Pigmentation: Acne Scarring, Sun Damage & Melasma
Treating pigmentation without understanding the cause rarely works.
Uneven skin tone comes from many sources — post-acne marks, years of UV exposure, or melasma triggered by hormonal changes. Each type responds differently to treatment, which is why an assessment comes before any recommendation at Lumera Health.
Post-inflammatory hyperpigmentation (acne scarring) responds well to resurfacing treatments and prescription skincare. Sun damage and melasma often require a combination of in-clinic treatment, prescription management, and ongoing sun protection — and melasma in particular needs careful management since some treatments can worsen it if applied incorrectly.
How you're seen depends on where you are in your care:
Seen under a cash-pay model, with acne management included in your ongoing skin health plan
Initial visit may be covered by insurance with no out-of-pocket consultation fee
what makes us different
What Megan may recommend:
VI Peel —
targets pigmentation, brightens skin, and improves overall tone
Microneedling with PRF or stem cell serum —
stimulates regeneration and reduces post-acne marks
Prescription medications —
accelerates cell turnover and fades pigmentation over time
Epionce medical skincare —
antioxidant and brightening regimen to maintain results
Beyond treatments —
Sun protection is non-negotiable for any pigmentation concern. Megan will also assess whether internal factors, such as hormonal changes, nutritional deficiencies, or inflammation, may be contributing, and recommend diet or supplement adjustments accordingly.
FAQ
ask us
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What causes pigmentation in the skin?
Pigmentation can be caused by sun exposure, acne scarring, hormonal changes (like melasma), inflammation, or a combination of factors. Identifying the cause is key to choosing the right treatment.
What’s the difference between melasma, sun damage, and acne marks?
Melasma is often hormonally driven and appears as deeper, patchy discoloration. Sun damage comes from UV exposure over time, while post-acne marks (hyperpigmentation) are left behind after breakouts. Each requires a different treatment approach.
Why isn’t my pigmentation improving with skincare alone?
Many pigmentation concerns sit deeper in the skin and require clinical treatments in addition to topical products. Without addressing the root cause, results are often limited or temporary.
Can pigmentation be permanently removed?
Pigmentation can be significantly improved, but some types—especially melasma—require ongoing management. Consistency with treatment and sun protection is essential to maintain results.
Which treatments work best for pigmentation?
Treatment depends on the type and depth of pigmentation. Options may include chemical peels like the VI Peel, microneedling, prescription skincare, and a customized at-home regimen.
Is sun protection really that important?
Yes—daily sun protection is critical. Without it, pigmentation can worsen or return, even with the best treatments.
Can treating pigmentation make it worse?
If the wrong treatment is used—especially for melasma—pigmentation can worsen. That’s why a personalized assessment is essential before starting any treatment plan.
How long does it take to see results?
Most patients begin to see improvement within a few weeks, but full results often take several months depending on the type of pigmentation and consistency of care.
Not Sure Where to Start?
Not sure whether to book with Lumera Health or Achieve Health? Reach out before scheduling and we’ll guide you to the right place.