Solar Lentigos / Freckles Dermatologist2019-05-21T13:05:57+00:00

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Freckles are small flat, brown marks that arise as a result of sun exposure. In adults they can be more persistent and, though mostly harmless, do have the potential to change

IN THESE VIDEOS, I EXPLAIN THE SYMPTOMS AND CAUSES OF MOLES AND MELANOMA – THE CATEGORY IN WHICH WE CONSIDER FRECKLES AND SOLAR LENTIGOS – AND HOW TO TREAT THEM

In the videos above, I explain things in a simple way that applies to most people who have solar lentigos – which – rarely – can turn pre-cancerous and lead to melanoma. Of course, no video or website can replace the value of a personalised consultation. At your consultation, you can have your skin carefully examined and get an expert recommendation to help you resolve your condition.

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Treatment helps people of all ages take control of their skin condition and get their life back.

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How do solar lentigos / freckles impact people on a day-by-day basis?

MOST OFTEN, THEY CAUSE NO BOTHER OR SYMPTOMS, BUT OCCASIONALLY THEY CAN CHANGE AND BECOME PRE-CANCEROUS OR CANCEROUS

Solar lentigos (freckles) arise as a result of sun exposure

Solar lentigos are small, flat, light to mid-brown patches in sun-exposed areas. In children, freckles can come after sun exposure and partly fade in the winter.

Solar lentigos are very common, especially in those 40 and over

In adults, freckles are known as solar lentigos and can be more persistent. Most often, they cause no bother or symptoms, but sometimes they can change.

If you’re concerned…

About a potential change in a pre-existing freckle or lentigo, I advise you to ask a Consultant Dermatologist such as myself, to check them.

Most solar lentigos are harmless

Rarely a subset of freckles, known as solar lentigos, can change and become pre-cancerous or cancerous. We call this condition lentigo maligna or lentigo maligna melanoma, respectively.

Can you get rid of your solar lentigos?

Most freckles are harmless and therefore require no specific treatment. It is essential that you take adequate sun protection measures to prevent any further sun damage or freckles from appearing. Additionally, using a good sunblock can help protect your existing freckles and allow them to fade partly.

What my patients love about my service

MY PATIENTS ARE MY BEST PROMOTERS

Please pass on my thanks to Dr Pratsou for her assessment on my continued taking of roaccutane.

She was completely right, I didn’t need a new course, I needed to move away from the drug. The creams she gave me and Cetaphil recommendation have meant my skin has been the best it’s ever been (ongoing and since I saw her) ALL SUMMER :))))) I’ve had zero problems…and I’m loving it.

Thank you once again.


Phillip, Acne

“Dear Dr Pratsou,

Following the consultation today I feel it appropriate to say thank you for your help in dealing with my rosacea.

On each occasion, I have visited your department I have noticed the kindness and cheeriness of all the staff I have encountered and particularly wanted to say that you made me feel at ease with your calmness and excellent manner.

All is much appreciated.”


Anne, Rosacea

“Thank you very much!!

You three were (and are) a great team!

I will remember you.

You made me feel comfortable.”


Ellie

“Tania,

Please pass to Dr Pratsou my thanks for her skilled work.

The wound is healing beautifully and now the stitches are out it looks as though it will be almost invisible once fully healed.”


Graham, Skin cancer removal

“Dear Dr Penelope, Rena & the team, (I can’t remember the nurse’s name who helped me during my 2 procedures at the Spire!)

I wanted to thank you for your support and help during a very difficult time. You guys do a wonderful job – and we are eternally grateful for your help.”


Clarissa, Skin cancer

“I would like to put on record how impressed I was with the operation you performed for the removal of the SCC on my neck. I cannot even see where the cut or the stitches were! I am indeed very grateful for the excellent work you do.”


Harry, Squamous Cell Carcinoma

“Dear Dr Pratsou,

I am very grateful to you for your diagnosis, recommended treatment and advice. Your letter to my GP sets out both the course of events, and your own analysis of probable condition and possible cause, clearly summarising our discussion.

I hope there will be no recurrence but I will certainly come back to you if there is.”


Ryan, Skin rash

“Dear Tania,

Please pass on my thanks to Dr Pratsou. I saw her this morning for a mole check. She was so lovely and reassuring. Please also thank the two nurses who assisted her during the mole removal procedure. I was very nervous, but they were very efficient, which meant I did not have too long to think about it, but most of all they were very kind. They kept me distracted and calm, which made a huge difference. Thank you also for your efficiency in both booking me in so quickly.”


James, Mole removal
Dear Ms. Pratsou,

I am writing to thank you for the care you have given me in the past few months. From the moment I walked into your consulting room with a lesion on my cheek, a lesion that I fully expected to be some sort of skin cancer (and it was), you have been thorough, reassuring, respectful and in every way professional.

You recognised that I had some insight into the condition of my skin and the procedures required to treat me. You listened to me. You projected expertise and compassion.

