Hyperpigmentation is darkening of the skin or nails that may be caused by sun damage, inflammation (such as acne), systemic diseases, hormonal causes (also called melasma) and skin injuries.

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Hyperpigmentation Puget Sound Dermatology
Hyperpigmentation Puget Sound Dermatology

Treatment For Hyperpigmentation

  • Various treatments are available for hyperpigmentation. Chemical peels can help. Topical prescription products that contain hydroquinone, tretinoin and steroids are very effective for hyperpigmentation if they are combined with aggressive sun protection behavior.
  • Sun protection with sunscreens (containing zinc oxide or titanium dioxide) AND protective clothing and hats is the most important aspect of hyperpigmentation therapy and prevention.
  • Certain laser and light treatments are also effective for hyperpigmentation.

    See how our Excel V Laser targets hyperpigmentation.

Meet Our Providers

Our providers continue to maintain the highest levels of accreditation and progressive ongoing education to learn and understand the latest developments in medical dermatology. Each provider's education and bio can be viewed below.


Melanie Kuechle, MD

Dr. Kuechle is a native of Texas and a graduate of Baylor University College of Medicine. She completed her dermatology residency at...


Dr. Jill McKenzie

Dr. Jill McKenzie graduated from Washington State University with her Bachelor of Science degree, Magnum Cum Laude.  She attended the University of...


Ame Phitwong

Ame is a board certified Adult-Gerontology Primary Care Nurse Practitioner who has worked entirely...


Dr. Craig Birkby

Dr. Craig Birkby has been a leader in the treatment of skin cancer in the Seattle area for over 20 years. He attended medical school at...