Overview
Pigmentation, or hyperpigmentation, occurs when the skin produces excess melanin, the pigment responsible for skin colour.
It is an umbrella term that includes a range of conditions, such as sun damage, post-inflammatory pigmentation (for example after acne) and melasma.
These different types can vary in appearance, depth and behaviour. Some may be more superficial and fade over time, while others can be more persistent or influenced by ongoing triggers such as UV exposure or hormones.
Because of this variation, pigmentation requires a more tailored approach rather than a single treatment solution.
How we approach pigmentation
At Mirabel, pigmentation is approached by first identifying the type of pigmentation present and what is driving it.
The aim is to:
• Reduce excess pigment production within the skin
• Improve overall skin tone and clarity
• Address underlying triggers where possible
• Avoid irritation or inflammation that may worsen pigmentation
Treatment is carefully selected based on the type, depth and behaviour of the pigmentation, often combining in-clinic treatments with targeted skincare.
A considered approach allows for gradual, controlled improvement while maintaining skin health and balance.
Find Out More
What you may notice
Pigmentation can present in a number of ways, depending on the cause:
• Small dark spots or freckles
• Larger patches of uneven tone
• Areas of discolouration following acne or skin irritation
• Pigmentation that becomes more noticeable after sun exposure
• Uneven or blotchy skin tone
The colour may vary from light brown to darker brown or grey depending on skin type and depth.
Types of pigmentation
Pigmentation is not a single condition, and understanding the type is key to treating it effectively:
• Sun damage (sun spots / age spots) – caused by UV exposure over time
• Post-inflammatory hyperpigmentation (PIH) – occurs after acne, irritation or injury to the skin
• Melasma – hormonally influenced pigmentation, often symmetrical on the face
• Freckles – genetically influenced pigmentation that may darken with sun exposure
Each type behaves differently and responds to different approaches.
What is happening in the skin
Pigmentation develops when melanocytes (pigment-producing cells) become overactive and produce excess melanin.
This can be triggered by:
• UV exposure, which stimulates melanin production as a protective response
• Inflammation or injury to the skin
• Hormonal influences
• Environmental and lifestyle factors
In some cases, pigment sits closer to the surface and may respond more easily to treatment. In others, it may be deeper within the skin, making it more persistent and slower to improve.
What can influence pigmentation
Several factors influence how pigmentation develops and behaves:
• Sun exposure, one of the most significant contributors
• Hormonal changes
• Skin inflammation or trauma (including acne or over-treatment)
• Genetics and skin type
• Certain medications or sensitivities
Without careful management, pigmentation can recur or become more pronounced over time.
When to seek advice
If pigmentation is persistent, changing or difficult to manage, a more tailored approach can help to clarify both the type and the most appropriate way to treat it.
Seeking advice can help to:
• Identify the specific type of pigmentation present
• Avoid treatments that may worsen certain types (particularly melasma)
• Create a targeted and effective treatment plan
• Improve overall skin tone in a controlled and sustainable way