Birthmark Removal in Gangnam, Seoul | DIORE Clinic Gangnam

Birthmark Removal refers to treatments designed to reduce the appearance of selected pigmented or vascular birthmarks. Because birthmarks differ significantly in color, depth, structure, and underlying cause, the appropriate treatment must be selected according to the specific type of lesion rather than using one universal laser approach.

At DIORE Clinic in Gangnam, Seoul, patients seeking cosmetic improvement of a birthmark can receive individualized assessment and treatment planning based on the birthmark's appearance, location, depth, pigmentation or vascular characteristics, skin type, and previous treatment history.

Depending on the condition, laser treatment may help gradually lighten or reduce the visibility of selected birthmarks. Multiple sessions may be required, and complete removal cannot be guaranteed.

🔹 What Is a Birthmark?

A birthmark is a visible skin difference that may be present at birth or become noticeable shortly afterward.

Birthmarks vary widely. Some are caused primarily by increased pigment within the skin, while others are associated with blood vessels or other skin structures.

Broadly, birthmarks may be described as:

• Pigmented birthmarks
• Vascular birthmarks
• Congenital moles or nevi
• Mixed or more complex lesions

Because these categories behave differently, accurate identification is important before cosmetic treatment.

Not every birthmark should be treated with a cosmetic laser.

🔹 Can Birthmarks Be Removed with Laser?

Certain birthmarks may be lightened or made less noticeable with laser treatment, depending on their type.

Lasers work by delivering specific wavelengths of energy to selected targets within the skin.

For pigmented birthmarks, treatment may target melanin.

For selected vascular birthmarks, treatment may target hemoglobin within blood vessels.

The appropriate technology depends on factors such as:

• Birthmark type
• Color
• Depth
• Size
• Location
• Skin tone
• Previous treatment
• Individual response

Some birthmarks respond well to laser treatment, while others may respond only partially or require a different medical approach.

🔹 What Types of Birthmarks May Be Treated?

Depending on diagnosis and individual characteristics, treatment may be considered for selected:

• Brown birthmarks
• Café-au-lait–type pigmentation
• Congenital pigmented lesions
• Nevus of Ota–type pigmentation
• Blue-gray pigmentation
• Selected vascular birthmarks
• Port-wine–type vascular discoloration
• Persistent red birthmarks
• Other superficial pigmented or vascular lesions

This does not mean every lesion in these categories is automatically suitable for laser treatment.

A proper evaluation should occur before treatment begins.

🔹 Pigmented Birthmark Removal

Pigmented birthmarks contain increased or irregular concentrations of melanin or pigment-producing cells.

They may appear:

• Brown
• Tan
• Gray
• Blue-gray
• Dark brown
• Nearly black

Depending on the diagnosis and depth of pigmentation, selected laser wavelengths may be used to target excess pigment.

Laser energy is absorbed by melanin and can break targeted pigment into smaller particles that the body gradually processes.

Improvement usually occurs progressively rather than immediately.

🔹 Brown Birthmark Removal

Brown birthmarks can arise from several different conditions, so identifying the lesion is important before laser treatment.

Depending on the type, laser treatment may help reduce visible pigmentation.

Patients may seek treatment because a birthmark is located on areas such as the:

• Face
• Cheeks
• Forehead
• Neck
• Arms
• Legs
• Torso

Response varies according to pigment depth, lesion type, and individual skin characteristics.

🔹 Café-au-Lait Birthmark Treatment

Café-au-lait spots are flat areas of light-to-medium brown pigmentation.

Selected café-au-lait–type lesions may be treated with pigment-targeting laser technology for cosmetic improvement.

However, response can vary.

Some lesions may lighten significantly, while others can recur or respond incompletely.

Because multiple café-au-lait spots can occasionally be associated with underlying medical conditions, patients with numerous or unusual lesions should receive appropriate medical evaluation rather than assuming they are purely cosmetic.

🔹 Nevus of Ota Laser Treatment

A Nevus of Ota typically appears as blue-gray or brownish pigmentation, often involving areas around the eye, cheek, temple, or forehead.

Because pigment may be located deeper within the skin, treatment differs from that used for superficial freckles or sunspots.

Pigment-targeting laser systems may be considered to gradually reduce the appearance of suitable lesions.

Multiple treatment sessions are commonly required because deeper pigment generally cannot be safely cleared in one session.

