Pigmentation, Melasma & Dark Marks
Gentle, scientifically calibrated approaches to stubborn dark patches and sun damage.
The Biology of Melanin & Hyperpigmentation
Hyperpigmentation occurs when melanocytes overproduce melanin in response to ultraviolet (UV) radiation, infrared heat, visible light, hormonal shifts, or prior cutaneous inflammation.
Common Signs
- Symmetrical brownish patches across the cheeks, forehead, or upper lip (melasma)
- Localized dark spots from cumulative sun exposure (solar lentigines)
- Persistent dark marks left behind after acne or skin trauma (post-inflammatory hyperpigmentation)
- General unevenness and dullness across the complexion
Known Triggers
- UV and high-energy visible (HEV) blue light exposure
- Estrogen and progesterone shifts (pregnancy, oral contraceptives)
- Heat exposure (cooking, hot yoga, sauna environments)
- Aggressive skin treatments or unmonitored depigmenting creams
Our Multi-Targeted Treatment Approach
Wood lamp and polarized dermoscopic examination to determine epidermal vs dermal pigment depth
Multi-pathway tyrosinase inhibitor topical therapy (tranexamic acid, azelaic acid, kojic acid, alpha arbutin)
Strict broad-spectrum mineral UV and visible light photoprotection guidance
Gentle superficial dermatological peels formulated for pigmented skin
Gradual long-term maintenance protocols to prevent seasonal recurrences
Treatment Timeline & Sun Defense
Pigment cells have long memory. Rapid, aggressive treatments often trigger rebound darkening. A gentle, progressive approach spanning 8 to 16 weeks yields the safest and most sustainable clarity.
Frequently Asked Questions on Pigmentation
Why does my melasma return during summer?
Melanocytes in melasma-prone skin are hyper-reactive. Even brief exposure to sunlight or ambient heat stimulates melanin production. Consistent broad-spectrum sunscreen and physical protection are lifelong essentials.
Are over-the-counter fairness creams safe?
Many unregulated over-the-counter creams contain potent steroids or hydroquinone in unmonitored quantities, which can lead to skin thinning, telangiectasia, and permanent ochronosis (blue-black discoloration).
Personalized Pigment Diagnostic
Consult with Dr. Aarav Sharma to accurately determine pigment depth and formulate a calming clarity routine.