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Video

Sophie V/O: If I go out with my mates and I go to a nightclub, I’m the first one to leave before the lights come on. I think I’m ugly, basically. I’m going to get upset.

Sophie: Hello, I’m Sophie.

Dr Pixie: Take a seat. Now then, what can I do for you?

Sophie: Well, I’ve got a lot of hair and dark spots under my neck and also all over my face and a few hairs on my face as well.

Dr Pixie: Can I just get you to (gestures to lift hair from neck) just to have a look.

Sophie: Yeah.

Dr Pixie: The darker patches that your getting here are called hyperpigmentation, that just means extra pigment. And you will get that where your skin is being inflamed.

Dr Pixie V/O: Skin pigmentation disorders occur because the body produces too much or too little melanin. This includes anything from liver and sun spots to hyperpigmentation, where patches of skin become darker than usual. It affects millions of people in the UK.

Dr Pixie: It is a relatively common condition, you know, that we see in general practice quite a lot. Pigment is far more apparent on darker skin. Both the hair and the pigment would, I think, respond very well to laser treatment.

Dr Pixie V/O: A few days later Sophie starts her six session course of laser treatment to deal with the dark, course hairs. She will also be using a lotion called Phyto Plus twice a day to treat the pigmented areas. She should see results in a matter of weeks. Sophie is just 3 weeks into her treatment for skin pigmentation and excess facial hair. Dr McKenna wants to check on her progress.

Dr Pixie: So, how have you been getting on?

Sophie: Really good, really well.

Dr Pixie: You look happy.

Sophie: Yes I am. You can see a difference can’t you?

Dr Pixie: Yeah.

Sophie: Yeah, I haven’t covered my neck up because I can see for myself that it looks totally different.

Dr Pixie: Just pop your chin up for me. Very obvious isn’t it that the pigementation has got so much, so much less. You must be absolutely thrilled.

Sophie: I’m really pleased. I haven’t got to cover up and this will be a good summer for me.

Read the video transcript

Consultation: Hyperpigmentation

Hyperpigmentation, like any other skin condition, can lower the sufferer’s self confidence. Dr Pixie McKenna talks to a patient whose social life has been placed on hold because of this Embarrassing Illness, and recommends a course of laser treatment and lotion to enable her to stay out clubbing with her mates all night long…

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i have hyper pigmentation on my face due to a face cream i used that was too hash for my face. my confident have dropped soooo much... its there any recommendation cream that can help. Please bare in mind i am a black African lady.... Help please :(





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Hi am sammie am avin dis Problem of black spot 2 on mi face, pls can sum1 hlp me wit an effective cure...plzzzzZzzzzzz





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I have hyperpigmentation on my upper lip where my skin ripped off from waxing. I also have pigmentation on my chin from acne scarring- this happens whether or not I pop a spot. The hyperpigmentation is quite severe and I've used skin lightening creams as well as Vitamin A creams all of which seemed to make the problem worse/more resistant. I've given up trying but tonight have come across a website offering a treatment called Mandelic based peel which seems very promising though pricey- has anyone else heard or know about this treatment and its effectiveness? I am desperate- I've gone from being super confident to feeling hopeless and timid. Also,did anyone else think the results from the video were very disappointing- will it ever clear up completely?





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I have hyper pigmentation half of my face is black the other is brown I picked at it so it got worse. Dermatologist said to use hydroquinone it works but can make ya situation better or worse I hope this info is helpful and I'm African American dark skin.





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My son has roeasea a skin condition on the face .iv havetaken him to skin specialist.but nothing seems to work he is15 1/2 and is not going out mixing with friends also very low mood.im so worried for him help pls.





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I tried ROSAKALM Anti-Redness Cream with Ruscus extract and was amazed by the result. I still get it but it's nowhere near as bad as what it was before. All the best.

I have hyper pigmentation around my neck,it's a dark ring around my neck. It makes me feel self conscious as it looks like dirt however I scrub it everyday. Is there any creams I can use to make it go away as I would like to put my hair up.





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hi i am 19 year old female ,dark skin i have always had problem with skin picking since about 11 , i have marks on face some which have appeared from picking i have same on my arms. I have used estee laude Night Repair which did not see any difference , i am going go back to the doctors, to see if they can get me a appointment to see a dermatologist.





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Hi I'm 18 years old (dark skinned) and I think I have this problem on my groin and chin. I have had this problem since when I was 14/15 years old. At first I thought it may have been my shaving methods causing this issue on my groin but I don't think that's the issue because I have tried a variety of other methods and treatments but there hasn't been any improvements. I have an issue with such places where hair grows as spots tend to develop in those areas where thick hair grows. It is embarrassing and rather ugly too. Please help me get rid of it because it seems to be getting worst the older I get.





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sounds like laser hair removal might help

Hi All, I'm in my late 30's and have been suffering from pigmentation for a couple of years now, have tried lots of anti-ageing serums and creams, and laser treatment to break the pigment, it's slightly lightened it but not a notictable difference. I've also tried micro-deabrasion which has helped a little, now using skin cosmetics retinol cream, my skin feels pump, smooth & glows but it's not doing much to aid with my pigmentation. I have read and heard that some pure natural oils can be very effective, like seathorn and rosehip seed oil, I'm going to try this for a couple of weeks and see how I get on. Would love to hear about the products that have helped with your skin issues. Thanks





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In darker skin individuals like myself, hyperpigmentation is more prominent due to the darker melanin build up and since I have suffered from eczema on my face and neck predominantly, it also means these areas have suffered most. Any patient can experience post-inflammatory hyperpigmentation, but it is most commonly seen in patients with skin of color.





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