Hyperpigmentation

Rosacea is an often-misunderstood skin condition, even though it is common, especially among middle-aged women. The chronic condition causes skin discoloration. When it begins, people may mistake it for a healthy, rosy glow. However, as it progresses, it can become a less attractive feature. When it starts, rosacea is typically located in the center of the face on the nose, cheeks, and forehead. Later on, it can spread, and some extreme cases manifest on the neck, chest, ears, and scalp.
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While the redness in and of itself is not a serious health concern, the related symptoms can cause physical and emotional discomfort. Lasting redness and bumps, pimples, red eyes, stinging or burning sensations, and visible blood vessels just under the surface of the skin are some potential symptoms. Some people even develop a bulbous nose.
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As with sunburn, people with fair skin are more prone to display signs of rosacea. While both men and women can experience the condition, women are more likely to deal with it.

Lots of patients have asked, “What treatments reduce the appearance of hyperpigmentation?” No matter what type of hyperpigmentation you may have, Western Dermatology Consultants can help to address the problem with the latest lasers, products, and treatments. Count on our board-certified dermatologists to provide you with a range of treatment options, one of which should be ideal for you.
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While not a health concern, brown spots and similar forms of hyperpigmentation certainly affect your appearance, which can impact self-esteem and mood. Bleaching creams, microdermabrasion, chemical peels, and lasers may help fade these areas. Topical prescription medications, topical retinoids, and over-the-counter medications can also be beneficial.

When it comes to hyperpigmentation prevention, simple habits—done consistently—can make a significant difference. One of the most common questions patients ask is: How do you stop hyperpigmentation from forming? The answer starts with sun protection and a targeted skincare regimen. Wear a broad-spectrum SPF of 30 or higher every day, even when it’s cloudy. Choose formulas with zinc oxide as the main active ingredient. Limit sun exposure during peak hours (10 a.m. to 2 p.m.), wear a wide-brimmed hat, and consider clothing with built-in sun protection.
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A thoughtful skincare routine also plays a key role. Incorporating antioxidants like vitamin C helps prevent sun-related damage and brightens the skin over time. Patients also frequently ask: What skincare ingredients treat hyperpigmentation? Effective options include niacinamide, kojic acid, licorice root extract, and retinoids—all known for reducing discoloration and evening out skin tone.
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Lastly, avoid picking or scratching blemishes, as this can lead to inflammation and worsen pigmentation.
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At Western Dermatology Consultants in Albuquerque, we offer expert guidance and advanced treatment options to help manage and prevent hyperpigmentation. Contact our team today to schedule your personalized consultation.

Melasma, sunspots, and post-inflammatory hyperpigmentation (PIH) are all types of hyperpigmentation, but they differ significantly in causes, appearance, and behavior. Melasma is typically triggered by hormonal changes—such as pregnancy or birth control use—and often worsens with sun exposure. It presents as symmetrical, blotchy patches, commonly on the cheeks, forehead, upper lip, and chin. Unlike other forms of pigmentation, melasma is notoriously resistant to treatment and tends to recur without diligent sun protection and long-term skincare maintenance.

Sunspots, also known as solar lentigines or age spots, are caused by cumulative UV damage over time. They appear as flat, well-defined brown spots, often on sun-exposed areas like the face, hands, chest, and shoulders. These spots are more common in older adults and are generally easier to treat than melasma. Post-inflammatory hyperpigmentation, on the other hand, occurs after skin trauma or inflammation—such as acne, eczema, or a cosmetic procedure. PIH shows up as flat discoloration in the affected area and is more prevalent in individuals with medium to dark skin tones. While PIH can fade over time with proper care, treatment approaches differ based on the underlying cause, depth of pigment, and individual skin type.

Yes, post-inflammatory hyperpigmentation (PIH) from acne often fades on its own, though it can take several months. Daily sun protection and a consistent skincare routine with ingredients like vitamin C or retinoids can speed up the process. For more persistent discoloration, professional treatments such as peels or microneedling may be recommended.

In many cases, yes—hyperpigmentation can fade naturally over time, especially if it’s caused by temporary factors like inflammation or sun exposure. However, the process is slow and depends on the depth of the pigment and your skin type. Without treatment, some spots may take months or even years to fade completely.
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Using daily sun protection and avoiding skin trauma can help prevent further darkening. For faster or more complete results, skincare ingredients like retinoids, vitamin C, or professional dermatological treatments may be needed to visibly reduce discoloration.