Tinea versicolor and hyperpigmentation treatment

Inflammation and changes in pigment production can leave darker areas after the scale and itch improve. The colour may be more noticeable after sun exposure or friction. A dark patch is not proof that the infection is still active, but new scale, itch, or expanding edges deserve reassessment. A clinician first separates post-inflammatory hyperpigmentation from active tinea versicolor and from other causes of [Dark Patches On Skin](/symptoms/dark-patches-on-skin/).

Complete any advised antifungal plan and use gentle cleansing, moisturising, and sun protection on exposed areas. Avoid bleaching mixtures, harsh scrubs, and unprescribed steroid combinations, which can irritate skin and deepen uneven colour. If pigment persists once the skin is calm, a dermatologist may discuss hydroquinone treatment, a chemical peel, skin brightening treatment, IPL photofacial, or picosecond laser treatment. Suitability depends on the shade, site, sensitivity, and whether pigment is still changing.

Seek assessment if darkening is spreading, itchy, scaly, painful, or accompanied by new patches elsewhere. Arrange review before any peel or laser when the diagnosis is uncertain, the skin is recently irritated, or you have a history of pigment changes after minor inflammation. Stop a pigment product and seek advice if burning, swelling, blistering, or marked redness develops.

Is the yeast active or is this residual pigment? What should I use before considering a procedure? Which option suits my skin tone, and how will irritation or further darkening be avoided?