Dark spots: how to understand and manage them

Pigment may remain after acne, eczema, cuts, burns, or product irritation has settled. Melasma and sun spots can be reinforced by daylight, while some conditions cause scale or a different texture that needs treatment first. New pigment can also appear when the original trigger continues. A clinician considers colour, border, texture, location, medications, and exposure before recommending a plan. Darkening that returns is a clue to revisit the trigger rather than simply increase treatment strength.

Use gentle cleansing, regular moisturising, and broad-spectrum sunscreen on exposed areas. Stop products that burn or cause redness, and avoid picking or aggressive exfoliation. Keep a simple record of changes and introduce only one new product at a time. Depending on the diagnosis, a clinician may discuss Skin Brightening Treatment, Chemical Peel, or Picosecond Laser Treatment. These approaches are not interchangeable, and treatment of the cause is needed to reduce recurrence.

Arrange an examination for a spot that changes quickly, bleeds, crusts, becomes painful, develops a persistent scale, or differs from your other marks. Seek prompt help for a rapidly spreading rash, facial swelling, blistering, or skin breakdown. Assessment is also sensible when pigment keeps returning despite a careful routine.

What is the most likely type of pigment? Is there an active rash or trigger to treat first? Which ingredients suit my skin? What should I do if the colour returns after treatment?