Changes in skin colour and tone often develop gradually and for different reasons. At our clinic, pigmentation is assessed medically, led by Medical Director Dr Joney De Souza and supported by our expert medical team.
Pigmentation refers to areas of skin that appear darker than the surrounding tissue due to increased melanin production. It can present as patches, spots or more diffuse changes in tone. Pigmentation may be localised or widespread and can affect all skin types. The pattern and depth of pigmentation vary widely between individuals.
Skin boosters are injectable treatments used to improve the appearance of pigmentation by enhancing overall skin quality rather than directly targeting pigment. Pigmentation often appears more noticeable when skin is dehydrated, uneven, or slow to renew. By delivering hyaluronic acid into the skin, skin boosters improve hydration, support repair processes, and promote a brighter, more even-looking complexion, helping areas of pigmentation appear softer and less pronounced over time.
Pigmentation develops when melanin production becomes uneven or excessive in certain areas of the skin.
Contributing factors may include:
Sun exposure and UV damage
Hormonal influences
Inflammation or previous skin injury
Genetic predisposition
Age-related skin changes
Understanding the trigger and depth of pigmentation is essential before discussing treatment. Our favourite treatment for pigmentation are UltraClear and PicoSure which can also be used for tattoo removal.
At Dr Joney De Souza clinic in London. Our assessment focuses on the type, depth and distribution of pigmentation. Our medical team evaluates whether pigment changes are superficial, deeper within the skin, or mixed.
We also consider skin type, history of sun exposure and any previous treatments, allowing us to explain realistic expectations and appropriate management options. Our experienced team will be able to assess your pigmentation and make treatment suggestions based on your individual needs.
One of the most commonly discussed treatments for pigmentation is laser therapy. Lasers are designed to target excess pigment in the skin, breaking it down so it can be gradually cleared by the body. This can help improve uneven tone, sun damage and age-related pigmentation over time.
For Skin Tightening, we would recommend looking at treatments like Endolift.
Endolift is an advanced laser treatment we love at Dr Joney De Souza. Endolift is designed to tighten skin, improve definition and stimulate collagen production from beneath the skin. It is particularly suited to patients who are noticing early to moderate skin laxity and want a non surgical approach with minimal downtime.
Improvement depends on the type and depth of pigmentation. Options discussed at our clinic may include Picosure, UltraClear laser resurfacing, medical-grade skincare, polynucleotide treatments, skin boosters and Profhilo. The focus is on gradual improvement and long-term skin health.
No. While sun exposure is a major factor, pigmentation can also be influenced by hormones, inflammation and genetics.
Some forms of pigmentation can recur, particularly without ongoing sun protection and skin maintenance.
No. Melasma is a specific type of pigmentation with hormonal influence. Other forms of pigmentation behave differently.
It can become more noticeable over time due to cumulative sun exposure and slower skin renewal.
No. Many people choose not to treat pigmentation once they understand its cause and behaviour.