During the procedure to remove the growth you ensured that the atmosphere in the treatment room remained not only calm, but actually pleasant. Had it not been that you were excising a growth and sewing me up, I almost felt as if you, me and the nurse were at some sort of women’s discussion group. The time flew by. I had zero anxieties about the procedure and as we both know now, the wound healed flawlessly.

Thank you for your expertise and your communication skills and all round good nature. I feel very lucky.


Karen Tatom, Skin cancer removal

We have replaced the images and names of real patients who provided these testimonials to protect their privacy.

The first step to feeling in charge of your skin is to book an initial consultation

FIND OUT HOW TO GET THE SKIN YOU WANT

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How it works

FEEL IN CHARGE OF YOUR SKIN IN 3 EASY STEPS

STEP 1 – CALL US
STEP 2 – LET’S MEET
STEP 3 – RESOLUTION
CONTACT MY STAFF

Give us a call on 0118 373 5198 and we’ll help guide you towards a first appointment.

MEET WITH ME

I’ll see you and examine your skin before I recommend treatment. In some cases, I can begin treating your condition on the same day.

FEEL IN CHARGE OF YOUR SKIN

I’ll guide you down the road towards a resolution of your skin condition so that you can get back to normal life.

More information about solar lentigos / freckles

FOR THOSE WHO WANT THE DETAILS

Freckles are small flat, brown marks that arise as a result of sun exposure. In adults they can be more persistent and, though mostly harmless, do have the potential to change.

Solar lentigos are small, flat, light to mid brown patches in sun-exposed areas.

In children, freckles can come after sun exposure and partly fade in the winter.

In adults, freckles are known as solar lentigos and can be more persistent.

Most often, they cause no bother or symptoms, but sometimes they can change.

Freckles and solar lentigos arise as a result of sun exposure.

They are particularly common in fair individuals though they can also be seen in darker skin types too.

Sun exposure results in more skin pigment (melanin) production by skin cells known as melanocytes.

Freckles or solar lentigos result from the accumulation of melanin.

If you are concerned about a potential change in a pre-existing freckle or lentigo, I advise you to ask a Consultant Dermatologist such as myself, to check them.

I start by taking a history of the onset of the pigmented patch, any changes in size, shape or colour and any symptoms.

I take other information such as your occupation, hobbies and general sunlight exposure, which may be relevant.

I will examine the changing lesion in more detail with the aid of a particular lens known as dermatoscope.

I also tend to offer a full skin examination during the appointment.

Most freckles turn out to be benign, but if I have any concerns, then I will offer you a diagnostic biopsy. I can often perform the biopsy on the same day as your appointment.

Most freckles are harmless and therefore require no specific treatment.

Rarely a subset of freckles, known as solar lentigos, can change and become pre-cancerous or cancerous. We call this condition lentigo maligna or lentigo maligna melanoma, respectively.

Treatment consists of an initial diagnostic biopsy. If the lesion is small enough, I completely remove the lesion and send it to the lab for analysis.

If there are any concerning changes, then further treatment will consist of complete removal of the suspicious lesion with a margin of healthy skin surrounding it.

You will usually need no further treatment beyond that stage.

“How can I get rid of my freckles?”

Usually, I will determine your freckles to be harmless. Therefore, they do not require any specific treatment. It is essential that you take adequate sun protection measures to prevent any further sun damage or freckles from appearing. Additionally, using a good sunblock can help protect your existing freckles and allow them to fade partly.

Affiliations and memberships

I AM PROUD TO BE ASSOCIATED WITH THE FOLLOWING ORGANISATIONS

Questions and answers

RELEVANT AND INFORMATIVE VIDEOS AND ARTICLES

How can you prevent itchy skin?

There are several ways that you can assist in preventing itchy skin like soaps and clothing. However, you should see a healthcare professional to find the underlying cause of itchy skin.

About the author

Dr Penelope Pratsou | Consultant Dermatologist

MBChB, MRCP (UK) (Dermatology)

I’m Dr Penelope Pratsou, a skilled independent Consultant Dermatologist based in Berkshire. I have specialist expertise in the diagnosis and management of all skin cancers, and in performing mole checks. I’m a trained skin surgeon and remove skin cancers, moles, skin tags, cysts and warts.

I also have invaluable experience in dealing with all skin conditions, from the common skin complaints of acne, rosacea, eczema and psoriasis, to the rarer and more complex skin problems, having seen it all through years of NHS work.

After I obtained my Membership to the Royal College of Physicians, I undertook rigorous specialist training in dermatology, before being appointed as a Consultant Dermatologist at the Royal Berkshire Hospital, Reading. There, I helped set up and lead a busy clinic for the diagnosis and treatment of suspected skin cancer. I was also actively involved in supervising and training both dermatology and GP trainees.

Alongside my increasingly busy private practice, I have maintained an NHS practice in Oxford in order to continue to engage with challenging cases and to develop my specialist interest in skin allergy.

Learn more about me

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