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Skin Pigmentation

The melanin pigment in your skin is responsible for your skin colour. Special cells known as melanocytes produce this melanin. However, a damage to these cells alters melanin production. Moreover, patients suffer from pigmentation on the face, hands, back, chest.

TREATMENT MODALITIES

TREATMENT VIDEOS

Dermatologists assess the pigmentation to treat it effectively. However, dermatologists may recommend various treatments to treat skin pigmentation. READ MORE

TIMELINE

Skin pigmentation takes time for the pigmented skin to return to its original tone after pigmentation occurs. This may happen without treatment in some cases, but it may require treatment in others.

PATIENT SPEAK

Suresh MK, Kharadi, Pune

Treatment: Acne Scars
Date: Sep 6, 2019
Sessions: 3

“I have started taking treatment here from 5 months ago. To be honest I’m very very happy satisfied after taking hair treatment at HairMD”

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Popular Videos for Skin Pigmentation

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RELATED TREATMENTS

Acne & Pimples

Acne is a treatable condition. In fact, dermatologists assess the root cause of acne and treat it accordingly.

Quick Tips

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Acne Scars

Acne scars are the result of inflammatory acne. Inflammatory acne can be red blemishes, pimples, papules, pustules, or nodules.

Quick Tips

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BEFORE & AFTER

Acne & Pimples

Acne & Pimples

Hair Loss

Hair Loss

Skin Rejuvenation
Skin Rejuvenation
 

GOOGLE REVIEWS

ameya pathak
ameya pathak
11:52 27 Nov 19
Good team of doctors and paramedical staff.I had... nice experience.read more
Amrin Punekar
Amrin Punekar
08:01 24 Nov 19
I am visiting this clinic for skin treatment.... Doctors as well as all staff members are very nice. Excellent follow-up and quick remedies.Clinic is good and hygienic. Treatment cost is bit high but worth it...read more
lia Qazi
lia Qazi
09:24 23 Nov 19
Good experience
Emraan Shaikh
Emraan Shaikh
07:59 21 Nov 19
Hey all please consider this review as my... personal feelings. I got to know about this clinic through google, after reading the reviews i felt its good but once i suggested this to my friend and started getting treatment for my friend we both felt that this is really best in pune. Staff behaviour is too polite and time punctual. Not even a single meet of our continuous opponents disappointed us. We get benifits more than for what we pay. Simply this is best for hair and skin treatment.read more
Chintamani Sadolikar
Chintamani Sadolikar
05:52 21 Nov 19
First of all, I am very grateful to Dr. Chavan ... for bringing me back to life. HairMD is the best of all the hair treatment clinics in Pune. I had a hair transplant in Oct 2015 with 3000+ grafts and the results are remarkable. I am very thankful to them.read more
Pushpa Parmar
Pushpa Parmar
11:12 20 Nov 19
Well the results were very clearly visible and my... skin tone also got brighter than before. I took about 5 checkups after which acne got reduced. I m happy with the results but I wish it would have stopped acne permanently.read more
Abdul Rahim Shaikh
Abdul Rahim Shaikh
08:24 20 Nov 19
I have been taking treatment since 6 month for my... hair loss. Under Dr. Chavan and team have guided us and i am happy with my results. I would recommend this place for hair treatmentread more
Pinki Das
Pinki Das
08:49 19 Nov 19
Great team of experienced and dedicated... doctors.I was under treatment by Dr. Rose.She explained the whole treatment and was very compassionate and empathetic.The team is very friendly and approachable.I would recommend everyone to visit them.Appreciate all the staff and coworkers.read more
jayshree gaikwad
jayshree gaikwad
11:28 18 Nov 19
৪ সপ্তাহ আগেDoctors are knowledgeable and gives... solutions as per your present scenario. Staffs are helpful and courteous. Definitely in case of any requirement, you should try it at least once.read more
Akash Jagtap
Akash Jagtap
08:38 18 Nov 19
Good service, facilities, ambience.My hair fall... decreased n also my confidence is increasing day by day.. I m very thankful to doctors n staff members of clear skin clinic for such a nice service.. thank u very much.read more
Prashant Kumar
Prashant Kumar
09:40 13 Nov 19
The best treatment ever given to metill now.... Doctors and the whole staff is so good .Now, within 4 days I started feeling the good results to my hair. Do visit this place onceread more
Salim Mulani
Salim Mulani
07:56 13 Nov 19
I have been visiting this clinic for hair loss... treatment since more than a month now. Really happy with the experience till now. All the staff is helpful and caring. Follow up is excellent. Clinic atmosphere is pleasant and very hygienic. I have been seeing positive results. Definitely recommended.read more
Fatima Mulani
Fatima Mulani
07:45 13 Nov 19
Doctors are knowledgeable and gives solutions as... per your present scenario. Staffs are helpful and courteous. Definitely in case of any requirement, you should try it at least once.read more
Omkar Pachange
Omkar Pachange
09:31 11 Nov 19
Thanks to all clinic staff I felt I must write in... to praise the care and kindness I received from all the doctors and staff... I started clear skin journey 3 months ago and with in 3months I got very good result... every time my experience was very good..now I almost got rid of my acne thanks to Clear Skinread more
Prashant Gaikwad
Prashant Gaikwad
11:02 06 Nov 19
Very friendly and accommodating staff.Doctors and... treatment staff were very experienced and treatments showed results. Their staff also calls and makes sure the the patient is comfortable post treatment and medications are being taken timely. The appointments timing's were flexible for me, As it's open all dayread more
tanaji bidgar
tanaji bidgar
08:04 06 Nov 19
GD consulatation, till now its GD experience..... staff is well deciplined and we'll trained to treat the patient.read more
Rohit Gaikwad
Rohit Gaikwad
04:53 03 Nov 19
Galti se bhi mat Jana,lootne bhete hain. There... are many other good doctors in puneread more
haqiqullah khan
haqiqullah khan
13:21 02 Nov 19
Very friendly and accommodating staff.Doctors and... treatment staff were very experienced and treatments showed results. Their staff also calls and makes sure the the patient is comfortable post treatment and medications are being taken timely. The appointments timing's were flexible for me, As it's open all day.read more
Harshal Suryawanshi
Harshal Suryawanshi
12:27 02 Nov 19
My theorap was realated about "Hair Loss". Its my... pleasure to share my views on it. The Best machineries were use and the most alert n carefully staff as well. It's just a thank you to "Clear Skin" and respected Doctors as well😊read more
vijay rupas kumar konde
vijay rupas kumar konde
08:36 02 Nov 19
Overall Experience was amazing, Good services... from staff. The results are amazing for scars. Best treatments in pune. Ambience is goodread more
sushil nimbalkar
sushil nimbalkar
07:45 02 Nov 19
Good service, facilities, ambience.My hair fall... decreased n also my confidence is increasing day by day.. I m very thankful to doctors n staff members of clear skin clinic for such a nice service.. thank u very much.read more
Prasad Nimbalkar
Prasad Nimbalkar
07:42 02 Nov 19
The doctors are really good and the staff has... high level hospitality. The results are awesome and I am totally satisfied with the treatment and the resultsread more
Pankaj Singh
Pankaj Singh
06:40 02 Nov 19
We meet Dr Rosemary for skin treatment, and I... want to say that it was a good experience, satisfied with treatmentread more
Rajesh Thorat
Rajesh Thorat
11:51 01 Nov 19
Excellent service, friendly staff, proper hygeine.
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Skin Pigmentation

