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Pigmentation

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Pigmentation treatments help reduce dark spots, melasma, and uneven skin tone for a more even complexion. Options depend on the cause and severity of the pigmentation.

Factors To Consider

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  • Type of Pigmentation: The effectiveness of a treatment depends on whether the pigmentation is superficial (e.g., sunspots) or deeper (e.g., melasma). Some treatments are better suited for certain conditions.
  • Skin type: Some treatments, such as lasers or strong chemical peels, may not be suitable for darker skin tones as they can cause post-inflammatory hyperpigmentation.
  • Patience: Results can take weeks or months with consistent treatment.

Below are some of the most common methods for treating pigmentation:

Topical Treatments

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During the consultation, depending on the type of pigmentation the patient has, topical treatments will be recommended sometimes alone, or in conjuction with other treatments.

Chemical Peels

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Chemical peels use acids to exfoliate the top layers of the skin, helping to remove dark spots and stimulate new, even-toned skin growth.

  • Glycolic Acid: A type of alpha hydroxy acid (AHA) that exfoliates the skin and reduces pigmentation.
  • Salicylic Acid: A beta hydroxy acid (BHA) effective for treating acne and hyperpigmentation, particularly for oily and acne-prone skin.
  • TCA (Trichloroacetic Acid): A medium-to-deep peeling agent used to treat deeper pigmentation problems.
  • Combination Peels containing multiple agents is normally used for best results.

Laser Treatments

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Laser treatments target the melanin in pigmented areas and break it down. The type of laser used depends on the depth and size of the pigmentation.

  • Fractional Laser Resurfacing: This laser treats deeper layers of the skin by creating micro-injuries that stimulate collagen production and cell turnover.
  • Q-switched Nd:Yag Laser: Targets deep pigmentation, such as melasma, by breaking down melanin deposits.
  • PicoWay Laser: A Picosecond laser which is the gold standard for deep pigmentation, including melasma.

Microneedling + PRP (Vampire Lift)

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The Vampire Lift, also known as Platelet-Rich Plasma (PRP) therapy, is a cosmetic treatment that involves drawing a small amount of the patient's blood, processing it to concentrate the platelets, and then re-injecting the PRP back into the skin to promote healing, rejuvenation, and collagen production.


While the treatment is often used to improve skin texture, reduce wrinkles, and address fine lines, it can also be beneficial for pigmentation issues such as dark spots, melasma, and overall uneven skin tone.

Sun Protection

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Preventing pigmentation from worsening is critical, and sun protection plays a significant role.

  • Sunscreen: Always use a broad-spectrum sunscreen with SPF 50+ to protect against UVA and UVB rays. Sun exposure can exacerbate pigmentation, so consistent use of sunscreen is crucial.
  • For Melasma: We advise the Isdin Active Unify for added anti-pigmentation properties.