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Complex Pigmentation

Pigmentation treatment,
planned for melanin-rich skin.

Dark spots are one of the most common reasons people come to PSRx, and one of the easiest conditions to make worse with the wrong treatment. That's why pigmentation is a signature clinical focus here, with a plan for each type.

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I–VI
Fitzpatrick types treated
6
pigment conditions we treat
Screening
before every plan
In Short

Hyperpigmentation is skin that's darker in some areas than others. Common causes include melasma, dark marks left after acne or irritation, sun damage and friction. PSRx screens for the cause first, then builds a plan with skincare, Precise Peels and carefully chosen in-office treatments. Most pigment improves gradually and needs daily sun protection to stay improved.

What We Treat

Complex Pigmentation
conditions we treat.

Melasma
PSRx in Chicago treats melasma with a topical-first, heat-careful plan for darker skin, combining clinical skincare, Precise Peels, selective in-office treatment and long-term maintenance.
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Post-Inflammatory Hyperpigmentation
PSRx in Chicago treats post-inflammatory hyperpigmentation, the dark marks left after acne, razor bumps or irritation, with cause-first, heat-careful plans for darker skin.
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Under-Eye Pigmentation
PSRx in Chicago assesses under-eye dark circles by cause, whether pigment, blood vessels, hollows or puffiness, and treats periorbital pigmentation gently with plans built for darker skin.
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Lip Pigmentation
PSRx in Chicago treats lip hyperpigmentation by identifying and removing the cause, screening for medical conditions, and using gentle care suited to darker skin and sensitive lips.
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Friction Pigmentation
PSRx in Chicago treats friction pigmentation on the inner thighs, underarms, bikini line and neck, screening for underlying conditions and combining trigger removal, skincare, Precise Peels and laser hair reduction.
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Body Pigmentation
PSRx in Chicago treats body pigmentation on the knees, elbows, back, legs and buttocks by stopping causes like body acne and ingrowns, then fading spots with care suited to darker skin.
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Why PSRx
✦
Pigmentation is a signature clinical focus at PSRx, not an add-on to other services.
✦
We screen for the cause before treating, and refer to a dermatologist or physician when something needs a medical look.
✦
Precise Peels are custom-blended for melanin-rich skin.
✦
Other providers train with us to learn pigment-safe care for Fitzpatrick IV–VI.
What To Expect

From consultation
to lasting results.

01
Screening and history
We look at where your pigment is, when it started, what makes it worse and what you've tried, plus medications and hormonal history.
02
Identify the type
Melasma, dark marks after acne and friction darkening look alike but need different plans. We confirm which you have before recommending anything.
03
Your plan
Most plans combine daily skincare and sun protection with in-office treatment chosen for your skin type, starting gently and adjusting as you respond.
04
Maintain results
Pigment can return with sun, heat or hormones. A simple maintenance routine helps keep your results, and we check in as your skin changes.
Common Questions

Complex Pigmentation FAQ.

What's the difference between melasma and hyperpigmentation?

Melasma is one type of hyperpigmentation. It shows up as patchy brown areas, often on the cheeks, forehead and upper lip, and is driven by hormones, heat and sun. Other hyperpigmentation, like dark marks after acne, comes from inflammation. They look similar but are treated differently, which is why we identify the type first.

Can dark spots on Black skin be treated?

Yes, dark spots on Black and brown skin can be treated, and they're one of the most common reasons people come to PSRx. The key is avoiding treatments that add heat or irritation, which can make pigment worse. Plans usually combine daily skincare, sun protection and in-office treatments chosen for your skin type.

How long does it take to fade hyperpigmentation?

Most hyperpigmentation fades gradually over months, not weeks. Dark marks from acne often improve faster than melasma, which is chronic and can return with sun or hormones. Your provider sets realistic expectations at consultation based on the type, depth and cause of your pigment.

Do I need sunscreen if I have dark skin?

Yes. Daily sunscreen is one of the most important parts of treating pigmentation in any skin tone. UV and visible light can darken existing spots and undo progress from treatment. We'll recommend a sunscreen suited to darker skin so it's easy to wear every day.

When should dark patches be checked by a doctor?

See a physician if a spot is changing in size, shape or color, bleeds, or appears suddenly. Darkening on the neck, underarms or groin can sometimes signal an underlying condition, such as insulin resistance. PSRx screens for these signs and refers you to a dermatologist or physician when needed.

Is laser safe for melasma?

Laser can help some melasma, but heat can also make melasma worse, so we approach it with caution. Most plans start with topical treatment and sun protection, and in-office options are added carefully. On darker skin, the choice and pacing of treatment matter even more.

Keep Reading
Melasma→Post-Inflammatory Hyperpigmentation→Skin of Color Laser Treatments→Advanced Acne Scar Reconstruction→
Start with the
right diagnosis.

Book a consultation at our South Loop clinic, or take the free 60-second Skin Assessment and our clinical team will build your personalized skin summary.

Book Consultation →Take Skin Assessment