Hyperpigmentation or Hypermelanoses

Professional Management of Uneven Skin Tone

Hyperpigmentation describes a range of skin conditions caused by excess melanin production, leading to dark patches or uneven skin tone. Common forms include melasma, post-inflammatory hyperpigmentation (PIH), drug-induced pigmentation, and periorbital dark circles.

These conditions are often chronic and may significantly impact confidence and quality of life. Effective treatment requires a tailored, long-term approach, guided by experienced medical professionals.

At our clinic, all pigmentation treatments are delivered with a strong emphasis on safety, precision, and personalised care.

Understanding Hyperpigmentation

Melasma

Melasma is a common pigmentary condition that appears as light to dark brown or grey-brown patches, most often affecting sun-exposed areas such as the cheeks, forehead, upper lip, neck, and forearms. It typically presents symmetrically and is more common in women, although men may also be affected.

Melasma is more frequently seen in individuals with Fitzpatrick skin types IV–VI and is strongly influenced by sun exposure, hormonal changes, and genetic predisposition.

Post-Inflammatory Hyperpigmentation (PIH)

PIH develops after skin inflammation or injury, including acne, dermatitis, or cosmetic procedures such as laser treatments and chemical peels. It occurs when excess pigment is produced during the healing process and is more pronounced in darker skin tones, particularly when deeper skin layers are affected.

Drug-Induced Hyperpigmentation

Some medications may lead to pigmentation changes due to pigment deposition within the skin. Commonly associated medications include minocycline, antimalarials, amiodarone, NSAIDs, and exposure to heavy metals.

Periorbital Dark Circles

Dark circles under the eyes are multifactorial and may result from increased melanin, visible blood vessels, genetic factors, sun exposure, fatigue, and age-related thinning of the skin. While medically benign, they often contribute to a tired or aged appearance.

Treatment Approach

Management of hyperpigmentation typically requires a multimodal strategy, combining in-clinic treatments with strict sun protection and ongoing maintenance. While visible improvements can often be achieved, pigmentation conditions—particularly melasma—commonly require long-term management to reduce recurrence.

Treatment plans may include:

• Medical-grade sunscreens
• Prescription and cosmeceutical topical therapies
• Chemical peels
• Laser and light-based treatments

Consistent adherence to treatment protocols and diligent sun avoidance are essential for maintaining results.

For guidance on pigmentation-focused skincare, visit:
https://elixirhunter.com.au/pigmentation-skin-care/

Treatment Options

IPL (Intense Pulsed Light)

IPL delivers controlled pulses of energy to selectively target pigment while minimising heat spread to surrounding tissue.

• Pigment particles absorb energy and gradually fragment
• Treatments are usually delivered as a series spaced several weeks apart
• Carefully adjusted for skin type and performed by experienced doctors to minimise the risk of rebound pigmentation

Laser Treatments

• CO₂ Laser: Used for deeper skin resurfacing, improving uneven tone, texture irregularities, and advanced sun damage
• Long-Pulse Nd:YAG Laser: Targets deeper pigment and vascular-related pigmentation, particularly where redness or flushing is also present

Treatment selection is based on skin type, pigment depth, and individual concerns.

Chemical Peels

Medical-grade chemical peels are commonly used for stubborn or diffuse pigmentation.

• Performed in-clinic, followed by a structured home-care program
• Designed to regulate melanin production and improve uneven skin tone
• Particularly suitable for pigmentation that has not responded to topical treatments

Strict post-treatment guidance is provided to support recovery and optimise outcomes.

Pigmentation Skincare

Medical-grade skincare plays an essential role in both treatment and maintenance of pigmentation.
Learn more at:
https://elixirhunter.com.au/pigmentation-skin-care/

Treatment Costs & Consultations

The cost of hyperpigmentation and melasma treatments varies depending on:

• Skin type and severity of pigmentation

• Treatment modality selected

• Number of sessions required

Due to the individual nature of pigmentation concerns, pricing is discussed during consultation. Your treatment plan is carefully designed by experienced doctors to ensure safe, effective, and appropriate care.

Frequently Asked Questions

What is pigmentation?
Pigmentation occurs when melanocytes produce excess melanin, leading to darker areas of skin. It can affect all skin tones and includes conditions such as melasma, sun damage, freckles, age spots, and uneven skin tone.

What causes pigmentation?
Common contributing factors include sun exposure, hormonal changes, skin inflammation or injury, ageing, genetics, and certain medications.

Which skincare ingredients may help pigmentation?
Sun protection is essential. Other commonly used ingredients include azelaic acid, kojic acid, vitamin C, and 4-n-Butylresorcinol. Your clinician may recommend medical-grade products based on your skin type.

Are pigmentation laser treatments painful?
Most patients tolerate treatment well, experiencing mild discomfort similar to a brief snapping sensation. Cooling measures are often used, and any redness or sensitivity usually settles quickly.

What is melasma?
Melasma is a symmetrical, patchy pigmentation commonly affecting the face. It is strongly associated with hormonal changes, pregnancy, and oral contraceptive use.

Is melasma permanent?
Melasma tends to recur over time. Long-term management, including sun protection, maintenance treatments, and ongoing skincare, helps reduce flare-ups.

What is the recovery time for pigmentation treatments?
Recovery depends on the treatment used:

• IPL / Nd:YAG laser: mild redness for several hours to one day
• Chemical peels: 1–2 days of redness
• CO₂ laser: 5–7 days of redness and peeling

Important Information

Hyperpigmentation treatments aim to improve the appearance of pigmentation, not permanently eliminate underlying causes. Results vary between individuals, and recurrence is possible without ongoing management.

A consultation with a qualified medical professional is required to assess suitability, discuss realistic expectations, and outline potential risks.
This information is general in nature and does not replace personalised medical advice.