Hyperpigmentation can appear on the skin as tan colored, dark brown or gray patches that are due to increased production of melanin. 

They are common on the face, neck, decolletage, back of hands, arms and on the back.  Sun exposure, trauma, hormonal changes such as with pregnancy or the oral contraceptive pill, some medications, and some medical conditions can contribute to pigmentation. 

Examples of Hyperpigmentation can include freckles, age spots, sun spots, post-inflammatory hyperpigmentation (as with acne scars) and melasma. Melasma, also known as chloasma or the mask of pregnancy, is related to hormonal changes and has a genetic link also as is more common in Mediterranean and Asian cultures.  It can wax and wane and tends to be made worse with sun exposure and heat. 

With all types of hyperpigmentation we recommend medical grade skin care and daily use of sunscreen and avoidance of sun exposure.  The treatments beyond this will be dependant on the type of pigmentation that you have. 

The doctor will discuss what is appropriate for your individual concerns.   

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Papillon Skin Clinic