Pigmentation covers several patterns of uneven skin tone, from small marks left after a spot to larger, diffuse patches such as melasma.
Pigmentation covers several patterns of uneven skin tone, from small marks left after a spot to larger, diffuse patches such as melasma. Dr Sateei always assesses which type you have before recommending anything.
Sun exposure stimulates melanin as a protective response. Hormonal changes drive melasma; post-inflammatory hyperpigmentation follows inflammation such as acne; ageing and genetics also influence reactivity.
Sun-related pigmentation shows as small, well-defined brown spots; melasma appears as larger, symmetrical, softer-edged patches; post-inflammatory marks appear at the exact site of previous irritation and fade over months.
A personalised medical-grade skincare programme using Obagi Medical and Skinbetter Science is central, alongside daily broad-spectrum SPF. The Signature Skin Renewal Facial supports clarity and radiance; skin boosters and polynucleotides support overall skin health. Melasma in particular can be a persistent condition that benefits from long-term, consistent management rather than a single fix, and flare-ups can recur with sun exposure or hormonal changes even after visible improvement.
With over two decades of experience, Dr Sateei understands how different pigmentation types behave and is careful never to promise a quick fix, at both her London (near Harley Street) and Sevenoaks clinics.
Sun exposure, hormonal changes, inflammation and ageing, with genetics influencing reactivity.
Daily SPF is the most important step, alongside avoiding known triggers.
Depends on the type of pigmentation; medical-grade skincare is usually central, sometimes with the Skin Renewal Facial.
Yes, it’s more persistent and hormonally driven, needing long-term management and strict SPF.
Improvement builds gradually over months.
No, skincare and the facial treatments are non-invasive.
No downtime is expected.
Most adults with confirmed pigmentation.
Yes, with sun exposure or hormonal changes therefore maintenance is important.
Yes, any new or changing mark should be checked before cosmetic treatment.
Suggested treatments for helping with pigmentation:
If uneven skin tone has been bothering you, Dr Ellie Sateei welcomes a consultation at her London or Sevenoaks clinic.
Our London clinic is located at 91a New Cavendish Street, London, W1W 6XF
We serve patients from London, Kent and the home counties as well as from all over the world. Our London clinic sits in the heart of Marylebone, within easy reach of the West End by tube, while our Sevenoaks clinic in Ightham is moments from the M25 and M26 for patients across Kent.
