Pigmentation

The global prevalence of requested treatments to address different types of pigmentation is thought to be significant, and rising. Hyperpigmentation disorders range from genetic inherited disorders, to more cosmetic concerns.

Many specific causes and diagnoses are possible, which can be both inherited and acquired. As part of a detailed clinical assessment, it is key to try to elicit the underlying causes as pigmentation is considered to be a symptom, rather than a diagnosis. Some of the most common types of pigmentation are Post-inflammatory pigmentation (PIH) arising from trauma/injury to the skin, melasma, photodamage, periorbital hyperpigmentation (often presents as under eye dark circles). Hyperpigmentation is often seen with the onset of age and linked to chronic UV exposure over a period of time, and is often accompanied by rough, textured skin, and visible pores. Melasma is a common acquired and relapsing disorder of facial pigmentation. It is often seen as irregular symmetrical brown patches on the face and may affect the individual’s quality of life. It can be linked with sun exposure, a strong family history as well as exogenous hormones, but can fade post-partum.