Hyperpigmentation
Updated · SkinWise Clinic
Hyperpigmentation means an area looks darker because of increased pigment. It can follow inflammation, form part of melasma or have another cause. Similar-looking patches do not always need the same treatment. Assessment identifies the pattern before choosing home care, prescriptions or a procedure.
Flat marks can remain after acne, eczema or another skin injury. This is called post-inflammatory hyperpigmentation. Continuing inflammation or irritation can create new marks while older ones fade.
A solitary changing spot should not be treated as routine pigmentation without examination. The purpose of assessment is to identify the cause, not simply select the strongest brightening treatment.
How hyperpigmentation shows up
- Flat darker marks after inflammation
- Patches of uneven colour
- Persistent or recurring pigment changes
What drives hyperpigmentation
- Acne, eczema or other inflammation
- Irritation or injury, including a procedure reaction
- Melasma or another pigment disorder
- Sun exposure that can deepen existing marks
When to see a dermatologist
Arrange assessment if the cause is unclear, pigment is worsening or products cause burning. A new or changing lesion, bleeding or persistent pain warrants medical examination.
How hyperpigmentation is treated at SkinWise
The dermatologist reviews the diagnosis, ongoing inflammation and past reactions. A tolerable routine, sun protection and selected medical options may be discussed. Procedures need caution because additional injury can worsen pigmentation.
Services that treat hyperpigmentation
Evidence behind these choices
- Post-inflammatory hyperpigmentation in skin of colour (2024)
This systematic review found varied, limited evidence across treatments. Procedures can also worsen pigmentation; published response rates are not predictions for an individual patient.
- Melasma management: international expert consensus (2026)
Supports photoprotection and supervised medical treatment, with lasers reserved for selected resistant cases. Expert consensus does not establish one treatment sequence for everyone.
- UV and visible-light protection in melasma: randomised trial (2014)
An iron-oxide-containing sunscreen improved outcomes compared with UV-only protection while both groups also used hydroquinone. This supports suitable photoprotection, not sunscreen as a cure.
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Frequently asked questions
Will a stronger peel fade marks faster?
Not necessarily. Greater irritation can deepen post-inflammatory pigment, so treatment strength alone is not a guide to benefit.
Can all marks be removed permanently?
No. Outcomes depend on the cause and continuing triggers. Melasma can recur, while post-inflammatory marks may fade at different rates.
Does pigmentation mean I need a scar procedure?
Flat colour changes are different from texture scars. An assessment can distinguish them before a procedure is considered.
Ready to start with a consult?
A focused first consultation is where we slow down, map your concern and build the smallest plan that will actually move the needle. No oversell, no fixed menu.