Identified, Then Treated

    Pigmentation

    A category, not a diagnosis. Sun damage, post-inflammatory pigmentation, melasma, and lentigines respond to different treatments.

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    Tatler
    GQ Middle East
    Vogue Arabia
    The Times
    Daily Mail
    Financial Times
    Harper's Bazaar
    Khaleej Times
    Emirates Woman

    Your Concerns

    What Is It?

    Pigmentation is a category, not a diagnosis. Sun damage, post-inflammatory hyperpigmentation, melasma, and age-related lentigines all present as dark patches but have different causes — and respond to different treatments. Using the wrong treatment on the wrong type often makes the picture worse, particularly for skin of colour. At 23MD, pigmentation is classified clinically before any treatment is recommended. In Dubai, Dr Surbhi Virmani's dermatology background leads this work; melasma in particular needs careful clinical judgement to avoid rebound — see the dedicated melasma page.

    Recommended Pathway

    Treatments for Pigmentation

    The treatments our doctors most often recommend for this concern. Your consultation confirms the right combination and sequence for you.

    01Skincare
    Medical-Grade Skincare

    First-line for most pigmentation. Specific products are discussed in consultation, not advertised — UK and UAE advertising rules apply.

    05Energy-Based
    Selective Laser & RF

    Used carefully and only after assessment; not all pigmentation responds, and some types can worsen with the wrong device. For skin of colour, Dr Surbhi Virmani leads this work in Dubai.

    Unsure which pathway suits you?

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    Common Causes

    What Could Be Causing It

    UV Exposure

    By far the most common driver in both regions.

    Post-Inflammatory Hyperpigmentation

    After acne, eczema, or trauma; common in skin of colour.

    Hormonal Pigmentation

    Melasma — see the dedicated melasma page for the conservative approach this needs.

    Photoageing

    Solar lentigines and uneven tone accumulating across decades.

    Drug-Induced

    Certain medications can produce or worsen pigmentation; reviewed at consultation.

    FAQs

    Your Questions, Answered

    Medically reviewed by Dr Surbhi Virmani, DHA-licensed Senior Cosmetic & Regenerative Clinician on April 2026.

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    Testimonials

    What our patients say

    Dr Suha Kersh at 23MD, the only person to trust with filler — she's queen of natural.

    Polly Vernon

    The Sunday Times, April 2026

    Felt like myself again within four months, which I really didn't think would ever be possible again. Dr Galy is the first doctor who actually listened and built a proper plan around me.

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    Dr Galy — BHRT, London

    Dr Kersh doesn't overdo it. I just look less tired — and weirdly, more like myself. Tried clinics everywhere from New York to Geneva, and this is the only place I go now.

    Lina A., Dubai

    Dr Kersh — Anti-Wrinkle, Dubai

    Friends keep asking what I've been doing and none of them have guessed. Dr Kersh is an artist — she has a real eye and does just enough, not a millimetre more.

    Eleanor M., London

    Dr Kersh — Filler, London

    Same team, same standard of pure excellence in both cities. My records, doctors and protocol follow me everywhere — honestly the easiest part of splitting time between London and Dubai.

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    Dubai & London

    Under-eyes are a complete game changer. Dr Kersh also told me what I didn't need, which I really appreciated — rare in this industry.

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