Practicing Safe Aesthetic Medicine

Skin Hyperpigmentation Clinic

Hyper pigmentation is a skin condition that causes darkening of certain skin area due to the overproduction of the pigment in the skin known as ‘melanin’. It is a very common condition in both men and women belonging to all ethnic groups especially in the individuals with light skin colours.

Though hyperpigmentation is harmless but individuals are mostly concerned with the aesthetic implications of this condition which can lead towards stress and anxiety. In some cases, hyperpigmentation can also be a symptom of some illness or disease.

Why hyperpigmentation occur?

Hyperpigmentation may result from any of these two occurrences:

1. The concentration of melanocytes producing melanin becomes abnormally high within the skin.
2. When melanocytes become hyperactive.

Causes of hyperpigmentation

Hyperpigmentation is of three main types which are categorized according to their causes;

Post Inflammatory Hyperpigmentation (PIH): this is caused due to skin injury from burns, psoriasis, friction, acne lesions and even due to some skin care treatments. This condition usually starts to fade as the skin’s regeneration system activates. This process can take even months. PIH responds quite well to the hyperpigmentation treatment.

UV Exposure / Generalised Skin Dullness: Normal UVB (Sun) exposure can cause generalized hyper pigmentation, which is not as much visible in the form of spots. This occurs in the form of generalized skin dullness on the face. The facial skin tone becomes dull as compared to the neck and other body parts. Many women hide this dullness of skin tone by using concealers and foundations which brighten the skin tone.

Lentigines: these are also commonly known as age spots or liver spots. As we age, these spots become more apparent but they are not directly caused due to the process of ageing. Lentigines are more related to the excessive UV exposure. It can also cause generalized hyper pigmentation, which is not as much visible in the form of spots. This occurs in the form of generalized skin dullness on the face. The facial skin tone becomes dull as compared to the neck and other body parts. Many women hide this dullness of skin tone by using concealers and foundations which brighten the skin tone.

Melasma: this skin pigmentation is usually caused by hormonal imbalance commonly during pregnancy, dysfunction of thyroid, hormone replacement therapy etc.

Some other general causes include:

  • Heredity
  • Skin picking
  • Intake of certain medications like antibiotics, hormone and anti-seizure medications.
  • Skin inflammation

Hyperpigmentation Treatment Options

Broad Spectrum Sunscreen: it is highly recommended to wear a broad spectrum sunscreen having SPF 30 or higher whenever you go out in the sunlight to prevent the further skin damage caused by UV exposure.

Hydroquinone & Kojic Acid: Both acts as cosmeceutical skin lighteners. Hydroquinone is also known as ‘Gold standard’ for the hyperpigmentation treatment. It can be combined with antioxidants, hydroxy acids retinoids for improving the results. Kojic acid possesses similar effect as of hydroquonine giving even better results when used in combination with hydroquonine and glycolic acid.

Vitamin A Products: Retinol and Tretinoin helps in resurfacing and rejuvenating the skin while increasing the cell turnover.

Alpha Hydroxy Acids: exfoliates as well as smoothen the skin while increasing the cell turnover and give even skin tone.

Microdermabrasion is effective hyperpigmentation treatment option for mild pigmentation. This hyper pigmentation treatment exfoliates the skin to improve rough skin and sun damage and improves lightens the skin pigementation. It effectively enhances the diffusion of active skin products. This treatment works very effectively when combined with chemical skin peels.

When the topical therapies fail to give the desired results, chemical skin peels having Lactic, Salicylic and Glycolic Acid Peels helps in resurfacing the skin while increasing the cell turnover may be used in combination with the topical therapies which are quite helpful in improving the condition of skin. Chemical skin peels are available in variety of strengths for all skin types.

Dermaroller or Micro-needling is gentle way to rejuvenate dull and pigmented skin. It works by stimulating the cell turnover and helps in reducing pigmentation.

Side Effects

The hyperpigmentation treatments have minimal side effects as we perform the treatment according to the skin type and the extent of the problem. The most commonly observed side effects are redness of skin, slight itching or discomfort in case of application of chemical skin peels, microdermaroller and dermaroller. In the hands of the expert and professional cosmetic doctor, the side effects are minimized.

Treatment Downtime

There is little to no downtime associated with any of the hyperpigmentation treatments. You can instantly resume your routine activities after receiving the treatment.


The cost of hyperpigmentation treatment varies with the type and number of treatments you have. Your doctor will tell you about the complete cost of treatment in the initial consultation. For further information about prices, check our ‘Price’ tab or contact us directly.

The pictures clearly show the effects of hyperpigmentation treatment. The skin of the patients is dull, discolored and rough before the treatment. After the hyperpigmentation treatment, the darker spots are lightened and the skin looks brighter and fresh with more even skin tone.

No, these treatments do not completely cure hyperpigmentation however it can be significantly lightened through the hyperpigmentation treatments.

It depends largely on the extent of hyperpigmentation. However, on average 40-50% reduction can be observed in hyperpigmentation after the first treatment. After having almost 2-3 treatments you can see significant reduction in hyperpigmentation.

The results of the treatment depend on two main factors how deep the pigmentation is and which treatment is chosen. In most of the cases, there is a 40-50% reduction in hyperpigmentation after receiving the first treatment.

It can possibly be hyperpigmentation. Any skin area which is darker than the rest of the skin can be considered hyperpigmented. This condition can appear on any part of the body but most likely areas are face and hands.

There are different ways in which you can prevent it.

  • Daily wear sunscreen of SPF 15 or above and try to avoid excessive exposure to sun.
  • Adopt a regular skin exfoliation regime as it will help to remove the build-up of dead skin cells which also contribute to hyperpigmentation.
  • Do not pick on your skin and acne which can cause dark spots.
  • If you are taking any medications which are causing skin discolouration, consult your doctor.

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