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What Causes Pigmentation? Answered by pigmentation treatment practitioners at Contour Clinics

What is Pigmentation?

Pigmentation is a common condition for all skin tones, where patches of skin become darker than the surrounding skin. This occurs due to overstimulation of pigment-producing cells (melanocytes) to produce brown pigment deposits (melanin) in the skin.

It can affect people of any ethnicity or skin colour, but the appearance can differ between skin tones and pigmentation types.

What Causes Pigmentation?

Skin pigmentation occurs when your skin produces increased amounts of melanin – the pigment responsible for your skin’s colour.

Several factors can trigger or worsen pigmentation, including:

  • Sun exposure: Prolonged or intense UV radiation from the sun can stimulate excess melanin production, leading to sunspots, freckles, and uneven skin tone.
  • Hormonal changes: Conditions like melasma often result from hormonal fluctuations during pregnancy, contraception use, menopause, or certain medical conditions.
  • Skin inflammation or injury: Post-inflammatory hyperpigmentation commonly follows acne, skin injuries, or inflammatory skin conditions, leaving behind darker patches as the skin heals.
  • Ageing: Cumulative sun exposure and natural skin changes can lead to age spots (also called solar lentigines), typically found on the hands, face, and chest.
  • Genetics: Your genetic makeup influences how easily pigmentation develops, making some people more prone to freckles, melasma, or uneven skin tone.
  • Certain medications: Some medications, including hormonal treatments or antibiotics, can increase the skin’s sensitivity to sunlight, triggering pigmentation.
  • Skin types: Certain skin tones can be more or less sensitive to different types of pigmentation. The Fitzpatrick skin types classify tones from one (incredibly fair skin that always burns in the sun), to type six (darker skin tones that never burn and are already pigmented); knowing your skin type can help you determine your sensitivity to developing pigmentation conditions.
What is pigmentation? Explained by cosmetic practitioners at Contour Clinics in Sydney & Brisbane

What are the Common Types of Pigmentation?

Understanding the type of pigmentation you have is essential when considering effective treatment options. Here, we provide a convenient list of the more common pigmentation concerns Australians live with below:

Sunspots (Solar Lentigines)

Flat, dark patches that are commonly seen on sun-exposed areas like the face, ears, chest, and hands. This sun exposure effect is caused by long-term exposure to UV radiation, making the skin also feel dry, scaly and irritable without proper care.

Sunspots often become more noticeable with age, especially when you don’t avoid sun exposure. It’s recommended to apply broad-spectrum sunscreen daily to prevent sunspots.

Melasma

A common form of pigmentation characterised by symmetrical, brown to grey-brown, blotchy patches across the face. Melasma typically appears on the cheeks, forehead, nose, chin, or upper lip. However, some may develop melasma along the neck and forearms. All types can have their appearance further developed with excessive time in the sun.

Melasma may be triggered by hormonal changes such as pregnancy, contraceptive use, or hormone therapies. This is because the pigment-producing cells begin to produce too much melanin, creating the notable darker skin patches.

Freckles (Ephelides)

Small brown spots that lie flat to the skin, commonly seen in areas regularly exposed to sunlight. This can be the face, shoulders or arms.

Freckles are often hereditary, developing during childhood and darkening over time with regular exposure to the sun. They may eventually fade if you apply SPF regularly and avoid sun exposure.

Post-Inflammatory Hyperpigmentation (PIH)

Darkened patches or spots that develop after skin inflammation, injury, burns, acne, or certain medical procedures. The trauma to the skin during these conditions produces excess melanin that darkens the skin in irregular patches.

PIH may occur in any skin type, but it’s often more prevalent in darker skin tones.

Age Spots

Similar to sunspots, age spots appear due to cumulative sun damage over the years, most often seen in individuals over 40. They are a generalised term that can be applied to sunspots, liver spots, and larger freckles caused by the sun.

At Contour Clinics, our cosmetic practitioners conduct detailed skin assessments to identify your specific pigmentation concerns. By identifying potential causes, this assessment may allow us to recommend the most suitable treatment methods for achieving clearer, more even-toned skin.

