Hyperpigmentation can show up in skin as age spots, sun spots, liver spots or darkened skin caused by acne scarring. Pigmentation in the skin is determined at the cellular level. Melanocytes are the cells that make melanin, or pigment in the skin. All people have the same total number of melanocytes. The role of melanin in the skin is to filter out dangerous ultraviolet radiation from sunlight and protect the uppermost skin cells from damage. Melanin also appears as skin is healing from inflammation from blemishes, burns or bruises.
Treatments for acne and anti-aging can be addressed through prescription or over-the-counter retinoids (Vitamin A products), benzoyl peroxide, salicylic acid (0.5 to 2.0% concentration), and glycolic acid (10% to 20% concentration). It is important to use lower concentrations of these ingredients initially. Excessive drying or irritation can create pigmentation problems. Also, treat acne early and ongoing to reduce the inflammation response by the melanocytes which cause acne scarring.
When clients are concerned with darker pigmentation, we recommend looking for hydroquinone (2% concentration over-the-counter), mequinol, azelaic acid, kojic acid, arbutin, soy, vitamin C, licorice extract and niacinamide. If the hyperpigmentation is severe, a physician can prescribe a 6 to 10% concentration of hydroquinone. These ingredients are most effective and reliable when packaged in tubes or pumps since exposure to air can oxidize them.
Moisturizers are an extremely important component for people with darker skin color who struggle with pigmentation issues. Patients with darker skin types often develop a gray appearance to their skin when it is dry. In fact, some studies suggest that transepidermal water loss is greater in black patients. In more severe cases, moisturizers with ingredients such as lactic acid or salicylic acid are most effective.
Now that we have highlighted ingredients that work well with hyperpigmentation conditions, check out these popular home care products: