What is Dark Spots & Uneven Tone?
Common pigment concerns include sun spots (solar lentigines), freckles, melasma — a hormonal, often symmetrical pigmentation on the cheeks and forehead — and post-inflammatory hyperpigmentation, the dark marks left after acne, eczema or injury.
Some pigmented spots are not cosmetic at all. Any new, changing or irregular spot should be examined to make sure it isn't a skin cancer — see skin checks.
When to see a physician
- Dark patches on your face are spreading or not fading
- Marks from old breakouts remain for months
- Sun spots are making your skin look older
- A spot is new, changing, or looks different from the others
How we evaluate
Your physician examines the pattern and depth of pigment and asks about sun exposure, hormones, medications and skincare. Melasma in particular can worsen with the wrong treatment, so the plan is matched to your diagnosis and skin tone.
Treatment options at DR WW Dermatology
- Pigment lasers. Picosecond and Q-switched lasers that break up pigment for gradual clearance, used where appropriate for your skin type.
- Chemical peels. Peels selected for strength and skin type to brighten and even tone.
- Prescription and medical-grade skincare. Topical agents that reduce pigment production, paired with daily broad-spectrum sun protection.
- Medical facials. Supportive treatments that improve radiance as part of a broader plan.
Not every option suits every patient, and availability of specific devices varies by office. Your physician will recommend a plan after an in-person evaluation.
What to expect: treatment, recovery and aftercare
Some sun spots lighten after one or two laser sessions, while melasma typically needs a gentler, longer-term combination plan and ongoing maintenance. Treated spots may darken briefly before fading. Strict sun protection is essential — without it, pigment often returns.
Frequently asked questions
Can melasma be cured?
Melasma can be improved and controlled, but it tends to recur with sun exposure and hormonal changes. A maintenance plan helps keep results.
Are lasers safe for darker skin tones?
Selected lasers and conservative settings can be used safely for many skin tones. Your physician will choose the approach with the lowest risk for your skin.
How soon will I see results?
Sun spots may fade within a few weeks of treatment. Melasma and post-acne marks usually improve gradually over several months.
