What Is Pigmentation - And How Do We Treat It Safely & Effectively?
Pigmentation is one of the most common skin concerns we see in clinic - and also one of the most frustrating for clients. Whether it shows up as dark spots after sun exposure, patches of melasma, or marks left behind from breakouts, pigmentation can affect how even and radiant your skin looks. The good news? With the right understanding and approach, pigmentation can be managed effectively.
What Is Pigmentation?
Pigmentation simply means areas of skin that appear darker than the rest. It happens when your skin produces too much melanin - the natural pigment that gives skin its colour.
There are different forms of pigmentation, including:
Melasma – symmetrical patches, often on the cheeks, forehead, or upper lip, commonly linked to hormones.
Sun spots / age spots – small, localised dark marks caused by sun exposure.
Post-inflammatory pigmentation – dark spots left behind after a breakout or skin injury.
Freckles – harmless small spots that darken in the sun.
What Triggers Pigmentation?
Pigmentation has many causes, which is why it can be tricky to treat. Common triggers include:
Sun and UV light – the biggest factor, driving melanin production.
Hormones – especially in melasma (pregnancy, contraceptives, menopause).
Inflammation or trauma – for example, after acne or skin irritation.
Heat and harsh treatments – which may worsen pigmentation in sensitive skin.
Genetics and skin type – some skin types are naturally more prone.
In-Clinic Treatments for Pigmentation
PRX-T33 Peel
PRX-T33 is an advanced peel designed to improve pigmentation without the downtime of traditional peels.
It combines trichloroacetic acid (TCA), hydrogen peroxide, and kojic acid to stimulate skin renewal and target pigment at a deeper level.
The unique formula means skin isn’t aggressively peeled at the surface - reducing downtime and making it suitable for more skin types, including darker tones.
Clients love it because it’s effective against melasma and sun damage, while leaving skin brighter, smoother, and more even in tone.
Usually performed as a course, it delivers gradual but noticeable results.
Mesotherapy for Pigmentation
Mesotherapy is another brilliant option. It uses micro-injections of active ingredients directly into the skin, so they reach the cells where pigmentation forms.
We create bespoke “cocktails” that may include:
Glutathione – a powerful antioxidant that helps regulate melanin production.
Azelaic acid – calms inflammation, strengthens the skin barrier, and inhibits pigment.
Other brightening actives like vitamin C or tranexamic acid.
Mesotherapy works beautifully as a stand-alone treatment or in combination with peels, helping to keep pigmentation under control over the long term.
The Role of Home Care
Treating pigmentation doesn’t stop in the clinic - home care is just as important.
SPF Is Non-Negotiable
The single most important daily step is broad-spectrum SPF. Without it, pigmentation will return no matter how effective your treatments are.
Tinted SPFs are especially powerful for pigmentation, as they block visible light as well as UV.
Our favourite is Obagi Sun Shield Tinted SPF, which provides excellent coverage, is ideal for melasma, and looks great on the skin.
Obagi NuDerm System
For more stubborn pigmentation, the Obagi NuDerm® system is one of the gold standards.
It combines hydroquinone (to block melanin) and tretinoin (to boost skin renewal).
Together, these ingredients are clinically proven to lighten pigmentation.
Clients should expect an adjustment phase, with some redness or peeling, but the long-term results are worth it.
Azelaic Acid
Another fantastic ingredient for pigmentation is azelaic acid. It’s a multitasker that:
Reduces pigment production.
Calms inflammation (a key trigger for melasma).
Supports the skin barrier.
Helps with breakouts by killing bacteria.
This makes it ideal for people who suffer from both pigmentation and acne-related dark marks.
Key Takeaway
Pigmentation is complex, with many causes and triggers, but the good news is that it can be managed with the right combination of treatments and skincare.
At Dermabalance, we create personalised programmes that may include PRX-T33 peels, mesotherapy cocktails, and a tailored home care plan built around SPF, Obagi systems, and targeted actives like azelaic acid.If you’re ready to give your skin its most advanced reset yet, this facial is waiting for you.
Ready to Address Your Pigmentation?
If pigmentation is holding you back, we’d love to help. Book a consultation with us today, and together we’ll create a plan that works for your skin and lifestyle.
Discover Regenerative Skin Treatments at DermaBalance
Located in Tunbridge Wells, our clinic specialises in natural, results-driven treatments that work with your skin - not against it. From injectable hydration to regenerative boosters like Polynucleotides, we’re here to restore your skin’s balance, glow, and long-term health.
Book your consultation today and experience the next generation of skin rejuvenation, or contact us.
