Hyperpigmentation

Hyperpigmentation refers to patches of skin darker than the surrounding area. It is one of the most common reasons patients seek aesthetic care.

Signs

Dark patches, spots, or uneven skin tone on the face, hands, chest, or other sun-exposed areas.

Causes

Sun exposure, post-inflammatory changes from acne or injury, hormonal shifts, and certain medications.

Assessment

We assess pigment type, depth, distribution, skin type (Fitzpatrick scale), and underlying causes before recommending treatment.

Treatment

Topical brightening agents (hydroquinone, vitamin C, azelaic acid), chemical peels, laser or IPL, and strict sun protection.

Questions

Most patients notice improvement in 4 to 8 weeks with topicals. Peels and laser can show results sooner.