Melanocytes, the pigment-producing cells in the skin, are more active and numerous in darker skin tones. This means even minor triggers—such as sun exposure, heat, hormonal changes, or inflammation—can lead to an overproduction of pigment. In melasma, this results in stubborn brown or grey-brown patches that are often more widespread and more noticeable.
In darker skin types, disruption of the dermal-epidermal junction (DEJ) is particularly problematic. Once pigment leaks into the dermis, it becomes highly resistant to treatment and fades much more slowly. This makes strengthening and repairing the DEJ a cornerstone of our approach at Skin Renewal.
Treating melasma in darker skin requires a careful balance—strong enough to target excess pigment but gentle enough to avoid triggering PIH. Some treatments commonly used on lighter skin may not be safe or effective for darker skin tones. For example:
That’s why our doctor-led team at Skin Renewal creates personalised protocols that prioritise safety while effectively targeting pigmentation.
Our multi-layered, combination approach ensures that each treatment plan is tailored to the patient’s skin type and severity of melasma. Options may include:
Long-term management of melasma in darker skin types requires ongoing home care and internal support. Our curated range of topical and oral products addresses multiple pathways of pigmentation:
For individuals with darker skin tones, prevention is just as important as treatment. Key strategies include:
At Skin Renewal, we recognise that melasma in darker skin requires more than a one-size-fits-all solution. Our doctor-led team takes a holistic approach, combining advanced in-clinic treatments, customised skincare, lifestyle interventions, and supplement support. With experience treating all skin types, we ensure that every treatment is not only practical but also safe, helping to restore confidence and radiance while protecting the integrity of your skin.
Skin Pigmentation Disorder | Description | Common Triggers | Affected Areas |
Freckles (Ephelides) | Small, flat brown spots that appear after repeated sun exposure, especially in people with fair skin. They tend to become darker in summer and fade in winter. In fair skins and particularly blonde/red haired individuals, some are born with a predisposition for developing freckles. | Sun exposure/Genetics | Common on face, shoulders, and arms |
Age Spots (Solar Lentigines) | Flat, tan, brown, or black spots with a distinct edge that occur due to sun exposure over many years. | Prolonged sun exposure | Common on sun-exposed areas like the face, hands, and arms |
Melasma | Larger patches of brown or greyish pigmentation, often on the face. It is more common in women and can be triggered by hormonal changes. Although rare, melasma can occur in men. | Hormonal changes (e.g., pregnancy, birth control pills) | Common on the face |
Post-inflammatory Hyperpigmentation | Darker spots or patches that occur after skin injury or inflammation from conditions like acne, eczema, or lupus. | Skin injury or inflammation | Can appear anywhere on the body |
Albinism | A genetic condition resulting in little or no pigment in the skin, hair, and eyes due to lack of melanin production. | Genetic mutation | Entire body |
Vitiligo | Patchy loss of skin pigmentation, resulting in irregular white patches on different areas of the body. It is an autoimmune disorder where melanocytes are destroyed. | Autoimmune disorder | Can appear on different areas of the body |
I am incredibly pleased to have walked through the doors of Skin Renewal Parkhurst after many years of merely passing it on the way to work. I have been given thoughtful advice on the treatment of the Melasma on my face, a condition that has bothered and upset me, and I find myself looking forward to each visit as the condition shows dramatic improvement. Marisa is a wonderful therapist, taking such pride in her work and is incredibly professional in administering the treatments I receive. I look forward to seeing the beaming faces at reception and appreciate the careful consideration Dr Semple gives when suggesting further treatment. Many thanks, as highly recommended.
MoreLizanne is die terapeut wat my gereeld behandel. Ek geniet dit baie om na hierdie kliniek te kom. Die dames is baie vriendlik en hulle voel al soos my vriendinne. Die diens is uitstekend en die behandeling is uiters professioneel en ek ontspan heerlik. Ek sal dit vir enige een aan beveel.
More