David B. Reath, MD
Knoxville, TN (865) 450-9253


One of the most common skincare concerns is hyperpigmentation (patches of skin that become darker in color than the normal surrounding skin.) This darkening occurs when an excess of melanin, the brown pigment that produces normal skin color, forms brown spots in the skin.

Age or “liver” spots are a common form of hyperpigmentation and occur mostly from sun damage. So it’s no surprise that lots of people here in sunny Knoxville, Tennessee have these small, darkened patches on the face and other areas frequently exposed to the sun.

(Note: There is another common form of hyperpigmentation called melasma, which is hormonal in nature and can cause large brown patches on the skin. Women are mainly effected by melasma and it needs to be  treated differently than hyperpigmentation from environmental damage and aging. Click here if you think your hyperpigmentation may be Melasma.)

The Good News: This Skin Discoloration Will Go Away

Over the past couple of years, we have seen many advances in the treatment of overactive melanocytes, the cells in the lower layers of the skin that produce the pigment we want to go away. There are several methods to choose from to get rid of brown spots ranging from the new CryoCorrect Treatment to IPL laser to targeted chemical peels, all of which can be supplemented by medical-grade products you use at home.

Our Reveal Camera Documents Your Results

Our new Reveal camera lets you see sun damage and brown spots deep in the dermal layers of your skin before they are visible to the naked eye (and while you still have time to correct it.) In addition to documenting brown spots, the Reveal camera shows areas of redness and vascular features to help develop highly targeted treatment recommendations just for you. You will be able to accurately measure the results of your skin care regimen like never before. Best of all, the Reveal photographs are included at no charge in your free skin care consultation.

New! CryoCorrect Treatment for Dark Spots

Skinceutical’s brand new CryoCorrect Pen is an oh so comfortable way to gently freeze and remove unwanted brown spots and skin tags from the face, hands, and body. With hardly any downtime or discomfort, results are seen in as little as one treatment.

BEFORE & AFTER: Staff CryoCorrect Treatment

Keep in mind that each patient is unique and your results may vary.
before photo
after photo
Here is Tressa’s famous stubborn spot before and 8 weeks after one CryoCorrect Treatment. She’s so excited not to have it cover it with makeup anymore.

Laser Treatments for Overall Hyperpigmentation

LimeLight IPL Treatment uses light to correct the pigment in the layers of your skin to reduce discoloration and promote a more even skin tone. LimeLight treats specific areas without abrading the skin’s surface.  If you have specific age spots treated, they will darken immediately and begin to flake off naturally within one to three weeks to reveal clearer skin.

Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • ipl ipl-after
    Before After

    Before & After Limelight Treatment- Here are photographs from our Reveal camera of a 33-year-old woman who wanted to erase the hyperpigmentation and freckles on her face. She had three Limelight IPL treatments over a period of 5 months. What a difference!

  • brown-spots-1 brown-spots-2
    Before After

    Before & After Skin Care for Brown Spots and Sun Damage: These two photographs are taken with our Reveal Camera showing the underlying sun damage in her skin. The first (taken on August 10) shows high degrees of damage from sun and tanning beds which weren’t visible by looking at her skin with the naked eye. In the second shot, (November 30) you can see significant improvement in the damage to the skin which was achieved by skin care, a Chemical Peel and sun protection.

  • Melanage-peel-before Melanage-peel-after
    Before After
    Melanage-peel-before2 Melanage-peel-after2
    Before After

    Before & After Skin Lightening RealPeel- Here is a 54-year-old woman before and six weeks after her Skin Lightening RealPeel. What a difference!

  • Before Melage Peel
    Before After

    Before & After Skin Lightening RealPeel- Here is a 49 year old who wanted to get rid of hormonal pigmentation that appeared last year on her cheeks and nose despite wearing daily sunscreen. She is pictured here before and just two weeks after her peel.

