Pigmentation & Melasma
Uneven tone has many causes. Identifying the right one matters more than the strength of the treatment.
The concern
You may notice patches of darker skin, marks that linger after acne, spots that have appeared with sun exposure, or a complexion that looks uneven and dull despite good skincare.
What patients often describe
- Melasma
- Sun spots and sun damage
- Post-acne marks
- Uneven skin tone
- Dark patches
- Unwanted tattoos
Understanding
Pigmentation can come from sun exposure, hormonal influences, inflammation after acne or injury, or conditions such as melasma, which tends to be persistent and can worsen with the wrong treatment. Darker skin types in particular need a careful, measured approach, because aggressive treatment can itself trigger further pigmentation.
How we assess it
We identify the type and depth of the pigmentation, its likely triggers and your skin type, and look at what has and has not worked for you before. Melasma is assessed as a long-term condition to be managed, rather than a mark to be removed.
Your treatment approach
Plans usually combine medical skincare and sun protection with carefully selected in-clinic treatment, introduced gradually. The emphasis is on control and maintenance, and on avoiding the rebound that follows treatment too aggressive for the skin.
Possible treatments and technologies
Pigmentation has different causes and patterns. Our assessment determines what is driving it before treatment is selected.
The Dr Bhagat’s Signature
Treatment approaches
Technology that may be used
Selected by your doctor after assessment. It supports the plan; it is never the starting point.
Pigmentation is rarely just a surface problem. When I assess pigmentation, I first try to understand its pattern, depth, triggers, associated redness and the patient’s history of previous treatments. In selected patients, Sylfirm X can be considered as part of a broader pigmentation strategy, particularly when I want to address pigmentary change while also working on aspects of skin quality. It is not a universal treatment for melasma, and I do not use one protocol for every pigmentation patient. The diagnosis comes first. The technology follows.
Results and expectations
Pigmentation usually improves gradually over months. Some types, particularly melasma, are managed rather than cured, so maintenance is part of the plan from the start.
Considered care. Never a menu.
Begin with a consultation.
Every treatment at Dr Bhagat’s begins with an assessment. Your concerns, skin, facial structure and goals are considered before a personalised treatment plan is recommended.