Pigmentation and discolouration are among the most common and complex skin concerns we treat at Skin Renewal. From sun-induced age spots to hormonally driven melasma and post-inflammatory hyperpigmentation (PIH), uneven skin tone can develop for many reasons and often involves multiple underlying triggers.
Because pigmentation is rarely superficial, successful treatment requires more than a single product or procedure. A thorough medical assessment, advanced combination treatments, targeted skincare and long-term sun protection are essential to achieving clearer, more even-toned skin.
What Causes Pigmentation and Discolouration?
Skin pigmentation occurs when melanocytes produce excess melanin in response to internal or external triggers. Common causes include:
- Chronic sun and UV exposure
- Hormonal fluctuations
- Inflammation or skin trauma
- Ageing and cumulative photodamage
- Genetics and skin type
- Lifestyle and environmental factors
- Certain medications can trigger pigmentation
Understanding the mechanisms underlying pigmentation is critical for selecting the appropriate treatment strategy and preventing recurrence.
Why Pigmentation Can Be Difficult to Treat
Pigmentation is not always limited to the skin's surface. In conditions such as melasma, pigment can sit deeper within the dermis and be influenced by inflammation, vascular changes and internal health factors.
Without addressing these underlying drivers, pigmentation may fade temporarily but often returns.
These deeper insights help explain why a tailored medical approach is essential for long-term improvement.
The Role of Sun Exposure in Pigmentation
Sun exposure remains one of the most significant contributors to pigmentation and discolouration. UVA, UVB and visible light all stimulate melanin production and worsen existing pigment.
This is particularly relevant in South Africa, where UV intensity is higher year-round.
Daily broad-spectrum sun protection is non-negotiable when treating pigmentation.
Types of Pigmentation We Treat
Pigmentation presents differently from person to person. Below is an overview of the most common types of pigmentation and discolouration treated at Skin Renewal.
Age Spots / Sun Spots
Age spots, also known as sun spots or solar lentigines, are flat, brown or dark patches caused by cumulative sun exposure. They commonly appear on the face, hands, chest and shoulders and are a visible sign of photo-ageing.
Hormonal Pigmentation / Melasma
Melasma (hormonal pigmentation), or melasma in dark skin, is a chronic form of pigmentation influenced by hormones, genetics, and sun exposure. It typically appears as symmetrical patches on the cheeks, forehead, upper lip or jawline. It is known to recur if not appropriately managed.
Post-Inflammatory Hyperpigmentation (PIH)
PIH develops after inflammation or injury to the skin, such as acne, eczema, insect bites or aesthetic procedures. It is particularly common in darker skin types. It presents as dark marks that linger long after the original injury has healed.
Poikiloderma of Civatte
Poikiloderma of Civatte is a sun-related condition affecting the neck and chest, characterised by a combination of redness, pigmentation and skin thinning. It is often linked to chronic UV exposure and hormonal factors.
Discolouration
Discolouration refers to a generalised uneven skin tone that may not fit neatly into a single diagnosis. It often develops due to a combination of sun damage, inflammation, ageing and lifestyle factors.
How Skin Renewal Treats Pigmentation Differently
At Skin Renewal, pigmentation is treated as a medical skin condition rather than a cosmetic concern. Our doctor-led philosophy focuses on:
- Accurate diagnosis of pigment type and depth.
- Combination treatment protocols for optimal results.
- Advanced energy-based devices and medical-grade skincare.
- Addressing hormonal, inflammatory and lifestyle contributors.
- Long-term maintenance and prevention strategies.
This multi-layered approach allows us to treat pigmentation safely across all skin types while minimising the risk of rebound pigmentation.
Book a Pigmentation Assessment
If you are experiencing uneven skin tone, dark marks, or recurrent pigmentation, a professional assessment is the first step toward effective treatment.
Our experienced doctors will create a personalised plan designed to treat the root cause of your pigmentation and restore a clearer, more radiant complexion.
