First, understand the cause.

A dark patch can have several explanations. Your clinician considers its history and appearance, including whether it followed acne or irritation, changes with sun exposure or needs further investigation.

A new or changing lesion should be medically assessed before a cosmetic treatment is considered.

Choose the sequence of care.

Depending on the diagnosis, the discussion may include skincare, prescription treatment, a peel, a pigmentation programme or a carefully selected device procedure. Treating irritation or active acne may come first.

Think beyond one appointment.

Some pigment conditions recur. Maintenance and consistent sun protection can be important parts of a plan. Ask about the chance of improvement, recurrence and pigment changes caused by treatment itself.

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