Did you know that worldwide 90% of people over 50 will suffer from some form of pigmentation? It is therefore not surprising that skin pigmentation is one of the leading concerns among clients that visit us at Dr Nerina Wilkinson + Associates.


Did you know that worldwide 90% of people over 50 will suffer from some form of pigmentation? It is therefore not surprising that skin pigmentation is one of the leading concerns among clients that visit us at Dr Nerina Wilkinson + Associates.

Pigmentation refers to the colouring of the skin and therefore skin pigmentation disorders cause changes to the colour of our skins. Pigmentation occurs due to the production of melanin by melanocyte cells and is the pigment responsible for your skin’s colour. Interestingly, we all have the same amount of melanocytye cells, some just produce more melanin than others.

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Frequently Asked Questions

What Are The Types Of Pigmentation?

What Is Hyperpigmentation?

Hyperpigmentation is a term used to describe darker patches or spots on the skin. These darker pigmented areas result from excess melanin production, which can be caused by everything from acne scars and sun damage to hormone fluctuations.

What Is Hypopigmentation?

Hypopigmentation is a skin condition in which the skin is lighter in colour than normal. It occurs when the melanocytes do not make enough melanin (which gives the skin colour).

What Are The Types Of Hyperpigmentation?

Types of Hyperpigmentation


Melasma, also known as the mask of pregnancy (when it affects women during pregnancy), is a common pigmentation disorder characterised by dark brown or grey patches of skin pigment primarily found on the face. Melasma is thought to be linked to a genetic predisposition and may also be triggered by fluctuating hormones during pregnancy, the use of hormonal medication (contraceptives or hormonal replacement treatments), as well as chronic sun exposure.

Post-inflammatory Hyperpigmentation

Inflammation, either through damage from acne, or skin treatments such as lasers or radio frequency, can activate pigmentation (post-inflammatory hyperpigmentation). This hyperpigmentation is caused by trauma to the skin and the skin responds by overproducing pigment in certain areas.


Sun and UV exposure will exacerbate and cause unwanted imperfections and blemishes on your skin, known as sunspots or age spots. This usually begins to show from the age of 40 onwards and is caused by years of accumulated sun exposure, which damages the pigment-producing cells and causes them to produce excessive pigment in certain areas.

Can Hyperpigmentation Be Treated?

Hyperpigmentation can be treated very successfully, if done by an experienced professional in a controlled and environment after a comprehensive consultation.

The approach to treatments for pigmentation removal will however depend on the type of pigmentation and therefore a comprehensive consultation with an experienced specialist is essential.

The following depigmentation treatments have delivered excellent results:

Cosmelan / Dermamelan

Cosmelan and Dermamelan are world class depigmentation treatments made up of a powerful cocktail of ingredients which work together to inhibit tyrosinase, the basic enzyme responsible for the production of excess pigment in the skin.

3D Bespoke Treatment

This signature treatment consists of 3 modalities completed in one intensive treatment; a Chemical Peel, Medical Skin Needling or Mesotherapy with medical depigmentation active and a specialised mask (LED Light Therapy / Alignate Iontophreseis Mask). Each 3D Bespoke Treatment is tailored to your specific needs.

Lumecca Intense Pulsed Light

Lumecca IPL is the most powerful intense pulsed light (IPL) used to treat sun damage, pigmented and vascular lesions. After each session, patients notice significant improvements in the overall complexion and clarity of the skin. 

Chemical Peels

A chemical peel is a technique that improves the skin’s texture and appearance by applying a chemical solution to the skin which removes the outer damaged layers. The amount of skin removed will depend on the type of chemical used, the strength of the peel and how long it is left on the skin or how many layers are applied to the skin. There are various chemical peel treatments available for the treatment of different types of pigmentation, as well as whether it is pigmentation of the face or body.

See the full list of suggested depigmentation treatments below!

How Do I Choose The Right Treatment For Hyperpigmentation?

Always start with a professional consultation with qualified and experienced specialists for an in-depth analysis of your facial features and to reach a good understanding of your skincare concerns and goals.

Our unique and comprehensive aesthetic couture consultation is available for you to discuss and analyse your concerns and goals and for our team of specialists to provide bespoke advice. This process will help us to determine the type of pigmenation you are concerned with , allowing us to compile a relevant depigmentation skincare treatment plan.

Schedule your aesthetic couture consultation today! 



Cosmelan / Dermamelan

Having insecurities about blemishes, wrinkles or other imperfections on your face can be taxing on your self-confidence.
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3D MD PRP (aka Dr Vampire)

Our 3D PRP MD bespoke treatment, formally known as the Dr Vampire, utilises the powerful regenerative effects that our own platelet containing growth factors have on stimulating collagen, elastin and hyaluronic acid within our skins, transforming it into a healthy radiant and more youthful looking skin.
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Lumecca Intense Pulsed Light

Lumecca is the most powerful intense pulsed light (IPL) used to treat pigmented and vascular lesions.
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Chemical Peels

Chemical peels improve the texture of your skin through the application of a chemical agent to the skin to promote the growth of new skin cells.
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3D Bespoke Treatment

Our condition specific 3D Bespoke Treatment offers an intensive blueprint treatment designed specifically for your individual skincare needs.
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3D Medical Skin Needling

This unique 3D micro-needling experience offers the combination of 3 individual treatments into one treatment session ensures that we target all the origins of ageing for a healthier more youthful skin.
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Glow Getter

The Glow Getter combines a gentle Chemical Peel to remove dull, damaged skin cells with a Lumecca Intense Pulsed Light (IPL) photo facial treatment to enhance the skin’s natural glow and provide a more even skin tone.
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Mesotherapy / Skin Boosters

Mesotherapy is a popular minimally invasive technique using small injections with active ingredients superficially into the skin.
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