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Even skin tone — treated as a medical problem

Melasma, tanning and dark patches each behave differently and relapse differently. Treating them properly starts with knowing which one you have.

Pigmentation & Melasma Treatment — doctor-administered at the hospital

Pigmentation is the most common reason people in India walk into a dermatology hospital, and the area with the most marketing noise around it. The useful starting point is that 'dark patches' is a description, not a diagnosis.

Melasma is symmetrical brown patching across the cheeks, forehead and upper lip, driven by hormones and sunlight, and it is a chronic relapsing condition — controlled well, but requiring maintenance. Post-inflammatory pigmentation is the mark left after acne or an injury, and it fades reliably. Tanning is sun-induced and reverses. Under-eye darkness is often structure and shadow rather than pigment at all, and no cream will change that.

Treatment is medical: prescribed topicals, sun protection that is actually used, and where suitable, peels or laser at settings appropriate for Indian skin. Aggressive treatment on pigment-prone skin makes it worse, which is why this sits on the medical side of the practice rather than the aesthetic one.

Dermatology at this hospital is self-pay. We do not have an insurance facility for skin — neither for aesthetic treatment, which no Indian health policy covers, nor for medical dermatology consultations and courses.

Suitability

What this covers

  • Melasma — symmetrical patches on cheeks, forehead and upper lip
  • Post-inflammatory pigmentation after acne, injury or a reaction
  • Sun tanning and uneven tone on face, neck and arms
  • Dark patches on the neck and body folds, which can signal an underlying condition
  • Under-eye darkness — assessed for whether it is pigment, vascularity or shadow
  • Freckles, sun spots and age spots

The process

How it is treated

  1. Diagnosis

    Visit 1

    Identifying which type of pigmentation you have and how deep it sits — surface pigment responds far better and faster than deep pigment, and that changes what is realistic.

  2. Sun protection, seriously

    The non-negotiable foundation. Broad-spectrum sunscreen every morning, reapplied — without it, every other treatment is undone as fast as it works. This is the step patients skip and then wonder why nothing improved.

  3. Prescribed topical treatment

    Reviewed at 8–12 weeks

    A regimen matched to your pigmentation type and your skin's tolerance. Not the same for melasma as for post-acne marks.

  4. Procedures where appropriate

    Chemical peels or laser, at conservative settings for Indian skin, once the skin is prepared and stable. Used to accelerate a working plan, never as the starting point.

  5. Maintenance

    Melasma relapses, particularly in summer and with hormonal shifts. A maintenance routine is part of the treatment, not an afterthought.

Next step

Ask about pigmentation

Two taps and your message is written. Dr. Neha's team replies with a time — in English, ગુજરાતી, हिन्दी or मराठी.

  • No form to fill in and no call centre — the message goes to the hospital.
  • Ask a price or check your insurance without committing to a date.
  • Answered by Dr. Neha's own team, who can see your history.

Book in three taps

Tell us what it's about and we'll reply with a time.

1What is it about?

Pick what it's about and we'll write the message for you.

Questions

What people ask us

In English and ગુજરાતી, because the decision gets made in whichever one you think in.

Is this the same as skin whitening?શું આ સ્કિન વ્હાઇટનિંગ છે?

No. This is medical treatment of a pigmentation disorder — returning your skin to its own even tone. It is not a treatment to make you lighter than you naturally are, and no responsible dermatologist offers that.

ના. આ પિગ્મેન્ટેશનની તબીબી સારવાર છે — તમારી ત્વચાને તેના પોતાના એકસરખા રંગમાં પાછી લાવવાની. તમને તમારા કુદરતી રંગ કરતાં ગોરા બનાવવાની સારવાર નથી, અને કોઈ જવાબદાર ત્વચારોગ નિષ્ણાત એવું આપતા નથી.

Can melasma be cured permanently?

It is controlled rather than cured. Melasma is a chronic condition that relapses with sun exposure and hormonal change. With treatment and consistent sun protection it can be kept faint enough not to bother you — but stopping everything usually brings it back.

How long does treatment take to show?

Eight to twelve weeks for a visible change in most cases; longer for deep or long-standing pigment. Anything promising a change in a fortnight is either superficial or unsafe.

Will laser fix it faster?

Sometimes, and sometimes it makes it worse. Melasma in particular can flare after aggressive laser treatment on Indian skin. When laser is used here it is at conservative settings, after the skin has been prepared, and as part of a wider plan.

Results & reviews

Pigmentation & Melasma Treatment at Eye & Skin Plus

Dr. Neha Shukla holds 4.8 across 1,163Google reviews. Treatment-specific patient stories for this page are being recorded with patients' written consent — see patient stories.

Dr. Neha Shukla, dermatologist

Skin care

Dr. Neha Shukla

MD (Gold Medalist) · Dermatologist

Medical dermatology and doctor-led aesthetic treatment — acne, hair fall and pigmentation treated as medical problems, not packages.

4.81,163 Google reviews

Ask about pigmentation

Send us a message describing what you would like treated. Dr. Neha's team will tell you what is realistic, and what it costs.

Near Atria Mall, Sargasan Circle, Gandhinagar · Replies in English, ગુજરાતી, हिन्दी or मराठी

Call 096015 65327, message us on WhatsApp, or get directions to Near Atria Mall, Sargasan Circle.