Pigmentation issues can be too much pigment (hyperpigmentation), or absence of pigment (hypopigmentation). Common pigmentation concerns include melasma, photodamage, excess pigment associated with acne scarring, or increased pigmentation from trauma or burns (post inflammatory hyperpigmentation).
Treatment for pigmentation concerns is based upon cause for excess pigmentation, lifestyle and schedule, and skin type / color. When pigment is related to hormonal issues (melasma), many treatments may be required to resolve pigmentation issues. Treatment options include medium or deep chemical peels or laser resurfacing in combination with topical skin care preparations.