Melanin is naturally produced in the skin by cells called melanocytes. This is the pigment that gives color to your eyes, hair, and skin. Damaged or overstimulated melanocytes may begin to produce an abnormal level of melanin. An increase in melanin causes the skin to become hyperpigmented. Correspondingly, a decrease in melanin leads to hypopigmentation.

Do & Don't for Getting Pigmentation

DO: Visit your dermatologist in the initial stages.
DO: Use a broad-spectrum sunscreen (> SPF 30).
DO: Use sun protection like scarves and hats.
DO: You need to avoid excessive sun exposure.
DO: Carry an umbrella, wear full sleeves clothing or broad-brimmed hats.
DO: Wear SPF 30 broad-spectrum sunscreen with PA++ protection.

DON’T: Overexpose yourself to the sun.
DON’T: Step outdoors without sunscreen.
DON’T: Ignore sunburns as they may lead to skin cancer

Types of Skin Pigmentation

A. Skin discoloration

Skin discoloration is defined as any change in the natural skin color. This includes lightening, darkening or reddening. Cuts, scratches, or burns may also result in skin discoloration.

B. Hypopigmentation

A decrease in melanin production leads to hypopigmentation. Damage, inflammation or hereditary conditions may be the causative factors for this decrease. This condition may also be a result of a decrease in the amino acid tyrosine. This is because melanocytes use tyrosine as a catalyst to produce melanin.