It is important to have regular skin checks with your GP or dermatologist, especially if you notice any new, changing, or unusual pigmented areas. In rare cases, pigmentation spots may resemble skin cancers, making an accurate diagnosis essential before undergoing cosmetic treatments.

We recommend scheduling a yearly skin check with your GP to maintain skin health and ensure peace of mind.

Melasma and Pigmentation Removal Laser Treatment Options

Understanding Your Options: Melasma and Pigmentation Removal Treatments

At Contour Clinics, we offer a comprehensive range of advanced treatments tailored to your specific pigmentation concerns. Our cosmetic practitioners will recommend the most suitable approach for you, which may include:

Laser Pigmentation Removal Methods

We offer a wide variety of laser treatments, many of which can be used to address your concerns around pigmentation. Your practitioner will chat over which laser pigment removal method may work best for you from our options:

  • Q-Switch Laser: Suitable for targeting deeper pigmentation conditions, such as freckles, age spots, and stubborn pigment patches. The laser does this by breaking down melanin in targeted areas of the skin.
  • CO2 Laser: Working as a type of deep skin resurfacing, this treatment is often used for issues of uneven tone, texture irregularities, and advanced sun damage.
  • Erbium Laser: A gentle yet powerful laser resurfacing method that may be used for superficial pigmentation, fine lines, and sun-related discolouration.
  • Long Pulse Nd:YAG: Targets deeper vascular pigment conditions and redness, which may help treat unwanted pigmentation alongside facial redness or flushing.
  • Intense Pulsed Light (IPL): Addresses superficial pigmentation, such as sunspots and general skin discolouration, aiming to improve skin clarity and overall tone.

Note: IPL should never be used on true melasma. IPL works by delivering light energy into the skin, which is converted to heat. This heat stimulates already overactive melanocytes to produce more unwanted pigment.

How do chemical peels work for pigmentation?

Chemical Peels

Chemical Peels resurface the top layers of the skin in targeted areas, generally applicable to the face. This may be used as a type of pigmentation removal, with specific peels providing varying levels of resurfacing effects.

Your cosmetic doctor may recommend one of the following chemical peels once they have completed the initial consultation appointment:

  • Cosmelan Peel: May be used to address challenging melasma, hormonal pigmentation, and stubborn sunspots by gently exfoliating the skin.
  • Dermamelan Peel: A stronger chemical formulation designed for severe or resistant pigmentation cases, aiming to brighten skin while also improving tone and texture.
  • Pigment Correcting Peels (Mild): Lighter chemical peels designed to treat mild pigmentation concerns, uneven skin tone, and maintenance of pigmentation treatments. Aims to leave skin refreshed and more even-toned.

At-Home Methods

Utilising a cosmetic clinic’s services is one of the more reliable means of treating cases of unwanted pigmentation across the face and body. However, there are some methods and daily habits that may be used at home to support the results of your treatment process. They may also be used to deter further pigmentation development.

It’s important to note that results aren’t guaranteed for the following methods, and it’s always best to discuss your pigmentation concerns with a doctor for reliable treatment:

  • Avoid direct sun exposure
  • Regularly apply sunscreen with SPF 50+
  • Use wide-brimmed hats and clothes with full coverage when outdoors
  • Integrate skincare cremes that include ingredients like azelaic, kojic or ascorbic acid, as well as 4-NButylresorcinol and or green tea extract, into your daily routine. We recommend The Antixodiant Crème and The Brightening Crème by Ilumaé
  • Apply aloe vera to pigmented areas overnight

At Contour Clinics, we have a range of pigment-inhibiting, skin-lightening and vitamin-infused creams your treating practitioner may recommend. The exact type recommended will depend on your unique skin condition and aesthetic goals.

Before
After
Before
After
Before
After

Before and After Melasma & Pigmentation Removal Treatment

Before and one month after one session of IPL and LED Light Therapy.

Before and After

Before and three months after one treatment with The Cosmelan Peel.

Before and After

Before and three months after one Cosmelan Peel treatment.

Before and After

Before and one month after one session of IPL to the full face and neck.

Before and After

Before and two months after three sessions of IPL to the décolletage and neck.

Before and After

Before and four months after one treatment of IPL therapy to the full face.

Before and After

Before and one month after three sessions of IPL to the arm.

*Disclaimer: Results may vary from patient to patient.

