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Dr. Nil YazıcıAesthetic Physician · Istanbul

Treatment options for pigmentation and dark spots

Sun spots, melasma and dark marks left by acne can look similar, but they call for different approaches. Which options may be considered depends on the type of pigmentation.

Pigmentation spots form where the skin produces more melanin in a particular area; the most common types are sun spots, melasma and dark marks after acne. In suitable patients, a plan combining chemical peels, pigmentation-focused mesotherapy and home care may be considered — and in every case, consistent sun protection is the foundation of the result. In Istanbul, Dr. Nil Yazıcı assesses the type of pigmentation at your examination and sets the plan accordingly.

What can contribute to it?

Sun and visible light
UV rays and visible light can increase pigment production, causing new spots and darkening existing ones.
Hormonal influences
Pregnancy, hormonal medication and certain hormonal changes can play a part, particularly in melasma.
Skin inflammation
Dark marks can remain after inflammation from acne, irritation or incorrectly performed procedures.
Skin type and genetics
The tendency to develop pigmentation can be greater in darker skin types and where it runs in the family.

When a medical evaluation matters

Any dark mark that is new, or that changes in shape, colour or size, bleeds or itches, must be examined by a dermatologist before any pigmentation treatment. Seeing a dermatologist or gynaecologist can also be helpful for diagnosing melasma and assessing hormonal factors.

Frequently asked questions

What is the difference between melasma and sun spots?

Sun spots are usually individual spots with clear edges. Melasma is a chronic condition that usually spreads symmetrically across the cheeks, forehead and upper lip; it is linked to hormonal influences and has a strong tendency to return.

Will pigmentation disappear completely?

Sun spots and post-acne marks can fade noticeably with the right plan. With melasma, the goal is long-term control; it can become more visible again with sun exposure and hormonal changes.

Do you offer laser treatment?

No. Pigmentation plans are built around chemical peels, pigmentation-focused mesotherapy, microneedling and home care.

Start with an assessment

Let’s discuss which treatment, if any, could be right for you. To book an appointment or an online consultation, message us on WhatsApp or fill in the contact form.

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