Whether it appears as darker patches or pale spots, changes in pigmentation often point to deeper disruptions in the skin’s natural processes. At OLA Aesthetics, our goal is to identify the root cause and create a treatment plan that restores clarity, balance and long-term skin health.
A Note From Dr Aleks
Pigmentation disorders are some of the most complex skin conditions I treat. My training in medical dermatology has given me a deep appreciation for how skin tone is regulated by the body and how easily it can be affected by inflammation, sun exposure, hormones and even certain medications.
What I often see is that people struggling with pigmentation have been sold quick fixes that ignore the underlying cause. My approach is different. I take time to assess your skin at a cellular level, understand what’s driving the changes and build a long-term plan based on medical insight and evidence. We want results that last, not just a temporary lightening cream.
Common Characteristics
Hyperpigmentation (increased pigment):
- Dark patches or spots
- Freckles or sunspots
- Uneven skin tone
- Post-inflammatory marks from acne or injury
Hypopigmentation (reduced pigment):
- Lighter patches of skin
- Loss of colour after trauma or inflammation
- Vitiligo or other autoimmune-related depigmentation
- Uneven skin texture in pale areas
Contributing Factors
- Sun exposure
- Hormonal changes (especially pregnancy or contraceptives)
- Genetics and skin type
- Post-inflammatory response (such as after acne, eczema or injury)
- Heat exposure
- Certain medications or topical agents
- Medical conditions affecting melanin production
- Inappropriate skin treatments
- Use of harsh or sensitising skincare products
Understanding Pigmentation Concerns
Melanin, the pigment responsible for skin colour, is produced by cells called melanocytes. When these cells are disrupted, either by overactivity or destruction, the result is uneven pigmentation. These changes may be temporary or long-lasting, depending on the cause and depth of the pigmentation.
Hyperpigmentation
Hyperpigmentation develops when melanocytes produce too much melanin, often in response to triggers like UV exposure or inflammation. This can result in concerns like sunspots, post-acne marks or melasma.
Hypopigmentation
Hypopigmentation occurs when melanin is reduced or absent. This may happen after injury, infection or as part of autoimmune conditions. These patches often feel different from the surrounding skin.
Frequently Asked Questions
Melasma is a specific type of hyperpigmentation triggered by hormonal changes and UV exposure. It usually appears symmetrically on the face and is more common in women. While melasma is a form of hyperpigmentation, it often requires a more targeted approach for lasting results.
Post-inflammatory hyperpigmentation, or PIH, is darkening of the skin that occurs after an injury or inflammatory skin condition heals. When the skin becomes inflamed, it can trigger an overproduction of melanin that leaves dark, flat spots where the inflammation occurred. While PIH may fade on its own over time (months or even years), professional treatments can speed up the process.
In many cases, pigmentation can be significantly reduced or resolved. However, the goal is not just cosmetic improvement. We focus on treating the cause, preventing recurrence and supporting skin health over time. Some conditions, like melasma, may need ongoing management rather than a one-time treatment.
We offer a range of treatment options including topical medical therapies, advanced skin resurfacing, pigment-targeting laser treatments and professional peels. The right approach depends on the type, depth and cause of the pigmentation.
Some cosmetic products contain fragrances or ingredients that increase sensitivity, especially in the sun. Our team can review your current routine and recommend products that protect and support your skin barrier without worsening pigmentation.
Request Your Private
Consultation at OLA Aesthetics
If you're concerned about pigmentation changes, OLA Aesthetics offers a holistic, medically grounded approach. We take the time to assess your skin properly and create a personalised plan to restore clarity.