Dermatol. praxi. 2025;19(4):178-184 | DOI: 10.36290/der.2025.032

A comprehensive look at skin hyperpigmentation

MUDr. Lucia Mansfeldová

Almiaderm Institute, Praha

Health plus klinika, Praha

There is a great variability in human skin color worldwide, from very light skin of the Celtic type (phototype I) to dark skin tones in sub-Saharan Africa (phototype V-VI). We also encounter a very wide range of different pigmentation disorders, from hypopigmentation to hyperpigmentation. In general, people, regardless of their phototype, are very often plagued by localized accumulated hyperpigmentation, which is why this issue is one of the most common reasons for consulting dermatologists. Skin hyperpigmentation causes significant psychological stress, discomfort and social stigmatization for many (it is reported in up to approximately 84% of those affected), even in cases where it is not a health problem, but rather a cosmetic one. There are a number of methods for correcting accumulated hyperpigmentation, from locally used bleaching preparations to device treatments and injection applications of depigmenting substances. The article provides an overview of the basic types of hyperpigmentation, the possibilities of their correct diagnosis and therapy.

Keywords: hyperpigmentation, therapy, photoprotection, melasma, post-inflammatory hyperpigmentation.

Accepted: December 3, 2025; Published: December 16, 2025  Show citation