🔹 Blue or Gray Birthmark Treatment

Blue-gray coloration can indicate pigment located deeper within the skin.

The deeper location changes the way light interacts with the pigmentation and may influence which wavelength or laser technology is appropriate.

Treatment may require:

• Multiple sessions
• Longer intervals
• Conservative laser parameters
• Ongoing evaluation of response

The goal is gradual improvement while minimizing unnecessary injury to surrounding skin.

🔹 Vascular Birthmark Treatment

Vascular birthmarks develop from blood vessel-related changes rather than excess melanin.

These lesions may appear:

• Red
• Pink
• Purple
• Reddish-purple

Selected vascular lasers or light-based technologies can target hemoglobin within visible blood vessels.

The treatment objective is to reduce the visibility of abnormal vascular coloration while preserving surrounding tissue as much as possible.

The appropriate device depends on the depth, size, and vascular characteristics of the lesion.

🔹 Port-Wine Birthmark Treatment

Port-wine–type birthmarks are vascular lesions that can appear pink, red, or purple.

Laser treatment may help reduce their visibility in selected patients.

However, treatment can require multiple sessions, and complete clearance is not guaranteed.

Results can depend on:

• Lesion color
• Vessel depth
• Treatment location
• Patient age
• Skin type
• Previous treatment
• Individual vascular response

Some vascular birthmarks also warrant medical assessment beyond cosmetic appearance.

🔹 Red Birthmark Removal

Not every red birthmark is the same.

Different vascular conditions can produce similar-looking red or purple discoloration.

For suitable lesions, vascular-targeting laser energy may reduce the appearance of visible blood vessels.

Before treatment, the lesion should be differentiated from other vascular or dermatologic conditions requiring different management.

🔹 Birthmark Removal with Pico Laser

Picosecond laser technology may be considered for selected pigmented birthmarks depending on the type and depth of pigmentation.

Pico lasers deliver extremely short pulses of energy that can fragment targeted pigment.

They may be considered for selected concerns involving:

• Brown pigmentation
• Blue-gray pigment
• Dermal pigmentation
• Certain congenital pigmented lesions

However, the term “birthmark” includes many different conditions, and Pico Laser is not appropriate for every birthmark.

Treatment selection should be based on diagnosis rather than technology alone.

🔹 Birthmark Removal with Q-Switched Laser

Q-switched lasers deliver short nanosecond pulses and have traditionally been used for several pigment-related conditions.

Depending on wavelength and diagnosis, they may be used to target selected brown, gray, or blue pigmentation.

The best technology can vary depending on:

• Pigment depth
• Pigment color
• Skin type
• Previous laser response
• Treatment goal

Neither picosecond nor Q-switched technology should automatically be considered superior for every birthmark.

🔹 Birthmark Removal with Vascular Laser

For vascular birthmarks, pigment-targeting lasers are usually not the primary approach.

Instead, lasers designed to target blood vessels may be selected.

Vascular laser treatment works by delivering energy that is preferentially absorbed by hemoglobin.

This may help reduce selected:

• Red discoloration
• Purple discoloration
• Visible vascular patterns

Treatment response depends on vessel size, depth, and lesion characteristics.

🔹 Birthmark Removal vs. Pico Laser for Pigmentation

Patients often search for Pico Laser in Gangnam when concerned about a brown or blue-gray birthmark.

Pico Laser can be useful for certain pigment conditions, but ordinary acquired pigmentation and congenital birthmarks are not necessarily treated the same way.

For example:

Common acquired pigmentation may include:

• Freckles
• Sunspots
• Post-acne pigmentation

Birthmark-related pigmentation may include:

• Congenital pigmentation
• Nevus of Ota–type lesions
• Café-au-lait–type lesions
• Other nevi

These conditions may differ in depth, recurrence tendency, and treatment response.

🔹 Birthmark Removal vs. IPL

IPL uses a broad spectrum of light and is commonly used for superficial pigmentation, redness, and photodamage.

Some patients may assume IPL can treat any brown or red birthmark.

However, birthmarks can extend more deeply and may require more specific wavelengths than IPL provides.

For this reason, IPL should not automatically be selected for a lesion simply because it appears brown or red.

Diagnosis and lesion depth should guide treatment.

🔹 Can Birthmarks Be Completely Removed?

