If you have a large number of sunspots on the face it is likely you will develop more sunspots in other areas. In this case “field treatment” may be recommended. This simply this means treating a large area eg. Entire face, scalp or both with a treatment aiming to treat visible and invisible (developing) sunspots.
Your Dermatologist can discuss the options available to help you to chose the one that best suits you.
Before “Field treatment” there are a number of considerations.
Full skin examination is essential.
- Sunspots are a sign of sun damage and increased risk of skin cancer.
Biopsy and treat lesions suspicious for skin malignancy
- Sunspots and squamous cell carcinomas can look similar.
- A biopsy may be needed to exclude skin cancer as topical treatments may not be effective.
Discuss the options (there are many)
- There are a large number of choices available for sunspots, see below for more information about individual “field treatment” options.
Show photos of what to expect with the treatment chosen
- Your clinician will discuss what to expect and show photos.
Be informed regarding side effects
- each treatment has different expected treatment effects.
- You should be aware of these before starting treatment.
Discuss your expectations of treatment
- No field treatments remove 100% of sunspots.
- Most treatments achieve approximately 70% reduction in spots at best.
Take photos of the field pre , during and post treatment.
- We will take pre and post treatment photos to document sunspots and response to treatment.
Review during and after the treatment. Reassess lesions that fail to clear.
- After completion of “field treatment” the area should be reexamined 6-12weeks later.
- Any residual areas can be treated or in some cases biopsied to exclude skin cancer.
OPTIONS FOR FIELD THERAPY INCLUDE :
- 5-FLUOROURACIL CREAM (EFUDIX)
- INGENOL MEBUTATE GEL (PICATO)
- IMIQUIMOD CREAM (ALDARA)
- DAYLIGHT PHOTODYNAMIC THERAPY (DPDT)
- CLASSICAL PHOTODYNAMIC THERAPY (CPDT)>
MAINTENANCE TREATMENT AFTER TREATMENT OF SUN SPOTS
- After field treatment your Dermatologist may recommend a combination of topical retinoid cream (applied at night) and Sunscreen during the day.
Discuss this further with your dermatologist.