Treatment options for dark spots

Melasma may fluctuate with light and hormonal signals, while sun spots are linked with cumulative exposure. Post-inflammatory hyperpigmentation follows a previous injury or inflammation and can deepen when treatment irritates the skin. If scale or itch is present, a condition such as tinea versicolor may need a different medical approach.

A clinician considers whether pigment is superficial or deeper, whether it is symmetrical, and whether your skin tends to darken after irritation. The same procedure is not suitable for every pattern, body area, or skin tone.

Start with consistent broad-spectrum sun protection, gentle cleansing, moisturising, and control of any active rash or acne. Do not layer several strong products or use an unlabelled cream, because irritation can prolong discoloration.

Under professional guidance, options may include a chemical peel, skin brightening treatment, or picosecond laser treatment. A consultation should cover preparation, expected temporary redness or sensitivity, aftercare, and the possibility that pigment may return or darken after inflammation.

See a dermatologist when spots are persistent, spreading, recurrent, or resistant to careful home measures. Seek prompt review for a mark with rapid change, irregular edges, bleeding, ulceration, or ongoing tenderness. Delay cosmetic treatment until a new, symptomatic, or unusual spot has been examined.

Ask what is causing the pigment, which options suit your skin type, what aftercare is required, how recurrence will be reduced, and what symptoms should make you stop treatment.