Dotsie, I think it depends on what the red spots are. You should see your dermatologist first.

The IPL gets rid of almost everything and especially things caused by sun damage. And...freckles too! My girlfriend also has it done and claims it's painful but I don't think so and I'm a big baby! It's a little more sensitive around the nose area but even waxing hurts more in that area! I would compare it to having a rubberband snap on your face. Oh, the price of vanity!