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Mia Piel
A woman with dark patches on her cheek, a serum dropper beside her face

Skin Quality

Pigmentation & Uneven Tone

A brighter, more even-looking tone.

What it is

Hyperpigmentation is when patches of skin turn darker than the skin around them. It includes sun spots, melasma, marks left after acne (post-inflammatory hyperpigmentation) and general discoloration.

Pigment can be stubborn and tends to come back without sun protection. Melasma in particular is managed rather than cured, and it needs a gentle approach, because aggressive treatment can make it worse.

Common causes

  • Sun exposure, the main trigger
  • Hormones, such as pregnancy or contraceptives (melasma)
  • Inflammation after acne or injury
  • Heat and visible light
  • Genetics and skin tone

Areas

  • Cheeks
  • Forehead
  • Upper lip
  • Jaw
  • Hands
  • Décolletage

How we plan it

We identify the type of pigment first, because sun spots, melasma and post-acne marks are treated differently. Plans usually combine in-clinic treatments with a medical-grade home routine.

Daily broad-spectrum sunscreen is essential, or pigment comes back. Some products, like 4% hydroquinone, are prescription strength and only used after a consultation.

Skin care at home

Brightening serums, correctives and daily sunscreen do much of the work. Prescription options are only recommended after a consultation.

Frequently asked questions

Can melasma be cured?

Melasma can be improved and controlled, but it often returns with sun, heat or hormones, so it needs ongoing care.

How long does it take to fade dark spots?

Usually several weeks to months of consistent treatment and sun protection.

Is it safe for darker skin?

Yes, with the right choices. Darker skin is more prone to pigment changes, so we choose gentler treatments and settings.

Why does sunscreen matter so much?

Even short sun exposure can darken pigment again and undo progress.

Book a consultation

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