Hyperpigmentation may be caused by inflammation, acne, sun exposure, hormones, pregnancy, medication, heat, irritation, skin injury or a tendency to produce more pigment after inflammation.

Melasma is a common type of pigmentation that often appears as symmetrical brown or grey-brown patches on the face. It may be influenced by hormones, pregnancy, contraception, HRT, sun exposure, heat and visible light.

No. Post-acne pigmentation is usually a colour change after inflammation. Acne scars usually involve a texture change, such as pitting, dents or uneven skin surface. Both can occur together.

Melasma can often be improved, but it may relapse. Long-term maintenance, sun protection and trigger control are usually important. No permanent cure or guaranteed outcome should be promised.

Treatment may include sun protection, pigment-focused skincare, prescription-led options, azelaic acid, retinoid review, hydroquinone review, tranexamic acid discussion, chemical peels, laser review or combination treatment where suitable.

Chemical peels may help selected pigmentation patterns, but they are not suitable for every skin type or every stage of pigmentation. Skin preparation, peel strength, pigment risk and aftercare matter.

Laser can sometimes help selected pigmentation, but melasma can worsen if treatment is too aggressive or poorly timed. Suitability depends on pigment pattern, skin tone, previous response and risk of rebound pigmentation.

UV exposure, visible light and heat can worsen pigmentation and contribute to relapse. Daily protection is often the foundation of treatment, especially for melasma and post-inflammatory pigmentation.

Yes, if treatment irritates the skin or triggers inflammation. This is why pigment treatment should be staged carefully and adjusted to skin tone, sensitivity and previous response.

Pigmentation treatment usually takes weeks to months. Melasma and deeper pigmentation may take longer and often need maintenance even after improvement.

Some pigment treatments and skincare actives are not suitable in pregnancy, breastfeeding or when trying to conceive. Always disclose pregnancy or fertility plans before starting treatment.

Yes. New, changing, irregular, bleeding, itchy or unusual pigmentation should be medically reviewed before cosmetic treatment is considered.

The featured starting price for a pigmentation consultation is from £150. Further treatment costs depend on whether you need skincare, prescription-led treatment, peels, laser review, test patches or maintenance. Please check the full pricing page for detailed and updated pricing.

It can, especially with melasma or repeated sun exposure, inflammation, hormonal triggers or stopping maintenance too early. Prevention and maintenance are often part of the plan.