Complete removal cannot be guaranteed.

Some birthmarks may lighten substantially after treatment, while others may show:

• Partial improvement
• Residual pigmentation
• Recurrence
• Incomplete vascular clearing
• Areas that respond differently within the same lesion

The realistic goal may therefore be significant fading or reduced visibility rather than total disappearance.

Results should be assessed gradually over multiple treatment sessions when appropriate.

🔹 How Many Sessions Are Needed for Birthmark Removal?

There is no universal number of sessions.

Treatment frequency depends on:

• Type of birthmark
• Pigment or vascular depth
• Birthmark size
• Color
• Skin type
• Treatment technology
• Individual healing response
• Previous laser treatment
• Desired improvement

Deeper or larger birthmarks commonly require more sessions than small superficial lesions.

🔹 Why Does Birthmark Removal Require Multiple Sessions?

Laser treatment must balance effective targeting with protection of surrounding skin.

Attempting to treat deep or extensive pigment too aggressively in a single session may increase the risk of irritation, burns, scarring, or pigmentation changes.

Multiple treatments allow gradual targeting while providing time for the skin to heal and for treated pigment or vascular structures to change.

🔹 How Long Between Birthmark Laser Sessions?

Treatment intervals vary according to:

• Laser technology
• Treatment intensity
• Lesion depth
• Skin response
• Location
• Recovery
• Pigmentation risk

A follow-up session should generally be planned according to how the treated area has healed rather than using the same schedule for every patient.

🔹 Does Birthmark Removal Hurt?

Sensation depends on the laser technology, intensity, treatment area, and size of the birthmark.

Patients may experience:

• Light snapping
• Tingling
• Heat
• Prickling
• Stinging

Topical numbing or cooling may be considered depending on the procedure and individual sensitivity.

🔹 What Is a Birthmark Removal Treatment Like?

Treatment typically begins with a clinical assessment.

1. Birthmark Assessment

The lesion is evaluated according to its:

• Color
• Shape
• Size
• Location
• Depth
• Pigmented or vascular appearance
• Previous changes
• Treatment history

2. Treatment Planning

An appropriate laser or alternative treatment approach is selected when cosmetic treatment is considered suitable.

3. Skin Preparation

The treatment area is cleansed and protective eyewear is used when required.

4. Laser Treatment

Controlled laser energy is delivered to the selected area.

5. Post-Treatment Care

Cooling or other aftercare may be provided depending on the skin response.

🔹 Birthmark Removal Treatment Time

Treatment Time: Varies according to birthmark size and treatment technology
Anesthesia: Topical numbing may be considered depending on treatment type
Sensation: Warmth, snapping, tingling, or stinging may occur
Number of Sessions: Often multiple sessions depending on the lesion
Downtime: Varies according to birthmark type and laser intensity

At DIORE Clinic Gangnam, treatment parameters can be customized according to the characteristics of the lesion and individual skin condition.

🔹 What Happens After Birthmark Laser Treatment?

Temporary reactions can occur after laser treatment.

Depending on the laser and lesion, patients may experience:

• Redness
• Warmth
• Mild swelling
• Temporary darkening
• Mild crusting
• Dryness
• Sensitivity
• Temporary color changes

Some pigmented lesions may initially become darker before fading.

Vascular lesions may temporarily appear darker or more purple following treatment.

Patients should avoid picking or scratching the treated area.

🔹 Birthmark Removal Downtime

Downtime varies substantially depending on the treatment.

A small, superficial pigment treatment may involve relatively limited recovery, while deeper pigmentation or vascular birthmarks may produce more noticeable temporary changes.

Recovery can depend on:

• Laser wavelength
• Treatment intensity
• Birthmark size
• Treatment depth
• Skin sensitivity
• Individual healing response

Patients should ask about the expected visible recovery before scheduling important activities.

🔹 Birthmark Removal Aftercare

Post-treatment instructions vary according to the technology used.

Patients may generally be advised to:

• Keep the treatment area clean
• Avoid picking or scratching
• Keep the skin appropriately moisturized
• Follow instructions for any crusting or blistering
• Minimize direct sun exposure
• Use appropriate sun protection after treatment
• Avoid unnecessary irritation
• Temporarily avoid strong exfoliating skincare
• Follow the clinic's instructions regarding active ingredients
• Contact the clinic if unexpected symptoms develop

The treating medical team's instructions should take priority.

