Uneven skin tone in African American skin

Controlling acne, eczema or irritation is as relevant as fading the pigment they leave behind, because harsh treatment can create further discoloration.

Flat brown or grey marks where a rash, spot or injury healed suggest post-inflammatory hyperpigmentation. Symmetrical patches on the cheeks, forehead or upper lip can occur with melasma, while scattered areas on sun-exposed skin may reflect cumulative sun effects. Lighter patches need a different assessment because pigment loss, dryness and previous inflammation can resemble one another. A diagnosis matters before bleaching or resurfacing treatment is chosen.

Use a mild cleanser, moisturiser and broad-spectrum sunscreen that you can apply consistently. Tinted formulas may reduce the visible cast on deeper complexions. Introduce only one active product at a time and stop if it causes persistent stinging, scaling or redness. Do not apply unlabelled lightening mixtures or strong peels at home. A dermatologist may pair pigment treatment with control of acne or dermatitis, and can judge whether a chemical peel, brightening treatment or light-based procedure is suitable for your pigment pattern and skin tone.

Book an assessment for a new unexplained colour change, rapidly spreading light or dark areas, or pigment accompanied by itching, pain, scaling, sores or hair loss. A single spot that changes shape, colour or surface, bleeds, or does not heal also needs prompt examination. Sudden discoloration after a peel or energy treatment should be reviewed before another session.

Ask what pattern is causing the colour difference, whether any current product is aggravating it, and which ingredients should be introduced first. Before a procedure, discuss the practitioner's experience treating deeper skin tones, whether a test area is appropriate, how irritation will be controlled and what to do if the skin becomes darker or lighter afterward.