Understanding Hyperpigmentation: Causes and Treatment Options

Hyperpigmentation is a common skin concern that affects people of all ages and skin types. It occurs when certain areas of the skin produce excess melanin—the pigment responsible for skin color—resulting in dark spots, patches, or uneven skin tone. While hyperpigmentation is usually harmless, it can affect self-confidence and may indicate underlying skin issues.


Common Causes of Hyperpigmentation

Sun Exposure: Ultraviolet (UV) rays stimulate melanin production, often causing sunspots or age spots.

Hormonal Changes: Conditions like melasma are triggered by hormonal fluctuations during pregnancy, birth control use, or menopause.

Post-Inflammatory Hyperpigmentation (PIH): Dark spots can appear after acne, eczema, or injuries heal.

Medications & Medical Conditions: Certain drugs, such as antibiotics or chemotherapy medications, can cause hyperpigmentation. Liver disease or endocrine disorders may also contribute.

Genetics: Some individuals are naturally more prone to pigmentation changes.


Treatment Options for Hyperpigmentation

At Dermatology Associates, Dr. Sonya Johnson offers a variety of options tailored to each patient’s skin type and condition:


Topical Treatments:


Prescription creams containing hydroquinone, retinoids, or corticosteroids can help lighten dark spots.

Over-the-counter options with vitamin C, kojic acid, or niacinamide may also improve tone gradually.


Chemical Peels:

Professional-grade peels help exfoliate the skin, reducing discoloration and promoting even skin tone.


Laser & Light-Based Therapies:

Treatments like IPL (Intense Pulsed Light) or fractional lasers target pigmented cells, improving spots while preserving surrounding skin.


Microdermabrasion & Microneedling:

These procedures help stimulate collagen production and encourage skin renewal, reducing the appearance of hyperpigmented areas.


Sun Protection:

Daily SPF is essential to prevent new pigmentation and maintain results from any treatment. Broad-spectrum sunscreen protects against UVA and UVB damage.


Prevention Tips

Apply sunscreen with at least SPF 30 daily, even on cloudy days.

Wear hats and protective clothing when outdoors.

Avoid picking at acne or skin injuries to prevent post-inflammatory hyperpigmentation.

Follow a consistent skincare routine with products suited for your skin type.


Hyperpigmentation can be managed effectively with the right combination of professional treatments and at-home care. A personalized approach ensures that results are safe, noticeable, and long-lasting.

Ready to restore your skin’s natural glow and even out your tone?

Schedule a consultation with Dr. Sonya Johnson at Dermatology Associates, PC. We have three convenient locations to serve you:

Indianapolis Office: 931 East 86th Street, Suite 104, Indianapolis, IN 46240 | (317) 961-1868


Batesville Office: 374 Northside Drive, Suite F, Batesville, IN 47006 | (317) 961-1868


Tipton Office: Medical Arts Building, 1060 South Main Street, Suite 1, Tipton, IN 46072 | (317) 961-1868


Email: contactus@dermassoc.net


Call, email, or visit any of our offices to start your journey toward clearer, brighter skin today!