Skin discoloration

Dark spots, melasma, and uneven skin tone diagnosed and treated in Leland, NC with prescription therapy, chemical peels, and laser and light-based treatments.

Dermatologist assessing areas of skin discoloration

About Skin discoloration

Skin discoloration takes many forms — sun spots, dark marks left behind by acne, melasma driven by hormones and sun, or loss of pigment as in vitiligo — and each has a different fix. Sun exposure is the common thread for most of them, which makes pigment problems especially persistent in our coastal climate. Dr. Blair Harris first identifies the type of discoloration you have, then builds a plan that may combine prescription lightening agents, chemical peels, and light- or laser-based treatments such as IPL, chosen for your skin type and the depth of the pigment.

What Causes Skin discoloration?

Skin discoloration can be caused by a variety of factors, including sun exposure, hormonal changes, skin conditions, medications, genetics, and aging. Common types of skin discoloration include hyperpigmentation, melasma, and vitiligo.

Types of Skin discoloration

  • Hyperpigmentation

    Excessive production of melanin, leading to dark spots or patches on the skin.

  • Melasma

    A common skin condition characterized by brown or gray patches on the face, often triggered by hormonal changes.

  • Vitiligo

    A skin disorder characterized by the loss of pigment-producing cells, resulting in white patches on the skin.

  • Post-Inflammatory Hyperpigmentation

    Darkening of the skin following inflammation or injury, such as acne or eczema.

Treatment Options

Treatment options for hyperpigmentation include topical medications, chemical peels, laser therapy, and other procedures. The choice of treatment depends on the cause, severity, and skin type. Common treatment approaches include:

Topical Treatments

Applied directly to the skin to reduce pigmentation and even out skin tone.

Types of Topical Treatments

Hydroquinone

A skin-lightening agent that reduces melanin production.

Retinoids

Vitamin A derivatives that promote cell turnover and even skin tone.

Vitamin C

An antioxidant that brightens skin and inhibits melanin production.

Kojic Acid

A natural skin lightener derived from fungi that inhibits melanin formation.

Azelaic Acid

A compound that reduces inflammation and lightens dark spots.

Chemical Peels

Exfoliate the skin and promote cell turnover to reduce pigmentation.

Types of Chemical Peels

Glycolic Acid Peel

A mild chemical peel that can help improve skin texture and tone.

Salicylic Acid Peel

Effective for treating acne and post-inflammatory hyperpigmentation.

TCA Peel

A deeper chemical peel that can address more severe pigmentation concerns.

Laser and Light Therapy

Target pigmented cells in the skin to reduce discoloration.

Types of Laser and Light Therapy

Intense Pulsed Light (IPL)

Targets redness, pigmentation, and sun damage in the skin.

Q-Switched Laser

Used to treat pigmented lesions like melasma and age spots.

Fractional Laser

Promotes collagen production and improves skin texture and tone.

Microneedling

A minimally invasive procedure that creates micro-injuries in the skin to stimulate collagen production and improve skin texture and tone.

Cosmetic Camouflage

Makeup or self-tanners can help conceal skin discoloration and even out skin tone.

Ready to get started?

Schedule a consultation with our board-certified dermatologist.

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Lifestyle & Home Care

  • Sun Protection

    Wearing sunscreen and protective clothing can help prevent further skin discoloration and protect the skin from UV damage.

  • Healthy Lifestyle

    Eating a balanced diet, staying hydrated, and managing stress can support overall skin health and reduce inflammation.

  • Regular Skincare

    Establishing a consistent skincare routine with gentle products can help maintain skin health and prevent further discoloration.

Ongoing Care

Pigment correction is a marathon, not a sprint — and strict daily sun protection is non-negotiable, since a single sunburn can undo months of progress (melasma in particular recurs with sun exposure). We stage treatments over several visits and adjust the approach based on how your skin responds.

Questions about Skin discoloration?

We're happy to help you decide the best next step.

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Your Physician

About Dr. Blair Harris

Dr. Blair Harris, Double Board Certified Dermatologist and Mohs Surgeon

Dr. Blair Harris, DO, FAAD

Double Board Certified Dermatologist and Mohs Surgeon

Double Board CertifiedMohs SurgeonASDS MemberACMS Member

Dr. Harris brings extensive expertise in both general and surgical dermatology, providing comprehensive skin care for patients in the Leland area. With double board certification and specialized training in Mohs surgery, he delivers the highest standard of care for skin cancer treatment and complex dermatological conditions.