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Patient is a 71 year old woman with significant brown spots on her arms that she was self conscious about and always wore sleeves. Alma Clear Lift Laser procedure was originally performed in September 2022 by our aesthetician, Jennifer at Upstream Medical Care & Aesthetics in Savannah, GA. The patient came today for her 2nd treatment on brown spots to the arms. There is a significant lightening of the brown spots from September 2022 until today January 2023. Patient will return again in 6-8 weeks for another brown spot treatment.