehmida first, and anything atypical is biopsied rather than lasered. Keratoses and raised lesions can be ablated with the same system in a controlled way.
One to three sessions, fifteen to thirty minutes each, with a few days of darkening and flaking.

Lesions treated.
Age spots and sun spots
Face, hands, chest and shoulders.
Age spots and sun spots → LesionFreckles
Lightened or cleared.
Freckles → LesionCafé-au-lait and birthmarks
Assessed and treated over several sessions.
Café-au-lait and birthmarks → LesionSeborrhoeic keratoses
Ablated in a controlled way.
Seborrhoeic keratoses → LesionMelasma
A different plan; see the pigment clinic.
Melasma → CheckMoles
Examined by the doctor; biopsied if atypical.
Moles →Good candidates
- Spots that have appeared with age or sun.
- Freckles or birthmarks you want lightened.
- Any skin tone; the settings are chosen for it.
- Lesions you want checked first.
Not suitable for
- Suspicious lesions, which are biopsied not lasered.
- A fresh tan.
- Pregnancy.
- Photosensitising medication.
Examine, target, clear.
Examination
Close examination confirms the lesion is benign.
Laser
Q-switched pulses shatter the pigment; the spot darkens immediately.
Clearance
The darkened pigment flakes away over five to ten days.
Before and after, by area.


Sun spots
Scattered sun spots on the cheek cleared with Q-switched Nd:YAG. Courtesy of W.K. Book.
Clinical photography from Fotona, the maker of the StarWalker MaQX and SP Dynamis lasers used at the clinic, with the treating clinician credited on each set. Individual results vary.
From consultation to results.
Spots darken; SPF from the next day.
Pigment lifts away.
For deeper lesions.
Prevents new spots.

"Before any laser touches a pigmented spot, I examine it closely myself. Most are harmless and clear beautifully. The few that are not need a different conversation."
Consultant Dermatologist and Laser Specialist. Over 35 years of dermatology, trained in Zurich, practising in Clifton since 1999. Page medically reviewed September 2026.
Pigmented Lesions, answered.
Straight answers from the clinic. If your question is not here, ask on WhatsApp.
Ask on WhatsAppYes, on benign lesions confirmed by examination, and safe on brown skin at the clinic's settings.
Fifteen to thirty minutes.
Darkening and flaking for five to ten days.
Once the flaking clears, about two weeks.
Treated spots rarely return; new ones can form with sun.
Pricing depends on the number and size of lesions. Ask on WhatsApp for current pricing.
Start with a consultation.
A twenty-minute consultation with Dr. Fehmida decides whether this is the right treatment for your face, or whether something gentler or stronger would serve you better. Message on WhatsApp or leave your number and the clinic calls you back.
200/1 Clifton 1, Block 5, Clifton, Karachi. Monday to Friday 9:00 to 6:00, Saturday 9:00 to 5:00.
Call or WhatsApp 0301 827 9630