Facial pigmentation is one of the most common concerns among Indian patients visiting dermatology clinics.
Indian skin (Fitzpatrick types IV–V) is more prone to hyperpigmentation due to higher melanocyte activity and stronger inflammatory responses.
Even minor irritation, sun exposure, or hormonal fluctuations can trigger persistent dark patches.
Pigmentation is not a single disease — it is a manifestation of multiple underlying conditions. Correct diagnosis is essential for effective treatment.
Classification of Facial Pigmentation Disorders
- Epidermal Pigmentation – Brown in color and responds well to topical therapy.
- Dermal Pigmentation – Grayish or bluish hue with deeper melanin deposition.
- Mixed Pigmentation – Combination of epidermal and dermal components.
- Post-Inflammatory Hyperpigmentation – Occurs after acne, eczema, friction, or procedures.
Common Pigmentation Disorders in Indian Patients
Lichen Planus Pigmentosus (LPP)
Diffuse brown to slate-gray pigmentation commonly seen on face and neck.
Often chronic and requires anti-inflammatory management.
Melasma
Symmetrical brown patches on cheeks, forehead, and upper lip.
Triggered by hormones, sun exposure, pregnancy, or thyroid imbalance.
Riehl’s Melanosis (Pigmented Contact Dermatitis)
Diffuse gray-brown pigmentation due to chronic cosmetic or fragrance exposure.
Facial Frictional Melanosis
Pigmentation caused by repeated rubbing, scrubbing, or friction.
Freckles (Ephelides)
Small brown macules on sun-exposed areas that darken with sunlight.
Lentigines
Persistent brown spots associated with aging and sun damage.
Diagnostic Approach at Arshi Skin and Hair Clinics
- Detailed clinical examination
- Wood’s lamp assessment
- Dermoscopy evaluation
- Patch testing when required
Treatment Options at Arshi Skin and Hair Clinics
Medical Topical Therapy:
Hydroquinone (short-term), Kojic acid, Azelaic acid, Tranexamic acid, Retinoids, Niacinamide.
Oral Therapy:
Oral tranexamic acid (selected cases), antioxidants, Vitamin C.
Chemical Peels:
Glycolic, Salicylic, Lactic, and Mandelic peels tailored for Indian skin.
Laser Treatments:
Q-switched Nd:YAG laser, low-fluence laser toning, selective fractional treatments.
Microneedling with Tranexamic Acid:
Useful for resistant melasma.
Sun Protection Protocol:
SPF 50+ sunscreen with strict reapplication and physical sun barriers.
Personalized Pigmentation Programs
At Arshi Skin and Hair Clinics, treatment plans are customized based on diagnosis,
skin type, and pigmentation depth. Combination therapy and maintenance protocols
ensure gradual, safe, and long-lasting improvement.
Final Thoughts
Facial pigmentation in Indian skin is complex but manageable with accurate diagnosis and scientifically guided treatment. Avoid self-medication and random procedures.
With the right approach, even stubborn pigmentation can be significantly improved.
For expert evaluation and personalized treatment of facial pigmentation, contact Arshi Skin and Hair Clinics and book a consultation today.
