Pigmentation treatment aims to even out dark spots, patches and uneven skin tone caused by excess melanin. The right approach depends on the cause — sun damage, melasma, acne marks or something else — so diagnosis comes first.
Some types, such as sunspots and acne marks, often fade well. Melasma is a long-term condition that can be improved and controlled but tends to return, especially with sun exposure or hormonal changes.
What is pigmentation, and why does it occur?
Pigmentation refers to dark patches, spots or uneven skin tone caused by excess melanin production. Common causes include:
- Sun damage (sunspots and tanning)
- Hormonal changes (melasma and pigmentation in pregnancy)
- Acne marks and post-inflammatory hyperpigmentation (PIH)
- Age spots and freckles
- Genetic or medical conditions
Which treatments are used for pigmentation?
- Sun protection – daily sunscreen is essential; without it, pigmentation usually returns
- Laser treatment (Q-switched or pico laser) – breaks up pigment in sunspots and some other types; used cautiously in melasma, which can worsen with heat
- Chemical peels – exfoliate the surface layers to lighten marks and sun damage
- Microneedling with mesotherapy – may help skin texture and some pigmentation
- PRP for the skin – sometimes used for texture and tone; evidence for pigmentation is limited
- Medifacials – supportive treatments to hydrate and brighten the skin
What results and side effects should you expect?
Improvement is gradual over several sessions, and results vary with the type and depth of pigmentation. Side effects are usually mild and temporary — redness, peeling or sensitivity — but any procedure on Indian skin carries a risk of rebound darkening (post-inflammatory hyperpigmentation), which is why settings are chosen conservatively and sun protection continues after treatment.
Who should consider pigmentation treatment?
- Men and women with dark spots or uneven skin tone
- People with melasma or sun damage
- People with acne marks and post-inflammatory hyperpigmentation
- Anyone with persistent dark patches who wants the cause diagnosed
Is it the right option for you?
Every plan starts with an examination. Dr. Bansal will tell you whether pigmentation treatment fits your case — including when it does not.