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 healthy surrounding skin.) This darkening occurs when an excess of melanin, the brown pigment that produces 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 and can cause large brown patches on the skin. Melasma is most common in women, and it requires different treatment than hyperpigmentation from environmental damage and aging. Click here if you think your hyperpigmentation may be melasma.)

The Good News — 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.

The Three Best In-Office Procedures To Erase Spots

The three best methods to get rid of brown spots ranging are the Excel V Laser for overall hyperpigmentation, the Cryo-Correct for spot treatment, and targeted chemical peels, all of which can be supplemented by medical-grade products you use at home.

1. Laser Treatment for Overall Hyperpigmentation

Excel V Logo
Excel V is the most advanced technology that combines two powerfully precise lasers to reduce discoloration and promote a more even skin tone. Excel V targets specific areas without abrading the skin’s surface.

2. 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.

3. Chemical Peels for Uneven Skin Tone

Chemical peels are proving to be very useful 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. Chirally-corrected active ingredients help to remodel the skin for less downtime 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, as you can see from her patient below. For those who can’t afford any downtime, a series of Mini RealPeels is also a great option.

The Two Best Products To Treat Spots At Home

Topical treatments for skin discoloration have come a long way since the crazy days of hydroquinone. Tranexamic acid is now the ingredient of choice. The most up-to-date skin brightener on the market, it is potent but safe to use daily — even in the summer.

We’re using it to pre-treat patients before chemical peels and laser procedures, and then again to maintain spotless skin afterward. The two best products we’ve found are SkinCeutical’s Discoloration Defense and AnteAGE MD Brightener, which also has growth factors.

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

Don’t Waste the Hard Work.

You can make incredible progress treating your hyperpigmentation with a combination of Excel V, peels and topicals, and it can come back after a weekend at the beach. It’s just not fair! So help us help you by religiously applying sunscreen. Wear a dorky hat with a broad brim and stay in the shade. Your skin will thank you.

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Meet Christy Ledford, Licensed Aesthetician

Wondering what you need to do to get great skin? Then you’ll want to meet Christy Ledford, our talented Medical Aesthetician and Skincare Specialist.Christy Ledford Licensed Aesthetician Knoxville If you haven’t met Christy yet, you are in for a real treat. 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 a favorite of patients and staff alike.

Her 14 years of 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 and Dr. Walker are true believers in aesthetic skin care and the impact it can have on our surgical procedures. Together, Christy, Dr. Reath, and Dr. Walker 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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