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Hyperpigmentation

What Is Hyperpigmentation?

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Hyperpigmentation is a condition in which areas of skin become darker than the surrounding skin due to excess pigment (melanin). It can appear as dark spots, patches, or uneven skin tone on the face or body. Hyperpigmentation is common across all skin types and tones and is especially noticeable in medium to deeper skin tones.

While not harmful, hyperpigmentation can be persistent without targeted treatment.

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Why Hyperpigmentation Happens 

Skin color is determined by melanin, produced by pigment cells called melanocytes. Hyperpigmentation occurs when these cells become overactive.

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1. Inflammation & Skin Injury

Any form of skin irritation—acne, eczema, ingrown hairs, procedures, or picking—can trigger post-inflammatory hyperpigmentation (PIH).

2. Sun & Visible Light Exposure

UV rays and visible light stimulate melanocytes, worsening existing dark spots and creating new ones.

3. Hormonal Influences

Hormonal shifts related to pregnancy, birth control, or hormone therapy can cause pigment changes, including melasma.

4. Genetics & Skin Tone

Darker skin tones naturally produce more melanin, which increases the risk of pigment overproduction following inflammation or sun exposure.

5. Skin Barrier Disruption

Over-exfoliation, harsh products, and improper treatments can worsen pigmentation by triggering inflammation.

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How Hyperpigmentation Is Treated

Successful treatment requires consistency, patience, and a customized plan.

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Medical-Grade Topical Treatments

These are the foundation of pigment correction:

  • Pigment-regulating agents that reduce melanin production

  • Retinoids to speed cell turnover and fade discoloration

  • Anti-inflammatory ingredients to calm pigment triggers

  • Barrier-repair moisturizers to protect sensitive skin

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In-Office Treatments

Professional treatments can accelerate results:

  • Chemical peels tailored for pigment concerns

  • Microneedling to improve tone and texture

  • Select laser and light-based treatments, chosen carefully based on skin type

Aggressive or incorrect treatments can worsen hyperpigmentation, especially in darker skin tones.

 

Sun & Light Protection (Essential)

  • Daily broad-spectrum sunscreen (SPF 30+ or higher)

  • Tinted sunscreens to protect against visible light

  • Regular reapplication when outdoors

Without proper sun protection, pigment treatments will fail.

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Lifestyle & Functional Medicine Support

Hyperpigmentation often reflects underlying inflammation.

 

Nutrition & Inflammation Control

  • Diets rich in antioxidants help reduce oxidative stress

  • Limit ultra-processed foods and excess sugar

  • Support gut health for balanced inflammation

 

Stress & Hormonal Balance

  • Chronic stress increases inflammatory signaling

  • Address hormonal triggers when possible

 

Gentle Skincare Habits

  • Avoid picking, scrubbing, or harsh exfoliation

  • Use non-irritating, dermatologist-recommended products

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What to Expect

  • Improvement occurs gradually over weeks to months

  • Maintenance therapy is often required

  • Early treatment leads to better outcomes

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Our Approach

We take a skin-type–specific, evidence-based approach to hyperpigmentation—focusing on safe, effective treatments that protect skin health while improving tone and clarity.

Even skin tone is achievable with the right strategy and expert care.

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