Hyperpigmentation

Lines and wrinkles are creases and folds in our skin that become increasingly prominent as we age. Common problem areas are crow’s feet at the corner of our eyes, forehead lines and smile lines.

Melasma presents as symmetrical brown or grey-brown patches, often on the cheeks, forehead, or upper lip. It is commonly linked to hormonal changes, pregnancy, oral contraceptives, and sun exposure. Melasma is chronic and requires careful long-term management rather than aggressive short-term treatment.

Sun damage stimulates melanin production, leading to dark spots and uneven tone. Ultraviolet exposure is one of the biggest triggers for worsening pigmentation in all skin types.

Melanin-rich skin contains larger, more active melanocytes (pigment-producing cells). While this offers some natural protection against UV damage, it also means the skin responds more aggressively to inflammation. As a result, acne, minor irritation, or overly harsh treatments can easily trigger pigmentation. This is why hyperpigmentation must be treated cautiously. Aggressive lasers or strong peels without proper preparation can worsen the condition. At Dr Mélanin, our protocols are designed specifically for darker skin tones, prioritising safety and gradual improvement.

Successful pigmentation treatment requires a structured, multi-step approach. There is rarely a single “quick fix.” Skincare forms the foundation of treatment. Daily SPF 50 is non-negotiable. Without strict sun protection, pigmentation treatments are significantly less effective. UV exposure can quickly reverse progress and trigger recurrence, particularly in melasma. Ingredients such as retinoids increase cell turnover, helping disperse excess pigment. Tyrosinase inhibitors reduce melanin production, while antioxidants protect against environmental triggers. Consistency is crucial. Most clients see gradual improvement over 8–16 weeks.

Superficial chemical peels accelerate skin renewal and help lift excess pigment from the upper layers of the skin. In melanin-rich skin, peel strength and preparation are carefully controlled to reduce irritation risk. A series of treatments is usually required for optimal results.

Microneedling can improve pigmentation indirectly by enhancing skin turnover and stimulating collagen production. It is particularly useful when pigmentation coexists with acne scarring or textural concerns. When performed using appropriate technique, it is safe for darker skin tones.

Hyperpigmentation improvement is gradual. Depending on depth and type, noticeable changes may take several weeks to several months. Melasma often requires ongoing maintenance, while post-inflammatory hyperpigmentation may fade more predictably with treatment. Patience and consistency are key.

Some forms, such as post-inflammatory hyperpigmentation, can resolve completely with appropriate treatment. Conditions like melasma are chronic and require long-term management rather than cure.

No. The aim is to restore your natural, even skin tone, not to lighten your complexion. Treatments target excess pigment only.

Pigmentation can recur if triggers such as sun exposure, hormonal fluctuations, or inflammation are not controlled. Maintenance skincare and SPF are vital.