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Hyperpigmentation: Causes, Treatment, and Prevention

Dr Karen Martin
Reviewed by Dr Karen MartinReviewed on 16 Jun 2025 | 3 minutes readNext review due: 15 Jun 2028
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What Is Hyperpigmentation?

Hyperpigmentation means having dark patches on your skin. This happens when your skin makes too much melanin, which is the pigment that gives your skin, hair, and eyes their color. Anyone can get dark patches, no matter their skin color. While these patches are usually not dangerous, they can make people feel self-conscious and want to find ways to even out their skin tone.

What Causes Hyperpigmentation?

There are several reasons why dark patches can appear:

  • Spending a lot of time in the sun

  • Changes in hormones (like during pregnancy)

  • Skin injuries, such as cuts, burns, or acne

Some common types of hyperpigmentation are melasma (often called the “mask of pregnancy”), sun spots, and dark spots that appear after the skin heals from an injury.

Where Does Hyperpigmentation Show Up?

Dark patches can show up on your face, hands, neck, and back. Many people get them on their forehead, cheeks, or upper lip. People with any skin color can get hyperpigmentation.

How Is hyperpigmentation diagnosed?

If you have dark spots that don’t go away or get worse, it’s a good idea to see a skin doctor (dermatologist). They can:

  • Look closely at your skin to figure out what kind of hyperpigmentation you have

  • Sometimes do a skin test (biopsy) to make sure it’s not something more serious

In rare cases, dark patches can be a sign of a health problem, like Addison’s disease. If you also feel tired, lose weight, or don’t feel like eating, see a doctor right away.

How can hyperpigmentation be treated?

There are many ways to treat dark patches, including:

  • Skin Creams: Some creams can help lighten dark spots. These include hydroquinone (a skin lightening cream), vitamin A creams (retinoids), and vitamin C creams. Some natural ingredients like kojic acid and licorice extract can also help.

  • Chemical Peels: A doctor puts a special solution on your skin to remove the top layer, which can help fade dark spots.

  • Laser Treatment: Lasers can break up extra melanin in the skin.

  • Microneedling: Tiny needles are used to help your skin make more collagen and fade dark spots.

  • Prescription Medicines: Sometimes, doctors give stronger medicines if creams and other treatments don’t work.

Always talk to a skin doctor before starting any treatment to make sure it’s safe for you.

How Long Does Treatment Take?

Treating dark patches takes time. It can take weeks or even months to see changes. Some treatments, like skin creams, may need to be used for three to six months. Sometimes, it’s not possible to get rid of dark spots completely, but you can make them lighter and less noticeable. Keep using sunscreen and follow your skin doctor’s advice for the best results.

How can you prevent hyperpigmentation?

  • Use Sunscreen Every Day: Sunscreen with SPF 30 or higher helps protect your skin from the sun, which can make dark spots worse. Reapply every two hours, especially if you’re swimming or sweating.

  • Don’t Pick at Your Skin: Picking at pimples or scabs can cause dark spots to form.

  • Be Gentle with Your Skin: Use mild cleansers and avoid harsh scrubs that can irritate your skin. Look for ingredients like aloe vera or chamomile to help calm your skin.

When should you see a doctor?

See a skin doctor if:

  • Your dark patches don’t get better after a few months of treatment

  • The spots change quickly, itch, or bleed

  • You have other symptoms, like tiredness or weight loss

A doctor can help you find the best way to treat your skin and make sure there isn’t a more serious problem.

The AI in healthwords.ai refers to conversational search, while the only AI tools used for articles are grammar and language improvements -  medical content remains rigorously authored by healthcare professionals.

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This article has been written by UK-based doctors and pharmacists, so some advice may not apply to US users and some suggested treatments may not be available. For more information, please see our T&Cs.
Dr Karen Martin
Reviewed by Dr Karen Martin
Reviewed on 16 Jun 2025
Next review due: 15 Jun 2028
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