🔹 Why Is Sun Protection Important After Birthmark Removal?

Laser-treated skin can become more sensitive to ultraviolet exposure.

Sunlight can increase the likelihood of unwanted pigmentation after treatment, particularly in patients prone to post-inflammatory hyperpigmentation.

Sun protection may also help preserve cosmetic improvement in certain pigmented lesions.

Patients visiting Seoul should consider outdoor sightseeing when planning laser treatment.

🔹 Can Birthmarks Come Back After Laser Treatment?

Some birthmarks may recur or become more noticeable again after initially responding.

The likelihood depends on the lesion.

Possible reasons include:

• Residual pigment remaining within deeper skin
• Biological characteristics of the birthmark
• Vascular regeneration
• Incomplete treatment response
• Hormonal or environmental influences in selected conditions

Maintenance or additional treatment may therefore be required in some cases.

🔹 Can Birthmark Laser Removal Cause Scarring?

Laser therapy aims to selectively target pigment or blood vessels while limiting damage to surrounding skin.

However, no laser treatment is completely without risk.

Potential complications can include:

• Temporary redness
• Pigmentation changes
• Blistering
• Crusting
• Textural changes
• Infection
• Scarring

Risk depends on skin type, lesion characteristics, treatment intensity, healing response, and aftercare.

🔹 Can Birthmark Treatment Cause Hyperpigmentation?

Post-inflammatory hyperpigmentation can occur after laser procedures.

This means treated skin becomes temporarily or sometimes persistently darker.

Risk can be influenced by:

• Natural skin tone
• Laser settings
• Treatment depth
• Sun exposure
• Skin inflammation
• Individual pigmentation tendency

Treatment parameters and aftercare should therefore be individualized.

🔹 Can Birthmark Treatment Cause Hypopigmentation?

Hypopigmentation refers to an area becoming lighter than surrounding skin.

It may occur if normal melanin is affected during treatment.

The risk can vary depending on:

• Laser wavelength
• Treatment intensity
• Number of sessions
• Skin type
• Lesion characteristics
• Previous treatments

Conservative treatment planning can help manage this risk.

🔹 Is Birthmark Removal Safe for Darker Skin Tones?

Laser treatment can be considered for a range of skin tones, but darker skin contains more natural melanin that may compete with the target pigment for laser energy.

This can increase the importance of:

• Appropriate wavelength selection
• Conservative parameters
• Proper treatment intervals
• Sun protection
• Monitoring for pigmentation changes

Individual skin assessment is important before treatment.

🔹 Can Facial Birthmarks Be Removed?

Selected facial birthmarks may be treated cosmetically with laser.

Common areas include:

• Cheeks
• Forehead
• Temple
• Nose area
• Jawline
• Around the eyes

The type and depth of the birthmark are more important than its facial location when determining which treatment is appropriate.

Special caution may be required around sensitive areas such as the eyes.

🔹 Can Large Birthmarks Be Treated?

Large birthmarks may sometimes be treated, but the treatment plan can be more complex.

Large areas may require:

• Multiple sessions
• Staged treatment
• Different treatment intensities
• Longer recovery planning
• More extensive aftercare

Some large congenital lesions may also require specialist medical evaluation rather than purely cosmetic treatment.

🔹 Can Childhood Birthmarks Be Treated?

Some childhood birthmarks may be suitable for treatment, while others naturally change over time or require specialist medical monitoring.

Treatment decisions for infants or children should involve appropriate pediatric or specialist medical evaluation.

The timing of treatment depends strongly on the diagnosis.

🔹 When Should a Birthmark Be Checked Before Cosmetic Removal?

A birthmark should receive medical assessment before cosmetic removal, particularly if it:

• Has changed in size
• Has changed in color
• Has developed irregular borders
• Bleeds without an obvious cause
• Becomes painful
• Ulcerates
• Changes rapidly
• Develops a new raised area
• Has never been properly identified

Any lesion with uncertain diagnosis should be evaluated before laser treatment.

🔹 Can a Mole-Like Birthmark Be Removed with Laser?

Not every mole or congenital nevus should be treated with laser.

Certain melanocytic lesions may require clinical evaluation and, in some cases, biopsy or surgical management rather than cosmetic laser treatment.

