Pigmentation, treated by cause, not by promise.

Pigmentation is treated differently depending on its source. Melasma, which is hormonally driven and often triggered or worsened by sun exposure and pregnancy, is managed conservatively because aggressive treatment can worsen it; the approach typically combines topical depigmenting agents, strict sun protection, and sometimes low-intensity in-clinic procedures. Post-inflammatory pigmentation, left behind after acne or injury, usually responds to a broader set of options including chemical peels and laser-based treatments, since it does not carry melasma's tendency to rebound. Sun-related pigmentation is generally the most responsive to laser and peel-based treatment. Because these causes can look similar to the eye but behave very differently under treatment, correctly identifying which one, or which combination, is present is the actual clinical work, and it is why a fixed, one-size protocol is never offered before assessment.