  • before Melanage Peel 2 months after Melanage Peel
    Before After

    Before & After Skin Lightening RealPeel- Here is a 59 year old mother of three who loves to garden and spend time outdoors. Licensed Aesthetician Heather McNeal did a Melanage Peel with the at-home skin care regimen. Here she is before and two months after her procedure.

Chemical Peels for Uneven Skin Tone

Chemical peels are proving to be very effective at evening skin discoloration and getting rid of brown spots. Our new generation of chemical peels is a far cry from old-fashioned peels which could be harsh and irritating to the skin without very exciting results.

Rather than just treating the superficial layers of the skin like peels of the past, these new chemical peels penetrate to the dermis, rejuvenating the skin from the inside out. Chirally-corrected active ingredients actually help to remodel the skin for less down time and more visible results.

There are several peels to choose from depending on your budget, how sensitive your skin is and the degree of hyperpigmentation you have… Don’t worry, we’ll walk you through it. Licensed Aesthetician Christy Ledford is getting incredible results from the Skin Lightening RealPeel. For those who can’t afford any downtime, a series of Mini RealPeels is also a great option.

Treat your Brown Spots At Home

All of our medical-grade products for uneven skin tone and brown spots, as well as the sunscreens Dr. Reath recommends, are available here on our new online store.

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Sunscreen is essential to remove brown spots!-
It’s not sexy but it’s really true. Good sunscreen is the most important part both in fighting hyperpigmentation and to keeping it from coming back. Dr. Reath explains why and how in this Truth-O-Meter Tuesday video.

The Latest Skin Care Posts from Dr. Reath's Blog

  • Plastic Surgery Award Winners 2018

    From the Blog

    It’s official. New Beauty Magazine’s Spring/Summer “Best of the Best” is out. We haven’t noticed any of the editors hanging out at our practice lately, still it’s uncanny how many of our procedures were named “Industry Breakthroughs” and “Best In-Office Treatments”. Many of our favorite skin care products made the list as well. It’s always nice … Read more »
  • Our Game-Changing SkinPen Procedure: Yay! No Blood Required. Part 2

    From the Blog

    A better way to get your growth factors. I left off Part 1 of my last (vampirish) article with the question of whether there was an easier way to acquire and use growth factors for microneedling than drawing blood and using Platelet Rich Plasma (PRP). Could we find a product with a consistent yield of the growth … Read more »
  • Shining Light on “Vampire” PRP Skin Care Procedures. Part 1

    From the Blog

    Lately there has been a lot of discussion about platelet rich plasma, or PRP. It’s being used mainly in orthopedics and sports medicine to boost healing in bone grafts and fractures. So naturally, people in the world of aesthetics are jumping on the bandwagon. Where the vampires come in. Microneedling with PRP (platelet rich plasma) … Read more »

Meet Christy Ledford, Licensed Aesthetician

Wondering what you need to do to get great skin? Then you’ll want to meet Christy Ledford, our wonderful new Medical Aesthetician and Skincare Specialist.Christy Ledford Licensed Aesthetician Knoxville

If you haven’t met Christy yet, you are in for a real treat. It took us a while to find her, but boy did we make the right choice. Charming, professional and kind, Christy demonstrates a sincere interest in the well-being of our patients and the overall results of their treatments. She is quickly becoming a favorite of patients and staff alike.

Her 7 years experience as a Licensed Aesthetician have given Christy an extensive understanding of medical-grade skin care products and procedures.

Helping patients design their perfect, personalized skincare plan is Christy’s specialty. She has a talent for finding just the right mix of treatments to achieve great results. Her extensive knowledge in combating aging, hyperpigmentation, redness and acne is what sets her apart.

Dr. Reath is a true believer in aesthetic skin care and the impact it can have on our surgical procedures. Together, Christy and Dr. Reath stay up to date on the newest technologies and ingredients to give the best results to our patients. Whatever your unique concerns, skin type and budget, you’ll love your time with Christy almost as much as you’ll love your results.

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