Condition guide

Hyperpigmentation and dark spots

Also known as Dark spots, Acne marks, Post-inflammatory hyperpigmentation, PIH, Uneven skin tone, Tanning.

Five ceramic dishes of powdered pigment in a gradient from pale cream to deep umber on cream linen

In short

Hyperpigmentation means areas of skin that are darker than the surrounding skin because they hold more melanin. Common causes on Indian skin include marks left after acne, injury or rashes, sun tanning, melasma and dark skin in body folds linked to insulin resistance. Most types fade slowly with sun protection and the right treatment, and finding the cause is the first step.

Typical signs

  • Flat brown, grey or black spots after pimples, cuts or rashes
  • Darker skin on sun-exposed areas
  • Dark, velvety skin on the neck, underarms or groin
  • Darkness around the eyes
  • Patchy, uneven skin tone

When to see a dermatologist

  • A spot is changing in size, shape or colour, or is raised, bleeding or itchy
  • Dark, velvety skin on the neck or underarms appears, as it can be linked to diabetes or PCOS
  • Pigmentation has not improved after 3 months of daily sunscreen
  • You are considering peels, lasers or skin lightening products

Signs vary from person to person and several skin conditions look alike. Only an examination can confirm a diagnosis.

Read the guides

Full, referenced articles on hyperpigmentation and dark spots written for Indian skin, with answers to common questions.

Worried about hyperpigmentation and dark spots?

Book an online consultation with Dr. Maria Ansari for an assessment and a written care plan made for you.

This page is a short summary for general education and does not replace a consultation with a qualified dermatologist. Do not start, stop or change any medicine based on this page. Read the full medical disclaimer.