Hyperpigmentation is an excess of pigment in the skin. The most important pigments are melanin and iron. Melanin is located in the bottom layer of the epidermis. Under normal conditions, the number of pigment cells and the production of melanin increase under the influence of UV radiation and protects damage to the skin cells. Too much UV radiation (lentigo solaris or age spots), hormonal influence (melasma or chloasma) or skin irritation (scars, acne, wounds) may disrupt the process of pigments accumulating under the skin.

Treatment options

Hyperpigmentation is best treated when it is in the epidermis.
Creams based on Hydrochinone, vitamin C, phytic acid, regulate pigment production and can lighten skin marks. If creams do not work the dermatologist can switch to a local treatment, chemical peelings or laser therapy.

Results after laser therapy on hyperpigmentation


Avoid long exposure to UV light, always use a sunblock (SPF 50) if hyperpigmentation has already occurred.


  • Mediclinic offers chemical peelings specifically aimed at reducing pigmentation. The treatment consists of two phases: first, a glycolic acid or TCA peeling is applied which may tingle slightly. This phase aids the skin barrier for the second phase. The second phase consists of a spot peeling which reacts on the pigment. After the treatment, the skin should be well hydrated every morning, and be protected by a high factor cream. In the evening, for a month after the treatment, a bleaching cream should be applied on the pigment spots to prolong the effect of the peeling.
  • Another solution is fractional laser treatment (erbium) for melasma (pregnancy mask), and IPL laser (for age spots) by which the pigment is selectively heated. A small crust might eventually form and the pigment is then eliminated from the body and gets lighter or disappears. Depending on the depth, one or more treatments may be required.

Cost Price

Laser treatment against hyperpigmentation - full face 250€
Laser treatment against hyperpigmentation - decollete 300€
Laser treatment against hyperpigmentation - full face + decollete 500€
Laser treatment against hyperpigmentation - hands 150€
Spot peel (chemical peeling against hyperpigmentation) 150€

Partners Mediclinic