pigmentation for visibly brighter looking skin
Question 1: What kind of pigmentation do I have?

Below is a simplified diagram of the three types of pigmentation most commonly encountered. They can be roughly differentiated by top, mid, and deep skin layer, which guides treatment.

dermal anatomy with three layers

Question 2: How did I get them?
  •  Sunspots occur with sun exposure and age.
  •  PIH is caused by past treatments involving the unsupervised use of bleaching cream, inadequate UV protection after chemical peels and laser treatments, or simply acne scarring.
  • Melasma may occur due to genetics or a drastic change in hormonal levels such as during pregnancy, pre-menopause, or the use of hormonal contraceptives.


  • Before-Melasma
    Before Melasma After
  • Before-PIH
    Before PIH After
  • Before-Sunspots
    Before Sunspots After
  • Before-Acne pigmented scars
    After-Acne pigmented scars
    Before Acne pigmented scars After
  • Before-sunspot
    Before sunspot After
  • Before-melasma
    Before melasma After
  • Before-melasma
    Before melasma After
  • Before-melasma
    Before melasma After

Suppression Therapy

Sunlight greatly increases the formation of hyperpigmentation. In addition to avoiding sun exposure, “Suppression Therapy” – the daily use of cosmeceuticals that suppress the activation of melanocytes in sunlight – is highly effective in combating the symptoms of hyperpigmentation.

melanocyte biology


Factors that stimulate hyperpigmentation:
  • #1 cause: Sun!
  • Dryness and Inflammation
  • Pregnancy and hormonal contraceptives
  • Hormonal irregularities
  • Aging
  • Stress hormones triggered by lack of sleep
  • Fatigue
  • Smoke
  • An inflammatory diet such as fast food
  • Genetics
PerfectionsMed logo Hyperpigmentation suppression therapy topicals:
  • Clarity Moisturizer (Safe for long-term use)
  • Brightening pads ( 0% to 10%)
  • 4 in 1 Skin Lightening
  • Super Hydrator with Licorice
  • Post Spectra brightening gel
  • Vit C Pro Collagen Brightening Serum

Trinity Line, PMD product line, Super Hydrator, Clarity Moisturizer, UV Defense


If you suffer from hyperpigmentation, you may want to consider implementing an anti-inflammatory detox diet, getting good sleep, going for some daily exercise, and taking antioxidants supplements.  An IV infusion of Liver Detox,  Anti-Aging treatments, and Skin Lightening programs are also available at our professional medspa.   Learn more about IV detox here or call to book your appointment today.

Question 3: How can I tell Sunspots/Pigmentation apart from Melasma?
  • Sunspots are
    1. Discrete and have defined borders
    2. Darker in appearance since they more superficial
    3. Mostly circular in shape
    4. Can occur on any part of the face
  • Melasma are
    1. Bigger than sunspots, borders not well defined
    2. Lighter than sunspots because they are deeper
    3. Mostly patchy
    4. Mostly around cheek area(s) on both sides, although other parts of the face can be involved
Question 4: How can I get treatment?

At Skin Perfect Brothers, we’ve been treating pigmentation for the past 12 years. Our Spectra laser for Melasma utilizes a minimal heat source and does not involve any peeling of the skin. Unlike other laser or chemical peel methods, this laser penetrates deep into the dermal layer and shatters the patch of Melasma into small, absorbable particles through shockwave technology. These particles are then detoxed from the body through the lymphatic system.


What causes it?

It is unknown so far, but research has pointed to hormonal imbalance, stress, excessive heat, pregnancy, genetics, certain medications such as antidepressants and blood pressure medications, inappropriate and unsupervised use of bleaching creams, and ultimately the damaging effects of sun exposure, which can dramatically increase pigmentation. Two factors to watch for when receiving treatments for pigmentation are:
1. Heat
2. Peeling

How is it treated?

Chemical peels and lasers (Cosmelon, VI Peels, and Obagi Fraxel lasers, CO2 lasers, and other fractionated lasers) are all possible treatments.

Can people of all skin types and colors go for this treatment?

The Spectra Q Switch laser is a safe option for all skin types and colors. Pico Q Switch laser is not FDA approved for melasma; however, this option is a good alternative for Tattoo removal and surface pigmentation.

How long does this treatment take?

This procedure is so quick and easy that could be done over your lunch break! It only takes 30 minutes and you can return to work immediately after treatment.