How to reduce hyperpigmentation on the face

Hyperpigmentation is extra colour in areas of skin. It can follow acne, eczema, irritation, burns, or picking; it can also be associated with hormonal changes, some medicines, or repeated light exposure. Melasma often affects the cheeks, forehead, nose, or upper lip in a symmetrical pattern. A new or changing mark should not be assumed to be simple pigment. The Dark Patches On Skin symptom guide can help you describe colour, borders, texture, and timing.

Use broad-spectrum sunscreen and shade or a hat when outdoors; reapply as directed on the product. Choose gentle, fragrance-free cleansing and moisturising, and stop scrubs or products that sting. Treat acne or inflammation rather than repeatedly picking at it. A clinician may discuss Skin Brightening Treatment, prescription Hydroquinone Treatment, or a procedure. Chemical Peel, IPL Photofacial, and Picosecond Laser Treatment differ in depth, targets, downtime, and risk of irritation or darker marks, especially in richly pigmented skin. Never use an unlabelled bleaching product.

Seek assessment for a spot that changes in size, shape, colour, or texture; bleeds, crusts, or fails to heal; or differs clearly from nearby marks. Arrange dermatology advice if pigment spreads quickly, follows a new medicine, or persists despite removing irritation. Mention pregnancy, hormonal contraception, skin products, medicines, and any history of darker marks after inflammation.

What type of pigmentation do I have? Is there an active cause such as acne or irritation? Which topical product is suitable for my skin and pregnancy plans? Would a peel or light-based treatment increase the chance of irritation or rebound darkening?