Hyperpigmentation

Hyperpigmentation is when patches of skin become darker than others due to excess melanin—the pigment that gives skin its colour. These spots can range from brown, black, gray, red, or pink. They’re harmless, but often cause concern due to their appearance.

  • Who Can Get It?
  • Common Types of Hyperpigmentation
  • What Causes It?
  • Is It Harmful?
  • How Is It Diagnosed?
  • Effective Treatment Options
  • Managing and Preventing Future Spots
  • Living with Hyperpigmentation

Who Can Get It?

Anyone can develop hyperpigmentation—regardless of skin tone or age . It commonly appears on sun-exposed areas like the face, hands, and arms, and may become more prevalent with age or sun exposure.

Common Types of Hyperpigmentation

  • Sun spots (solar lentigines/age spots) – linked to UV exposure and common in adults over 50
  • Melasma – brown or blue-gray patches often called “the mask of pregnancy.” Affects 15–50% of pregnant women and those with darker or tanned skin
  • Post-Inflammatory Hyperpigmentation (PIH) – darker patches remaining after acne, cuts, burns, eczema, or other trauma

What Causes It?

Hyperpigmentation arises through:

  • Sun damage, which stimulates melanin production
  • Hormonal changes, such as during pregnancy or with contraceptive use
  • Skin injuries and inflammation (e.g., acne, eczema), leading to PIH
  • Genetic factors and medical conditions, including adrenal or thyroid disorders

Is It Harmful?

Generally, hyperpigmentation is not painful or dangerous. However, any changing or irregular spots should be evaluated by a dermatologist to rule out skin cancer.

How Is It Diagnosed?

Diagnosis typically includes:

  • A skin exam and medical history review
  • Use of a Wood’s lamp (UV light) for deeper pigmentation
  • Occasionally blood tests or a skin biopsy for more complex cases

Effective Treatment Options

  • Sun protection is vital: daily broad-spectrum SPF 30+, hats, and protective clothing .
  • Topical agents: creams containing ingredients like hydroquinone, azelaic acid, retinoids, niacinamide, vitamin C, kojic acid, and cysteamine can reduce pigmentation .
  • Procedures: chemical peels, cryotherapy, microdermabrasion, laser therapy, and IPL can help fade stubborn spots but must be used cautiously—especially for darker skin tones
  • Managing and Preventing Future Spots

    Because hyperpigmentation is often lifelong, prevention is key:

    • Consistent sun protection
    • Avoiding skin trauma (e.g., picking at spots)
    • Reviewing medications that heighten light sensitivity
    • Maintaining a gentle skincare routine

    Living with Hyperpigmentation

    It’s common and treatable—but improvement may take months to a year. A comprehensive approach at Skinportant Skin Clinic in Portsmouth might include consultations to determine root causes, personalised skincare regimens, and recommendation of topical and procedural options suited to your skin type and tone.

    Why choose Skinportant Skin Clinic in Portsmouth to treat your hyperpigmentation?

    With over 18 years of hands-on experience in advanced skincare, Skinportant Clinic offers expert, personalised treatments you can trust. We are proud members of BABTAC (British Association of Beauty Therapy and Cosmetology), ensuring the highest professional standards. Our clinic uses an NHS-approved IPL machine for safe, effective results in treating concerns like rosacea, pigmentation, and hair removal. You're in experienced, accredited hands every step of the way.

    Book my appointment