Some of the disorders associated with multiple pale patches are:

  • Vitiligo
  • Leprosy

Causes of Hypopigmentation

The following conditions could cause hypopigmentation:

  • Firstly, injuries to the skin.
  • Secondly, pimples, blisters, chickenpox, and minor cuts.
  • Thirdly, skin treatments that have been carried out without medical supervision.

Types of Hypopigmentation

  • Generalised - This type usually occurs due to congenital defects like albinism.
  • Localised - This type is caused due to partial or complete loss of melanin in a given area. For example, vitiligo and leprosy are types of localized hypopigmentation.

C. Hyperpigmentation

An increase in melanin production results in hyperpigmentation. Triggers for hyperpigmentation include:

  • Side effects of drugs
  • Overexposure to the sun
  • Inflammation caused by an illness or disorder

This condition is quite common and usually harmless.

Some of the disorders associated with hyperpigmentation are:

  • Acanthosis nigricans
  • Melasma
  • Post-inflammatory hyperpigmentation (PIH)

Causes of Hyperpigmentation

  • Firstly, improper laser and light treatment
  • Secondly, exposure to certain chemicals such as salicylic acid
  • Thirdly, tinea fungal infections such as ringworm
  • Fourthly, hormonal imbalance

Types of Hyperpigmentation

  • Generalised - This type is seen in 95% of people with Addison's disease. Additionally, 90% of people with hemochromatosis exhibit generalized hyperpigmentation.
  • Localised - While this type can be due to melanin, it may also be caused due to hemosiderin. Hemosiderin is an iron storage complex. For example, lentigines, photo contact dermatitis, melasma.

D. Depigmentation

Depigmentation is the complete loss of pigment. This loss of pigment may occur in individuals of both genders. The lesions are milky white, round or oval in shape.

 

Causes of Skin Pigmentation 

1. Overexposure to sunlight: Overexposure to sun irritates our skin and triggers hyperpigmentation. Moreover, sunlight darkens or tans our skin. In some people, tanning can result in hyperpigmentation.

2. Skin damage: Damage to your skin results in the melanocytes producing excess melanin. Damage may include slight irritation, dermatitis or even a pimple. Additionally, your skin loses the capacity to recover the even skin tone after the damage. As a result, darker or lighter shades of skin are produced over the affected area.

3. Hypersensitive reactions: A hypersensitive reaction to an allergen may affect the skin. Consequently, this stimulates the melanocytes and causes hyperpigmentation.

4. Medicines: Pharmaceuticals that trigger hyperpigmentation include -

  • Topical retinoids
  • Anti-infection and anti-seizure drugs
  • Non-steroidal medications
  • Lastly, chemotherapeutic medications

5. Hair removal: Removal of facial hair may cause hyperpigmentation. However, threading or proper shaving does not cause hyperpigmentation. In fact, factors that may cause hyperpigmentation are -
removing hair from the root
exposing the root to reactive chemicals

6. Hormonal change: Hormonal changes like an increase in estrogen may increase melanin production. Pregnancy or contraceptive pills may cause melasma. Melasma may disappear without treatment in some individuals.

7. Hereditary: Pigmentation is a condition that may be genetic. In such cases, it is important to protect yourself from the sun, hormonal changes or skin damage.


 

Treatments for Skin Pigmentation

Hyperpigmentation is only a visual discomfort, not a physical one. It is completely harmless unless associated with medical disorders. Wood’s lamp examination assists in the diagnosis of various pigments and infectious disorders. This diagnostic method uses UV light in the 365 nm range.

Additionally, Wood’s lamp diagnoses vitiligo, erythrasma, porphyria cutanea tarda, and other pigmentary disorders. Generally, doctors recommend a microbiological culture and microscopy of affected skin and skin biopsy.

The treatment modalities to treat pigmentation are: 

  • Lasers: 

Various experts have started using lasers for the treatment of skin pigmentation. Lasers treat only the affected skin and have minimal to no impact on the normal skin. They use the principle of selective photothermolysis. Hence, the laser selectively destroys the pigmented cells with no damage to the surrounding skin.

Dermatologists treat pigmentation with different types of lasers depending on the type of pigmentation, the area, and the level of recovery time. Lasers stimulate collagen growth in the underlying layers of skin. As a result of this, the skin tightens and the skin tone also improves.

