BEAUTY

The Best Treatments For Face Pigmentation, According To A Dermatologist

Out, damned spot!
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While the warmer months are known to bring on an increase in pigmentation caused by the sun, facial discolouration is one of those pesky skin issues that can occur at any time in the year.

Fortunately for us, help is at hand, as cosmetic technology has become quite advanced in tackling stubborn dark spots and sun pigmentation and giving your skin back its healthy glow.

And to help you figure out the best treatment for your face pigmentation, we consulted leading Australian dermatologist Dr. Shyamalar Gunatheesan for everything there is to know, from the key causes to dermatologically tested products and ingredients (like high performance niacinamide) and everything in between.

What Is Pigmentation?

“Pigmentation, or hyperpigmentation, is the darkening of the skin in localised patches or sometimes this occurs in widespread areas in generalised hyperpigmentation,” Dr. Gunatheesan told marie claire.

“Hormonal fluctuations, sun exposure, inflammation, ageing and certain medications can result in an overproduction of melanin (pigment) from melanocytes (pigment producing cells).”

best treatments for sun pigmentation Georgia Fowler
(Credit: @georgiafowler)

What Are The Different Types Of Pigmentation?

As it turns out, not all dark spots are exactly the same. In fact, before you can treat your pigmentation and restore skin to its healthy glow, you have to know which kind of discolouration you’re dealing with.

Below, Dr. Gunatheesan’s breakdown of the different types of pigmentation:

Sun Pigmentation, Sunspots & Age Freckles

“Sunspots (solar lentigines) and age freckles (macular seborrheic keratoses) are types pigmentation that are caused by chronic sun exposure and ageing. They commonly occur on the back of hands and face,” she said.

Melasma

“Melasma is brownish discolouration and patches on the forehead, cheeks and moustache area (upper cutaneous lip). It’s the result of hormonal factors such as the oral contraceptive pill, pregnancy, genetics, and sun exposure,” she explained.

Post-Inflammatory Hyperpigmentation

“Post-inflammatory hyperpigmentation is more of a reactionary increase in pigmentation due to inflammation such as acne, or a superficial trauma (i.e. picking at pimples) or scratches,” she added.

Drug-Induced Pigmentation

“Certain medications such as antimalarials and some antibiotics can cause pigmentation,” she said.

Generalised or Widespread Pigmentation

“Generalised or widespread pigmentation can be due to dermatological conditions such as Lichen Planus or be due to underlying medical conditions such as Addison disease,” Dr. Gunatheesan told marie claire.

best treatments for sun pigmentation Mandy Madden Kelly
(Credit: @mandymadd)

Do Different Types Of Face Pigmentation Require Different Treatments?

The answer is yes—but there is also a general rule when it comes to dealing with most types of pigmentation.

“Yes, each specific diagnosis or cause will lead itself to different treatment options,” Dr. Gunatheesan explains.

“But the overarching principle is to use sun protection to prevent further exacerbation of the pigmentation.”

Other topical ingredients that can help eliminate hyperpigmentation are actives such as high performance niacinamide, hydroquinone, azelaic acid, kojic acid, thiamidol and arbutin.

“[These] have been shown to inhibit the activity of tyrosinase (the key enzyme involved in the production of melanin),” Dr. Gunatheesan added.

What Are The Best In-Clinic Treatments For Face Pigmentation?

Depending on your budget and the intensity of your pigmentation, there are a number of in-salon or in-clinic treatments available to tackle face pigmentation.

According to Dr. Gunatheesan, the best ones are as follows:

Prescription Topical and Oral Medications

This is one to speak to your doctor about, as there are a number of medicines that can help to reduce the appearance of facial discolouration and sun pigmentation, and are best curated specifically for you by a dermatologist.

“Recent studies of oral tranexamic acid has been shown to improve melasma significantly,” Dr. Gunatheesan added.

Chemical Peels

“Gentle chemical peels consisting of a combination of lactic acids, vitamin C and retinoids can really help with pigmentation,” Dr. Gunatheesan explains.

Low-level peels, often combined with light therapy, can help to gradually break down the pigment and even out the complexion.

Light and Laser Treatments

If you’re looking for a heavy-duty fix and are game to undertake multiple sessions, there are a variety of different light and laser treatments that can significantly reduce the look of pigmentation.

“Broad Band Light (BBL), HALO and Fraxel treatments are effective at clearing sun freckles whilst rejuvenating the skin,” Dr. Gunatheesan explained.

BBL, also known as a ‘photofacial’, is a subtle form of light therapy and considered one of the most popular types available. It uses a series of short, high-intensity light blasts to give the skin a younger, firmer and more refined tone.

HALO, however, targets damaged caused by the sun, pigmentation and scars by penetrating into the deep tissues of the skin through non-ablative wavelengths (which exfoliate the superficial layers of the skin) and ablative wavelengths (which penetrate the deep layers to promote collagen growth), and is considered ideal for intensive facial rejuvenation.

Fraxel, like HALO, is a laser treatment, but only uses non-ablative wavelengths. Your dermatologist or clinician will be able to determine which kind is best for your type of pigmentation.

One word of warning before going in for a laser treatment?

“The use of lasers should be used in great caution in melasma due to the possible worsening and rebound effect,” she emphasised.

best treatments for sun pigmentation Olive tervenski
(Credit: @olivecooke)

What Are The Best Products For Face Pigmentation?

Rejoice: there actually are good products that can help fade sun pigmentation from home. Below, Dr. Gunatheesan’s recommendations for skincare ingredients and pigmentation treatments to keep in your beauty bag for a healthy glow.

Brightening Super Serum

Olay Luminous Niacinamide Honey Peptide Super Serum

A brightening super serum is a sun pigmentation treatment with the power to change your skin for the better. Combining high performance niacinamide that penetrates five times more^ and premium honey extract rich in antioxidants for calming benefits, Olay Luminous Niacinamide Honey Peptide Super Serum is proven to visibly reduce pigmentation spots caused by the sun.

 The dermatologically tested, scientifically advanced formula helps attain bioavailability (so it’s better absorbed by the skin), and visibly improves skin radiance in one week*, with skin appearing visibly smoother and more even in two weeks*. After eight weeks of use†, 87 per cent of users showed reduction in visible pigmentation caused by the sun.

For an added step of sun pigmentation fighting power, follow with the Olay Luminous Niacinamide Honey Peptide Moisturiser.

 Brought to you by Olay.

Vitamin C

Sunday Riley C.E.O. Vitamin C Brightening Serum

Vitamin C is a potent antioxidant that augments sun protection when combined with a broad based sunscreen. Most importantly in hyperpigmentation, it inhibits over-production of melanin,” Dr. Gunatheesan explained.

Sunday Riley C.E.O. 15% Vitamin C Brightening Serum, 50mL, $203 at MECCA.

“Vitamin B3 is anti-inflammatory active that calms inflammation, increases skin immunity and reduces DNA damage,” she said.

Alpha-H Vitamin B 25ml, $69.95 at Adore Beauty

Vitamin A Complex (Retinoids)

Drunk Elephant A-Passioni™ Retinol Cream

“This is to be used at night to break up pigment clumps and recalibrate skin renewal,” Dr. Gunatheesan told marie claire.

Drunk Elephant A-Passioni™ Retinol Cream, 10ml, $47 at MECCA.

^ vs. regular serum

* Consumer study, 102 subjects, 8 weeks of use

† Based on dermatologists rating after 8 weeks in a consumer study, 2021

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