Laser treatment can alter the visible appearance of a lesion without necessarily removing all underlying cells.

For that reason, suspicious or diagnostically uncertain moles should not simply be cosmetically lasered.

🔹 Is Birthmark Removal Permanent?

The durability of results depends on the birthmark.

Some successfully treated pigment may remain substantially lighter, while other lesions may partially recur.

Vascular birthmarks may also require additional treatment over time.

Patients should consider laser treatment a process of reducing visible discoloration rather than assuming permanent complete removal in every case.

🔹 Can Birthmark Removal Be Combined with Other Treatments?

Depending on the patient's skin and the type of birthmark, laser treatment may sometimes be incorporated into a broader aesthetic plan.

However, unnecessary combinations can increase skin irritation.

Other concerns such as:

• Sunspots
• Acne scars
• Facial redness
• Uneven texture
• General pigmentation

should be evaluated separately from the birthmark.

Treatment timing should allow adequate recovery between procedures.

🔹 Birthmark Removal in Korea for International Patients

Korea is a popular destination for laser-based aesthetic skin treatment, and Gangnam, Seoul attracts international patients seeking treatment for pigmentation and vascular concerns.

Patients considering birthmark removal in Korea should understand that birthmark treatment may require more than one visit.

International patients should consider:

• Type of birthmark
• Number of expected sessions
• Length of stay in Korea
• Available follow-up care
• Treatment downtime
• Outdoor sun exposure
• Flight schedule
• Future sessions after returning home

A single treatment during a short Seoul trip may begin the fading process but may not complete it.

🔹 Can I Get Birthmark Removal While Visiting Seoul?

Yes, selected birthmarks may be treated during a visit to Seoul following appropriate assessment.

However, travelers should be realistic about the treatment timeline.

Many birthmarks require multiple sessions over months rather than one treatment.

Patients should also consider temporary redness, darkening, swelling, or crusting when planning sightseeing, photography, or important events.

🔹 Can I Fly After Birthmark Laser Treatment?

Travel may be possible after many birthmark laser treatments, but recommendations depend on the size, location, treatment intensity, and condition of the skin.

Patients with larger treated areas or more significant swelling, blistering, or crusting should discuss upcoming flights with their medical team.

Keeping the treated area protected and following aftercare instructions remains important while traveling.

🔹 How Is the Right Laser Selected for a Birthmark?

There is no single “birthmark removal laser.”

Selection depends on what structure needs to be targeted.

For example:

• Brown or black pigment: pigment-targeting laser may be considered
• Blue-gray deeper pigment: deeper-penetrating pigment laser may be appropriate
• Red or purple vascular lesions: vascular-targeting laser may be considered

The lesion's diagnosis, depth, skin type, and previous response determine which approach is appropriate.

This is why consultation is important before treatment.

🔹 Key Benefits of Laser Birthmark Treatment

• Non-surgical treatment for selected birthmarks
• Can target specific pigment or vascular structures
• Treatment can be customized according to lesion color and depth
• Suitable for selected facial and body birthmarks
• May gradually reduce visible discoloration
• Different technologies can be selected for different birthmark types
• Treatment intensity can be adjusted according to skin characteristics
• Can be performed in stages for larger lesions
• Personalized treatment intervals
• May provide significant cosmetic improvement in appropriately selected cases

✨ Why Choose Birthmark Removal at DIORE Clinic Gangnam?

DIORE Clinic in Gangnam, Seoul provides individualized aesthetic laser treatment planning for Korean and international patients seeking cosmetic improvement of selected birthmarks and pigmentation concerns.

Patients can benefit from:

• Individual assessment before cosmetic treatment
• Treatment planning according to birthmark color and depth
• Differentiation between pigmented and vascular concerns
• Customized laser parameters
• Consideration of individual skin tone and pigmentation risk
• Personalized treatment intervals
• Multiple laser-based treatment options when appropriate
• Advanced Korean aesthetic technology
• Convenient location in Gangnam, Seoul
• Foreigner-friendly care for international visitors
• Treatment planning that considers travel schedules and future sessions

🔹 Frequently Asked Questions About Birthmark Removal in Gangnam

Can birthmarks be removed with laser?

Selected pigmented and vascular birthmarks may be significantly lightened with appropriate laser treatment. Whether laser is suitable depends on the specific diagnosis, depth, color, and skin type.

