Dark patches on the face are one of the most common reasons people visit a dermatologist. But “pigmentation” is not one condition. Sun spots, freckles, melasma and the dark marks left behind after acne can look alike, and the treatment that helps one can be unsuitable for another.
Common types of pigmentation
- Melasma — symmetrical brown patches, often on the cheeks, forehead or upper lip. Hormones and sun exposure both play a part, and it tends to come back.
- Sun spots and freckles — small, well-defined spots on sun-exposed skin.
- Post-inflammatory marks — dark marks that remain after acne, eczema or an injury has healed.
- Tattoo ink — pigment placed in the skin deliberately, which some people later want removed.
Why a skin examination comes first
At the consultation, your skin is examined to understand the type and depth of the pigmentation. Dr Mitali also asks about sun exposure, skincare products, medicines and hormonal factors, because these can all drive pigment.
Treatment options at the clinic
- Prescription skincare and a daily sun-protection plan — the foundation for almost every pigment concern.
- Q-switched Nd:YAG laser (Q-Laze) for selected pigment concerns and laser toning.
- Carbon peel (carbon laser facial) for oiliness and open pores.
- Laser tattoo removal.
Laser is usually planned as a series of sessions spaced weeks apart. Mild, temporary redness afterwards is common.
What to expect
Pigmentation — melasma in particular — can return, so ongoing sun protection matters as much as any procedure. Laser is not suitable for everyone; whether it is right for your skin is decided at consultation.
This article is general information, not medical advice. Please consult a dermatologist about your own skin or hair.
