This segment will cover 

1) Pigmentation

2) Dark eye circles

3) Red, sensitive skin 

Under Pigments, I will discuss the common pigmentary woes affecting Asian skin. Key is the use of creams, peels and lasers for this type of condition. There are many lasers. And choosing the right laser will form the cornerstone in the treatment.

TOP 10 pigmentation concerns 

  1. Freckles

  2. Melasma

  3. Sunspots

  4. Hori’s Nevus

  5. Nevus of Ota

  6. Becker’s Nevus

  7. Tattoos

  8. Underarm pigmentation

  9. PIH (Post inflammatory hyperpigmentation)

  10. Acanthosis Nigricans


Lifestyle changes – 3 Ss

  1. Sunblock, Q 4 hours
  2. Shade, stay away from the sun. Stay cool, in the shade.
  3. Shield, sun glasses and wide brim hat, UV coated umbrellas when you head out for lunch especially

Pigments in the Asian Skin:

Dark spots, red spots, brown spots, blue spots, gray spots, what are they? I have had many patients asking me about those spots on their faces. So to help you learn more about your skin, and understand those spots you see when you look into the mirror, I have decided to walk you through some of the common pigmentary conditions.Allow me to first start with freckles, those brown spots that you get for working out in the sun since your schooldays.



Pigmentation Solution: My 3 step FORMULA

1. Treatment: Laser/ light/ peels
2. Cosmeceuticals: Sunblock + Lightening agents – ORAL and topical
3. Skin renewal: Boost hydration and repair

Cosmetologist applying permanent make up on lips

Carbon peeling. Laser pulses.




Lasers and pigments
Here is a schematic cartoon showing how laser breaks down pigments into granules, which are subsequently engulfed by macrophages.


What are they?

– Freckles are spots which commonly appear with sun exposure and are found on the cheeks and nose.
– They  darken with sun exposure.
– They show up in the teenage years, increasing with age.
– They lighten with sun protection and a combination of therapies.

How can we treat it? 

– In my opinion, treatment includes strictly avoiding the sun and using sun protection, using skin lightening agents and laser + light therapy.
– Here is an example of freckles.








So what causes Melasma?

– Melasma is very common with the Asian skin. It is multifactorial, with a strong genetic and hormonal component.

– It is worsened with sun exposure, OCPs and pregnancy.

– It tends to be distributed either over the cheeks or a central distribution from the forehead down to the chin.

How can we treat it? 

– There are many treatment regimens for melasma.
– Melasma is a condition that can be controlled and not cured. 
– It is a spectrum, and there is no one size fits all regime.
– A carefully personalised programme works best as every melasma is different.
– Personally, I would suggest an advanced treatment which consists of priming the skin with lightening agents for a month, +/- oral medication followed by careful chemical peels and lasers.
1. Use good sunscreen, apply it 15min before going out. And reapply it every 2 hours.
2. Use gentle lightening agents
3. Laser light +/- Cosmelan








Solar Lentigines/ Age spots

What are they?

– These are discrete lesions which progress with age. Prevention is the key with sun protection and sun avoidance.
– They  first appear in your 30s and can get increase in number with age.  
– Some age spots thicken and darken with time.

How can we treat it?

 – They may be lightened with sun protection, lightening agents and lasers light. (sunspots, solar lentigo)
solar lentigo

solar lentigo


Hori’s Nevus

What are they?

– This is a pigmentary condition characterized by multiple dark blue gray spots, commonly found bilaterally in the cheeks.
– They darken with sun exposure and childbirth.

How can we treat it?

– They can be lightened with a careful combination of sun avoidance, lightening agent and lasers.

hori’s nevus






– Present at birth

– A blue grey pigmentation deep in the dermis

– They darken with sun exposure

– Can be lightened with sun protection, lightening agents and lasers.





– birthmark commonly found in males
– one sided 
– epidermal nevus
– associated with hair growth 



What are they? 

– These are light brown macules that can be found over jawline, neck, face. 
– Effectively treated with sunblock, lightening agents and pigment lasers, but can recur.
download (1)download (2)



It is vital to distinguish this from a melonocytic nevus – which can turn malignant.


– Q Switched lasers are good for black, blue, brown tattoos.
– No. of sessions depends on the location, size, age, colour of tattoo and whether it was performed by a professional or amateur tattoo artist.



-Contact AllergyFrom DEODORANTS commonly
PIH from shavingTiny hair stubbles can also add to the darkening
InfectionYou might have a skin infection that causes darkening
Acanthosis Nigricans. A skin condition that causes hyperpigmentation
Hormones/Pregnancy. Changes in your body may cause discoloration



– As the name suggests, these are pigmentation that form after an injury, be it picking a pimple, derma-roller performed on a skin, injury to the face etc…
– It can happen anywhere.
– Treatment entails careful use of laser toning with lightening agents and strict sun protection.
– They take 3 months to improve. 


(courtesy of

POST inflammatory pigmentation or PIH can happen anywhere on the body

download (2)






PIH ( Post inflammatory hyperpigmentation)

download (3)

What is it?

