Pigmentation & Sun Damage
The ultraviolet light emitted by the sun has the ability to cause extensive sun damage to our skin, ranging from simple freckles to redness, loose skin and, more seriously, skin cancer. Brown spots on the skin occur because the ultraviolet light causes melanin production in the epidermis. Melanin is the pigment that helps protect our skin from the harmful effects of the sun. But we get older, it’s more difficult for our skin to recover from sun damage, resulting in permanent freckling, brown spots (melanin deposits) and other irregularities.
About Pigmentation & Sun Damage
There are two forms of ultraviolet (UV) light we need to be concerned about: UVA and UVB. UVA is responsible for prematurely aging the skin. It penetrates deep into the dermis and causes damage to collagen, a main structural component of the skin which keeps it plump and firm. The collagen breakdown results in wrinkles, droopiness and folds. UVA also has the potential to damage DNA, which can lead to skin cancer.
UVB is responsible for superficial skin damage such as brown spots and sunburn. UVB exposure can lead to the epidermis becoming thickened, resulting in “leathery skin” and other changes to the skin tone & texture.
The right treatment depends on the type, depth, and cause of the pigmentation. What works for surface-level sun spots may not be the most effective approach for deep melasma, which is why an accurate assessment before treatment matters.
Frequently Asked Questions
Yes, in most cases significantly so. Uneven tone caused by cumulative sun exposure, post-inflammatory marks, or mild melasma responds well to the right combination of clinical treatments and a consistent skincare routine. The degree of improvement depends on the type and depth of pigmentation, but most patients see a meaningful difference over a course of treatments.
Yes, though the treatment approach needs to be carefully matched to your skin tone. Certain treatments carry a higher risk of post-inflammatory hyperpigmentation on medium to darker skin tones, particularly if settings are too aggressive or if the skin is not properly prepared. We assess each patient individually and select treatments and protocols that are both effective and appropriate for your specific skin tone.
It can, depending on the cause. Pigmentation driven by ultraviolet (UV) exposure will return without consistent sun protection. Melasma is particularly prone to recurrence because its hormonal drivers remain active. Post-inflammatory hyperpigmentation is less likely to recur once the underlying breakouts or irritation are managed. We will discuss a maintenance strategy at your consultation to help sustain your results long-term.
Most clinical pigmentation treatments are not recommended during pregnancy. Hormonal changes during pregnancy also make certain types of pigmentation, particularly melasma, more active and harder to treat effectively. We recommend waiting until after pregnancy and any breastfeeding period before beginning a treatment course.