What laser is best for birthmark removal?

There is no single best laser for every birthmark. Pigmented lesions and vascular lesions require different wavelengths and treatment strategies.

Can brown birthmarks be removed?

Some brown birthmarks can respond to pigment-targeting lasers. Results depend on the type and depth of pigmentation, and recurrence can occur with certain lesions.

Can red birthmarks be removed?

Selected red or purple vascular birthmarks may be treated with vascular-focused laser technology. Multiple sessions are commonly required.

Can a café-au-lait birthmark be removed with laser?

Selected café-au-lait spots may lighten with laser treatment, but results and recurrence rates can vary. Patients with multiple café-au-lait lesions may also require medical evaluation.

Can Nevus of Ota be treated with laser?

Selected Nevus of Ota pigmentation may respond to pigment-targeting lasers. Because the pigment is often deeper within the skin, treatment commonly requires multiple sessions.

Can Pico Laser remove birthmarks?

Pico Laser may be appropriate for selected pigmented birthmarks, but it is not suitable for every birthmark. Diagnosis, pigment depth, and skin type should determine treatment.

Can IPL remove birthmarks?

IPL may address certain superficial pigment or vascular concerns, but many birthmarks require more specific laser wavelengths. IPL should not automatically be used for every brown or red lesion.

Does birthmark removal hurt?

Patients may feel warmth, snapping, tingling, or stinging. Comfort depends on the technology, treatment area, and intensity.

How many laser sessions does birthmark removal take?

The number varies considerably according to birthmark type, size, depth, color, treatment technology, and individual response. Multiple sessions are often required.

Can a birthmark disappear completely?

Some birthmarks may become dramatically lighter, but complete removal cannot be guaranteed. Residual pigment, recurrence, or incomplete vascular clearing may occur.

Do birthmarks come back after laser treatment?

Some types may partially recur after successful initial treatment. Recurrence depends on the biological characteristics of the lesion.

Can laser birthmark removal cause scars?

Scarring is possible, although treatment is designed to minimize damage to surrounding skin. Risk depends on treatment intensity, skin type, healing response, and aftercare.

Is birthmark removal safe for darker skin?

Selected birthmarks can be treated in darker skin tones, but careful wavelength and energy selection is particularly important because natural melanin can increase the risk of pigmentation changes.

Can a birthmark on the face be removed?

Selected facial birthmarks can be treated. Treatment choice depends on the lesion type and depth rather than location alone.

Can a congenital mole be removed with laser?

Not every congenital mole is appropriate for laser treatment. Melanocytic lesions should be properly evaluated before cosmetic removal, and some are better managed with observation or surgical treatment.

Should I have my birthmark checked before laser removal?

Yes. A proper diagnosis is especially important if the lesion has changed in size, color, shape, texture, or symptoms.

Is birthmark removal permanent?

Some treatment results can be long lasting, but recurrence is possible depending on the type of birthmark. Complete permanent removal cannot be guaranteed.

Can foreigners get birthmark removal in Gangnam?

Yes. Treatment suitability depends on the lesion and individual skin characteristics rather than nationality. DIORE Clinic Gangnam can develop an individualized treatment plan for international visitors.

Can I get birthmark treatment during a trip to Korea?

Yes, depending on the type of lesion. However, many birthmarks require multiple sessions, so international visitors may need additional treatments after returning home.

How much does birthmark removal cost in Gangnam?

Pricing can vary according to the birthmark's size, type, location, laser technology, and number of sessions required. An accurate treatment plan and cost estimate should be determined after evaluation.

Clearer, More Even-Looking Skin at DIORE Clinic Gangnam

If you are looking for Birthmark Removal in Gangnam, Seoul, DIORE Clinic offers personalized treatment planning for selected pigmented and vascular birthmarks.

By evaluating the birthmark's type, color, depth, location, skin characteristics, and previous treatment history, DIORE Clinic Gangnam can develop an individualized approach focused on safely reducing visible pigmentation or vascular discoloration while preserving the surrounding skin. For international patients visiting Korea, treatment planning can also take into account available recovery time, travel schedules, sun exposure, and the possibility that multiple sessions may be required.

Important: A birthmark or mole that is new, changing, bleeding, painful, irregular, or has not been medically identified should be evaluated before cosmetic laser treatment