Brown Spots and Pigment

Brown spots and pigmentation irregularities are common skin concerns that can affect individuals of all ages and skin types. These discolorations can be caused by various factors, including sun exposure, hormonal changes, aging, and certain medical conditions. At Q, we specialize in the diagnosis and treatment of brown spots and pigmentation issues. Let's explore what they are, their types, and the available treatment options.

What Are Brown Spots and Pigmentation?

Brown spots, also known as hyperpigmentation, occur when the skin produces an excess amount of melanin, the pigment responsible for giving color to the skin, hair, and eyes. The increased melanin production can result in localized areas of darker pigmentation on the skin's surface.

Types of Brown Spots and Pigmentation

  • Sunspots or Solar Lentigines: Sunspots, commonly referred to as "age spots" or "liver spots," are dark, flat spots that develop on sun-exposed areas, such as the face, hands, arms, and shoulders. Prolonged sun exposure over the years can trigger their formation.

  • Melasma: Melasma is a common pigmentation condition characterized by brown or grayish patches on the face, particularly on the cheeks, forehead, upper lip, and chin. It is often associated with hormonal changes, such as pregnancy or oral contraceptive use, and sun exposure can worsen the condition.

  • Post-Inflammatory Hyperpigmentation: Post-inflammatory hyperpigmentation occurs as a result of inflammation or injury to the skin, such as acne, burns, cuts, or other trauma. The affected area may darken temporarily or persistently after the initial injury or inflammation has healed.

Treatment Options

  • Topical Treatments: Various topical treatments can help reduce the appearance of brown spots and pigmentation. These may include creams containing ingredients like hydroquinone, tranexamic acid, retinoids, azelaic acid, kojic acid, or vitamin C. These treatments work by inhibiting melanin production, promoting skin cell turnover, and lightening the affected areas.

  • Chemical Peels: Chemical peels involve applying a chemical solution to the skin to exfoliate the outer layers and promote the growth of new, healthier skin cells. This helps improve the appearance of brown spots and pigmentation irregularities by removing the damaged skin layers.

  • Laser Therapy: Laser treatments, especially Pico laser, can effectively target and lighten brown spots and pigmentation. These treatments work by selectively heating and destroying the excess melanin, leading to a more even skin tone.

  • Microneedling: Microneedling treatments involve creating tiny punctures in the skin to stimulate collagen production and enhance the absorption of topical treatments. This can help improve the appearance of brown spots and pigmentation over time.

  • Sun Protection: To prevent further pigmentation issues and protect your skin, it is crucial to use broad-spectrum sunscreen with a high SPF daily, wear protective clothing, and seek shade during peak sun hours.


It's important to note that the choice of treatment depends on the specific type and severity of the pigmentation concern, as well as individual factors. Our dermatology team will evaluate your unique situation and recommend the most appropriate treatment plan. Ask your doctor to send us a referral to get the process started!