  1. Q-switched laser: This is another type of laser which is commonly used for treating pigmentation. These lasers emit nanosecond pulses of light which target the melanin in pigmented skin. They selectively heat the pigment to destroy it. However, since the pulses are much shorter, they may also result in a photomechanical effect. Consequently, they shatter or shock the pigment causing it to breakdown.  Generally, these lasers have an advantage because these lasers require fewer treatments to treat pigmentation.
  2. Erbium Yttrium-Aluminium-Garnet (Er:YAG) Laser: This laser can be used to cure pigmentation problems. Additionally, it also treats acne scars, sun damage, fine lines, small to moderate wrinkles, and moles. Moreover, it has lesser side effects as compared to the Co2 laser. 
  3. Intense Pulsed Light (IPL): IPL therapy delivers a broad range of wavelengths of light at the same time. Hence, it can treat a combination of skin issues at the same time. This treatment is effective in treating hyperpigmentation and sun damage. Basically, they work by killing the affected skin cells, thereby rejuvenating the skin. 
  4. Alexandrite laser: Alexandrite lasers treat pigmented lesions using the principle of photothermolysis. These lasers destroy the affected skin very precisely. Moreover, they leave the surrounding area undamaged. Dermatologists prefer the Alexandrite laser to treat superficial pigmentation. Redness, swelling, itching are common side effects. 
  • Chemical peels

Chemical peels exfoliate and peel the skin off. Basically, chemical peels help in the generation of new skin. Chemical peels are of 3 types - superficial, medium and deep. Hyperpigmentation can be treated using chemical peels that contain trichloroacetic acid (TCA), salicylic acid or phenol. However, make sure you do it under the experienced eye of your dermatologist, to avoid scarring and pigment irregularities.

Nursing or pregnant women should not use chemical peels. Additionally, even psoriasis, eczema, dermatitis or rosacea patients should avoid chemical peels. Likewise, if you have taken Accutane in the last 6 months or retinoids in the last 48 hours you should avoid using chemical peels.

  • Microdermabrasion

In this treatment, a stream of microcrystals or a diamond head exfoliates the affected skin and rejuvenates it. It is a non-invasive technique. 

Microdermabrasion is appealing to many patients. It also has other advantages like:

  • Brightening up dull complexion.
  • Improving uneven skin tone or texture.
  • Reducing age spots.
  • Reducing dark spots that can appear when acne starts to clear.
  • Toning down melasma.

Additionally, dermatologists use microdermabrasion to enhance the results of anti-aging products and skin-bleaching products. This treatment aids the easy penetration of these products.

  • Skin lightening creams:

These creams inhibit melanin production and reduce the existing melanin from the skin. 

Hence, it is helpful to use products that contain a combination of the following ingredients:

  • Hydroquinone
  • Kojic acid
  • Azelaic acid
  • Arbutin
  • Prescription-based topical treatments

These topical applications exfoliate and rejuvenate the skin.

The following types of topical applications are useful:

  • Hydroquinone - is the only FDA approved skin lightening cream.
  • Kojic acid - is a derivative compound. It is extracted from a fungus that works like hydroquinone.
  • Azelaic acid - is useful in treating acne and hyperpigmentation.
  • Mandelic acid - is derived from almonds. This acid treats all types of hyperpigmentation.
  • Applications that contain retinoids, Retin-A or alpha-hydroxy acids (AHAs) like glycolic acid.
  • Peptides - are new generation amino acid molecules. Lightening agents containing peptides do not have any side effects. 
  • Creams that contain licorice and kojic acid.
  • Sunscreen - SPF 30, broad-spectrum sunscreen.

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Timeline for Skin Pigmentation

 

Skin pigmentation may not always need treatment. However, many treatment modalities are available if you decide to undergo treatment. The following factors will differ as per the type of pigmentation -

  • Firstly, the number of sessions 
  • Secondly, the frequency of sessions 
  • Thirdly, the recovery time 

The treatment results are based on - 

  • First, the site
  • Second, the type of laser 
  • Third, the response of your skin to treatment

Do & Don't for Getting Acne

DO: Cleanse your face.
DO: Moisturise your skin.
DO: Stay hydrated.
DO: Use sunscreen daily.
DO: Follow a healthy diet.

DON’T: Pop and poke your pimples.
DON’T: Use excessive make-up products.
DON’T: Eat oily foods.
DON’T: Over-exfoliate.
DON’T: Scrub your skin too roughly.

Do & Don't for Getting Acne Scars

DO: Visit your dermatologist in the initial stages.
DO: Follow a healthy skincare regime to prevent acne.
DO: Use products that reduce inflammation and redness.
DO: Moisturise your skin.

DON’T: Over-exfoliate.
DON’T: Pop and poke your pimples.
DON’T: Try home remedies as they don’t work.
DON’T: Delay the treatment of your acne.