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Skin pigmentation is caused by the melanin in our skin. Hyperpigmentation occurs when there is an overproduction of melanin. Hyperpigmentation includes melasma, freckles, sunspots (Solar lentigines), birthmarks and post inflammatory hyperpigmentation (PIH). Some of the causes of hyperpigmentation include overexposure to the Sun, allergies, scars from past injury, inflammatory diseases, aging, reaction towards certain cosmetic products or simply just hereditary.

Table of Contents

What are the Causes of Skin Pigmentation ?

The most common cause of pigmentation skin is sun exposure. UV rays from sunlight stimulate melanocytes, cells that produce melanin, resulting in darkening of certain areas of your skin known as hyperpigmentation. Other causes include hormonal changes during pregnancy or menopause; medications such as antibiotics; autoimmune conditions like vitiligo; scarring; inflammation due to acne or injury; and genetic predisposition.

What are the Types of Pigmentation ?


Freckles are small, flat spots on the skin that are usually brown or light tan in color. They typically appear on areas of the body that have been exposed to the sun, such as the face, arms and shoulders. Freckles are caused by an increased level of melanin, a pigment produced by cells in the skin. They are harmless and generally can be treated with picolaser.


Melasma is a skin condition characterized by dark, discoloured patches on the face. It is most commonly seen in women and is caused by an increase in melanin production due to sun exposure, hormones, or other triggers. Treatment options include topical creams and laser therapy.

Post-inflammatory hyperpigmentation

Post-inflammatory hyperpigmentation is a skin condition that occurs when an area of the skin becomes darker than its surrounding areas due to inflammation. It can be caused by acne, eczema, burns, and other skin injuries. Treatment usually involves using topical creams or laser therapy to reduce the appearance of discoloration.

Hori’s nevus

Symmetrical grey-brown or blue-grey spots which appear most commonly on the cheek. Sometimes may develop on the forehead, nose, eyelids and temples. This kind of pigmentation is deeper down in the skin’s dermis.

Naevus of Ota

Naevus of Ota is a type of birthmark that typically appears on one side of the face. It is caused by an overgrowth of melanin, the pigment that gives skin its color. The mark can range in color from light grey to dark brown and can be raised or flat. In some cases, it may also cause vision problems or hearing loss.


What We Do - PicoNext Skin Pigmentation Programme

The golden standard treatment for treating pigmentation is using Picolaser. NextMed PicoNext – Pigment Removal Programme.  It is an FDA approved true pico laser that is able to deliver ultra-short bursts of energy into the deeper layer of the skin to break melanin into microscopic particles to breakdown unwanted pigments. The energy is so fast and precise that there is no heat damage to the surrounding tissues. This latest innovation in laser technology results in quick and effective pigmentation treatment with no downtime.

We customize our pigmentation treatments individually depending on the severity of the pigmentations. Below are our NextMed skin pigmentation programme:

  • Pico Lite Basic
  • Pico Lite Intensive
  • Pico Lite Advanced
  • Pico Lite Premium

Other Treatment Modalities :

Topical Creams  

Topical creams are a popular treatment for pigmentation issues. They can help to lighten dark spots, reduce discoloration, and even out skin tone. Some of the most effective creams contain ingredients like hydroquinone, kojic acid, and retinoids. Additionally, there is new technology product such as Cyntra where it is an advanced pigment corrector. It’s important to talk to your doctor before starting any topical treatment to ensure that it is the right option for you.

Oral Supplements

Oral supplements may be beneficial for pigmentation treatment. Antioxidants, such as vitamin C and E, can help reduce inflammation and protect skin from environmental damage. Additionally, some studies have shown that certain herbal extracts may be effective in treating hyperpigmentation. Another oral supplement like NanoMD Briten 2.0, Oxithion  who helps in skin protection, nutrition and brightening. Speak with your doctor to determine if oral supplements are right for you.


Mesotherapy involves microinjections of specially formulated serums into the skin or area to be treated. The serum is made of vitamins, pharmaceuticals or proteins that had been customized to target specific problems such as pigmentation. Mesotherapy ie. Dermal Sign E+ for pigmentation is highly effective as it can target problem areas directly. Results are usually seen 3-4 weeks after treatment.

Sylfirm X

Harnessing the innovative approach to treat melasma, Sylfirm X steps into the spotlight, bringing new hope to individuals troubled by this skin condition. A revolutionary technology that utilizes pulsed radio frequency in combination with micro-needling, Sylfirm X successfully tackles this difficult-to-treat hyperpigmentation issue on a deeper level. With its unique and painless mechanism of action, it not only corrects melanin overproduction but also restores healthier skin blood vessels, as such producing long-lasting effects.

Watch How The Procedure Done

Frequent Asked Questions (FAQs)

Skin pigmentation with picolaser is a treatment that uses laser technology to break down melanin deposits, which can cause hyperpigmentation or dark spots on the skin.

Depigmentation injections work by introducing substances into the body that help reduce the production of melanin, thus lightening the overall skin tone and reducing areas of hyperpigmentation.

The number of treatments required varies based on individual needs and conditions. Typically, 4-6 sessions are recommended for best results.

There’s typically no downtime after a depigmentation injection. However, some minor side effects like redness or swelling might occur but they usually subside within a few hours.

Skin hydration refers to the process of replenishing your skin with water to maintain its health and vitality. Keeping your skin hydrated helps maintain its elasticity, prevents wrinkles, and gives you a glowing complexion.

Individuals experiencing issues with uneven skin tone, hyperpigmentation, sun spots or freckles could benefit from picolaser treatment.

It’s advisable to discuss this with your skin expert as certain products may interfere with the effectiveness of the injections.

Absolutely! Drinking plenty of water, using hydrating skincare products suitable for your skin type, and applying sunscreen to protect against UV radiation are all great at-home practices for better skin hydration.

Why Choose Us ?

As one of the Leading Aesthetic Clinic in Malaysia, NextMed Clinic provides top-notch procedures by Certified Medical Practitioners. Whatever your concerns, be it enhancing your natural features or reversing the signs of aging, NextMed Clinic is able to deliver a wide range of quality, state of art & personalized aesthetic, general health services & wellness solution, merged with exemplary service, in a warm and pleasent enviroment designed to make you feel completely at ease.

At NextMed Clinic, we strongly believe that each patient is unique. Therefore treatments are customized to each patient’s specific needs.

Certified Doctor


Safe and Effective Methods
Minimal downtime
5-star rating