What Is Hyperpigmentation? Why Do You Get it?
Hyperpigmentation is the discoloration of the skin, resulting in the development of dark patches or spots. The affected area appears darker than the rest of the skin. This gets worse with sun exposure. Skin discoloration caused by acne blemishes, freckles that have turned into sunspots, or darkening of the skin due to conditions like psoriasis and eczema all come under hyperpigmentation.
Hyperpigmentation may develop due to several reasons and has specific signs and symptoms.
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Hyperpigmentation: Causes, Types, And Signs To Look For
Hyperpigmentation is divided into three main types, depending on the causes:
Melasma
This is a type of hyperpigmentation that is very common in women, especially those with darker skin tones. This skin discoloration usually occurs on different parts of your face like the forehead, nose, cheeks, or just above the lips. And thatโs why melasma is a bit difficult to treat. Your body experiences hormonal shifts during pregnancy or when you take oral contraceptives or during hormonal therapies, and this increases when you go out in the sun. Sometimes, it goes away when the hormones are back to normal.
Signs And Symptoms
- Brown patches on the skin
- Typically occurs on the face
- Patches are generally symmetrical
- Patches usually appear on the forehead, chin, cheeks, and bridge of the nose
- May also appear on the forearms and neck
Post- Inflammatory Hyperpigmentation (PIH)
This is a condition that results from trauma or skin inflammation such as psoriasis, eczema, and severe acne. These skin conditions increase the production of pigments, causing dark spots. This type of hyperpigmentation can affect people of any skin type, but it is prevalent in those with darker skin tones.
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Signs And Symptoms
- The pigmented patches usually appear on the area where the skin inflammation occurred.
- The pigments appear after the inflammation or injury is healed.
- The lesions are usually black or light brown.
- When exposed to sunlight, the patches grow darker
Sun Damage Or Sunspots
Excessive exposure to sun rays is the most common reason people develop hyperpigmentation. If you have developed hyperpigmentation in your early 30s, remember that the process had already begun when you were in your teens.
Sunspots are usually light brown (generally called freckles) and appear mostly on the face, neck, chest, and hands, which are primarily exposed to UV rays. People who have light to medium skin tones develop freckles, and they get darker with continuous sun exposure.
How To Treat Hyperpigmentation
1. Topical Medicine
The dermatologist often suggests topical medicines and chemical ingredients lighten the spots, such as:
- Hydroquinone (2%)
This is very effective in reducing hyperpigmentation (especially helpful in melasma) and prevents further discoloration. Usually, doctors prescribe skin ointments containing 2% hydroquinone. However, this medicine is not to be used by pregnant women.
- Chemical Peels
Even in clinical trials, chemical peels have shown promising results in treating hyperpigmentation. Of all the chemical peels, glycolic peels are the safest and most effective in eliminating spots. Even salicylic acid and lactic acid peels work well in treating hyperpigmentation.
- Retinoic Acid (Tretinoin)
Both tretinoin creams and peels act on the dark spots in a similar way. Both disperse the melanin pigments and lighten the spots
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- Kojic Acid
This bleaching agent is nontoxic (kojic acid derived from palm oil) and gives extremely satisfactory results when it comes to lightening dark spots and preventing further discoloration caused by excess melanin production
- Dimethylmethoxy Chromanyl Palmitate
This brightening agent is widely used for treating pigmentation and is a safe and effective option for treating pigmentation
2. Other Treatment Options
There are several facial procedures that the dermatologist can perform on your skin to treat hyperpigmentation. Depending on the severity of your spots, you may need multiple sessions. The most common procedures are:
- Microdermabrasion
This is a procedure in which the topmost layer of your skin is removed (exfoliate and suction them off) by using a device. You will need multiple sessions to get the desired results.
- Laser Treatment
Also known as laser resurfacing treatment, this procedure uses light beams to remove or peel your skin surface. Laser treatment can be ablative (uses an intense laser to remove skin layers) or non-ablative (boosts collagen development and tightens the skin). Ablative lasers are a bit strong and may cause side effects. Talk to your doctor/dermatologist before considering laser treatment because the type of laser suitable for your skin depends on your skin type and the degree of discoloration.
3. Over-The-Counter Treatments
OTC creams are available to help lighten your pigmentation. However, some creams are a bit stronger, and you will need a doctorโs prescription to get them. But most other creams are usually mild and will not need any prescription. These come in gel or cream form and should be applied on the marks once or twice daily (or as suggested by the doctor or the manufacturer) for noticeable results. The most common OTC creams/gels include:
- Niacinamide or vitamin B3
- Licorice extracts
- N-acetylglucosamine
- Hydroquinone (up to 2%)
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You will get these creams easily, and these are affordable as compared to other professional treatments. However, remember that these work extremely slowly, and results may take longer to show up than other treatment options.
Prevention is better than cure โ we know youโve heard this since childhood, but this adage is true in this case. Pigmentation starts early from the deepest layers of your skin and will not show up until it worsens. Here is what you can do to prevent it.
Ways To Prevent Hyperpigmentation
Never Ever Forget Your Sunscreen
Always use one that has the highest SPF and offers both UVA and UVB protection. Use it every day before going out into the sun and apply it on all exposed parts. Reapply sunscreen after every 2-3 hours.
Try To Avoid The Sun
You have hats (preferably broad-brim hats), scarves, umbrellas, and sunglasses โ wear them to prevent the sun rays from hitting your skin. Stay in the shade when the sun is the strongest (whenever possible).
Follow A Good Skin Care Routine
This helps your skin heal the abuse it goes through every day (like pollution and other environmental factors). Also, if you have an inflammatory condition (such as acne or eczema), use anti-inflammatory skin care agents regularly. Most of the time, these conditions initiate pigmentation, which gets worse if not dealt with properly.
Once you have a breakout and it heals, you should immediately follow it up by using brightening agents. Remember, โa stitch in time saves nine,โ so you need to act fast. You never know when a seemingly harmless acne spot or pimple mark may flare up and worsen.
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