Dr. Xu's Real Clinical Cases: Age Spot / Sun Spot Treatment
The following four cases were treated personally by Dr. Dan Xu at the Toronto Markham clinic and are shared with written Media Release Form authorization. Age spots are highly prevalent among Asian Canadians aged 40+, yet they typically respond to treatment better than melasma.


Case 1 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 01: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 02: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 03: Age Spots / Sunspots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- (3 multiple sessions within months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 04: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 38 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 38: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 39 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 39: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 40 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 40: Age Spots / Sunspots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 41 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 41: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 42 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 42: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 43 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 43: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 44 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 44: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 45 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 45: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 46 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 46: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 48 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 48: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 49 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 49: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 52 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 52: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 53 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 53: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 54 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 54: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 71 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 71: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 76 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV · Duration: Long-Term
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 12 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 76: Age Spots / Sunspots Before & After · Asian Male · Fitzpatrick IV · Duration: Long-Term · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 76 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 2 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 76: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 13 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- 9-12 Filler top-up after months
Case 01: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 04: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting and 17 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 06: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- PRP Once per quarter + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV · Duration: Long-Term
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 2 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 09: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Duration Long-Term · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 11 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration: Long-Term
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 11: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration Long-Term · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 20 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 20: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 21 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 21: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 32 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 32: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham

















