How much does Pigmentation Removal Cost in Sydney and Brisbane?

The cost of pigmentation removal in Sydney and Brisbane can vary depending on the area being treated and the specific pigmentation concerns being addressed. At Contour Clinics, we provide clear, upfront pricing with no hidden costs, including complimentary consultations with our cosmetic clinicians to discuss your skin concerns and treatment goals.

Treatment pricing typically starts from $345 per session, with the exact cost depending on whether you’re targeting a specific spot, full face, neck, décolletage, or other body areas. Our pricing structure ensures transparency, so you can make informed decisions about your treatment plan.

Prices are per session:

All consultations with our cosmetic practitioners are free of charge.

Variable depending on the size of area and number of treatments required for optimal results.

Book a consultation for an assessment, with a personalised treatment plan and quote for treatment.

The Contour Clinics Guarantee

At Contour Clinics, we’re committed to providing safe, ethical, and personalised cosmetic care. Our experienced doctors focus on delivering balanced, realistic consultations tailored specifically to your needs.

Book your complimentary consultation today to discuss suitability, cosmetic options and experience the patient-focused care that sets Contour Clinics apart. Individual results can vary, and your practitioner will guide you through what could be achievable for you.

  • Complimentary, obligation-free consultations with experienced doctors
  • Strict safety and hygiene protocols aligned with industry-leading standards
  • Advanced 3D photography to aid in a collaborative, comprehensive facial analysis
  • Products and technologies selected based on quality, safety, and efficacy
  • Medical-grade clinical environments thoughtfully designed for patient comfort and convenience

Frequently Asked Questions

What is melasma?

Melasma is a patchy pigmentation present on both sides of the face in characteristic areas such as around the lips, under the eyes and on the forehead. It is also known as hormonal pigmentation due to the strong association with worsening during pregnancy or the oral contraceptive pill.

 

How is melasma treated?

Melasma is best treated with a combination of therapies. The first step is to turn off your overactive pigment producing cells (melanocytes) by using a pigment inhibiting cream for two weeks prior to any treatment. Once completed, treatment can then start which includes:

  • Avoid direct sun exposure, sunscreen with SPF 50+, wide brimmed hats
  • Gentle peels can then be used, which can include: AHA, lactic acid or very mild TCA peels.
  • Prescription lightening agents
  • Lasers. Options vary based on individual skin assessment. Your Contour Clinics practitioner can guide you on the laser that is right for you.

IPL should never be used on true melasma. IPL works by delivering light energy into the skin, which is converted to heat. This heat stimulates already overactive melanocytes to produce more pigment.

What causes pigmentation and age spots?

Common causes of pigmentation and age spots include:

  • Photoageing (skin ageing due to prolonged sun exposure)

  • Sun exposure

  • Freckles

It is important to have regular skin checks with your GP or dermatologist, especially if you notice any new, changing, or unusual pigmented areas. In rare cases, pigmentation spots may resemble skin cancers, making accurate diagnosis essential before undergoing cosmetic treatments. We recommend scheduling a yearly skin check with your GP to maintain skin health and ensure peace of mind.

What are the best treatments for treatment of brown pigmentation or age spots?

Treatments for these types of pigmentation start with a comprehensive assessment of your pigmentation to ensure safety for cosmetic removal and the treatment modality best suited to your specific needs.

Mild forms of pigmentation in all skin types typically respond well to mild chemical peels, gentle lasers such as the q-switch laser, and individualised cosmeceutical pigment reduction creams like The Brightening Crème.

Longer standing pigmentation responds best to lasers or the Cosmelan peel. We break skin pigmentation treatment into two categories:

  1. Darker skin types Fitzpatrick 3 and above
    1. Q-switch laser. This should be done in combination with a SPF50+ sunscreen and daily pigment inhibiting crèmes to maintain your results.
  2. Lighter skin types Fitzpatrick 1-2
    1. These skin types may be most suited to IPL. Most patients need 1-3 sessions in total for 80-90% clearance. This should be done in combination with a SPF50+ sunscreen and daily pigment inhibiting crèmes to maintain your results.

For those with treatment resistant pigmentation and melasma, your Contour Clinics practitioner may recommend The Cosmelan Peel.

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