It is an area of localised hyperpigmentation (excess melanin), as a result of damage to the skin from inflammatory process. It can range from light brown to black. It is temporary.


Distinguish PIH from PIE, which is post inflammatory erythema. This consists of superficial blood vessels that grow during the wound healing stage and is common after inflammtory acne, especially in lighter skin people. Darker skin folks would end up with Post inflammatory hyperpigmentation.

How can we treat it?

  1. Sun block
  2. Laser light
  3. Antioxidant and lightening agents

What are the causes?

  1. Sun
  2. Injury. This can be as a result of over zealous chemical peel, laser, or other energy based devices.
  3. Heat


Hereditary vs acquired

Common acquired causes

  1. DM
  2. Obesity
  3. Drug induced

Common in skin folds,neck,axilla and groin.





Here are treatment videos of laser, IPL for your pigmentation woes.

Pigment laser treatments involve a light laser that generates heat and penetrates into the deep layers of your skin to stimulate collagen production without damaging the dermis. 1064 laser is a highly advanced laser that can deliver highly controlled energy into the skin. It is able to combine high peak power and short pulse width, to target and get rid of pigments without allowing the heat produced to damage the surrounding tissue.


It is an effective treatment for skin conditions such as pigmented lesions, freckles, solar lentigo, age spots, sun spots, hori’s nevus, nevus of ota, cafe au lait, melasma, post inflammatory hyperpigmentation, skin redness, scars, tattoo removal, with minimal downtime.

So I hope this mini segment on pigmentary woes in the Asian skin has been useful. Remember, stay bold and beautiful. Dr Daniel Chang



Dr Daniel Chang


To learn more about:
ALL Aesthetic treatments, do click here Ultimate Guide to Korean Medical Aesthetics.
Threadlifts, pls click here Facelift, V-Lift.
Dermal fillers, pls click here ABCs to Dermal Fillers. 

About Dr Daniel Chang

I seek to beautify people, helping both men and women who seek aesthetic restoration and enhancement achieve awesome dreams. I wish for you to look and feel your very best. I wish for you to be so mentally strong that nothing can rock your peace. I wish for you to fulfil their highest, truest, purest expression of yourself. *We know it's always a challenge to find someone you can trust. We know and we CARE. We know no one is perfect and we too have our shortcomings. But, we are dedicated to doing our very BEST for you. We are here for you, your TRUSTED support partner, here to journey with you on your PERSONAL Aesthetic dream. Believe. Dream. Achieve. Fulfil the highest, purest, truest expression of yourself. * To find out more, feelfree to click: DRDANIELCHANG.COM😊 Bachelor of Medicine, Bachelor of Surgery (Singapore) Membership of Royal College of Surgeons (UK) Member of US Aesthetic Academy Alumni Member of National Skin Centre Member of Society of Aesthetic Medicine Member of American Academy of Regenerative Medicine Accredited by the Aesthetic Practice Oversight Committee Aesthetic Dermatology Educational Group Key Opinion Leader and Regional Trainer for Lasers, Botox, Filler and Threadlift Editorial Board Member and Author of several international peer-reviewed journals Professional Statement We know it’s always a challenge to find someone you can trust. We know and we CARE. We know no one is perfect and we too have our shortcomings. But, we are dedicated to doing our very BEST for you. We are here for you, and here to journey with you on your Aesthetic dream. Our dream is to help you look and feel your very best. To be so mentally strong that nothing can rock your peace. TRANSFORM your solitary fantasies into a million realities. Fulfil the highest, truest, purest expression of yourself. Making ASIA, more beautiful, one face at a time. Dr DANIEL CHANG | POET | CATHOLIC | TRIATHLETE | Dr Daniel Chang Dr Daniel Chang To learn more about: ALL Aesthetic treatments, do click here Ultimate Guide to Korean Medical Aesthetics. Threadlifts, pls click here Facelift, V-Lift. Dermal fillers, pls click here ABCs to Dermal Fillers. Pigments and pigmentation in skin. Please click here PIGMENTS Education and Experience Dr Daniel Chang graduated from the National University of Singapore with a Bachelor of Medicine and Bachelor of Surgery (MBBS). He went on to develop his microsurgical skills and clinical dexterity, and in the process, attained the prestigious postgraduate degree from the Royal College of Surgeons Ireland (MRCS Ireland) and subsequently pursued a First Fellowship from the Royal College of United Kingdom (First FRCR). He has a firm grounding in minimally invasive aesthetic treatments, and good experience with post surgical care. He holds accreditations in various aesthetic procedures from the Aesthetic Practice Oversight Committee Singapore. He is a member of the American Academy of Aesthetic Medicine, Singapore Society of Aesthetic Medicine, National Skin Centre Singapore and the Dermatological Society of Singapore. He is a Key Opinion Leader and Trainer for Laser, Botox, Filler, and Threadlift techniques and has trained doctors in the region.
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