Pigmentation treatment

How we approach it

First the type of pigmentation is identified, since melasma, post-acne marks, sun spots and dark circles each behave differently. Treatment usually combines medicines, strict sun protection and, where suitable, peels or laser. Pigmentation needs patience: improvement is gradual and it can return with sun exposure.

Concerns we treat

• Melasma
• Sun tan and sun spots
• Post-acne dark marks
• Dark circles
• Dark patches on neck, underarms and knuckles
• Freckles and age spots

Treatments that may be used

• Prescription creams and oral medicines
• Chemical peels
• Laser photofacial and pigment lasers
• Sunscreen and skin-care routine planning

Melasma needs long-term care

Melasma is linked to sun, hormones and genetics, so it can return after it fades. Daily sunscreen, avoiding heat and sun, and maintenance creams keep it under control. Treatment is planned in stages, starting with prescription creams and adding peels or lasers only where suitable.

Sun protection that works

Use a broad-spectrum sunscreen of SPF 30 or higher every morning, including indoors near windows. Reapply every few hours when outdoors. Caps, umbrellas and staying out of the midday sun help more than any single cream.

Frequently asked questions

Will pigmentation come back?

It can, especially with sun exposure or hormonal triggers. Sun protection and follow-up help keep results.

How long before I see improvement?

Most people notice change over several weeks. Melasma often takes months.

Are skin-lightening creams safe?

Only use products prescribed for you. Unsupervised creams with steroids or mercury can damage skin.

Can pigmentation be removed permanently?

Some types, like freckles and sun spots, can fade a lot. Melasma can be controlled well but may return with sun or hormonal changes.

Are chemical peels safe for Indian skin?

Yes, when the right peel and strength are chosen by a dermatologist and sun protection is followed.

What causes dark underarms and neck?

Friction, weight gain and insulin resistance are common causes. Treating the cause helps along with creams and peels.

This page is for general information. Your dermatologist will advise on what suits you after examination. Results vary from person to person.