
I Have Abnormal Skin Pigment: What Can Help?

Living with uneven skin tone can be frustrating. Those persistent dark patches, depigmented areas, or reddish hues plaguing your cheeks, nose, and chin don’t usually hurt, but they can certainly affect how you feel when you look in the mirror.
At The Rawal Institute for Hair Restoration and Aesthetic Medicine in Madison, Wisconsin, Shamila Gupta Rawal, MD, offers several effective treatments for patients who are dealing with pigmentation problems.
Understanding what’s happening with your skin
Your skin color comes from melanin, which comes from cells called melanocytes. When these cells malfunction or get damaged, you end up with too much pigment (hyperpigmentation) or too little (hypopigmentation).
Common pigmentation issues include:
- Melasma (brown or grayish patches, often triggered by pregnancy hormones)
- Age spots (small, darkened areas from years’ worth of sun exposure)
- Post-inflammatory hyperpigmentation (dark spots after acne or injury)
- Vitiligo (patches lacking pigment)
- Rosacea (persistent redness and visible blood vessels)
Some of these conditions are impossible to prevent, like vitiligo, but early intervention can still help you achieve a clearer, more even skin tone.
Treatments available at our clinic
Dr. Rawal starts with a thorough exam, including a Visia facial scan, to identify your specific condition and develop the appropriate treatment. With an emphasis on regenerative treatments that kickstart your body’s natural healing properties, she may recommend:
SkinPen® microneedling for even skin tone
SkinPen is an FDA-cleared microneedling device that effectively targets pigmentation issues. The precision-engineered needles create thousands of controlled micro-injuries in your skin, triggering your body’s natural healing response without causing additional pigmentation problems.
This process helps break up pigment clusters while stimulating collagen and elastin production. Most patients notice visible improvement in their skin tone after a series of treatments, typically 3-4 sessions spaced about a month apart.
Clear + Brilliant® Touch laser treatment
For more targeted pigmentation concerns, Dr. Rawal offers Clear + Brilliant Touch laser therapy. This gentle fractional laser creates microscopic treatment zones in the upper layers of the skin, replacing damaged skin with healthy, younger-looking tissue.
The treatment is quick (usually under one hour) with minimal downtime, making it perfect for busy schedules. Clear + Brilliant is especially effective for early signs of pigment changes and helps prevent future issues while improving overall skin texture.
tRibella 3-in-1 laser treatment
Dr. Rawal’s signature tRibella treatment is a comprehensive 90-minute treatment trifecta consisting of intense pulsed light to target pigmentary concerns, radiofrequency skin tightening, and fractional non-ablative laser resurfacing to remove deep seated pigment deposits to produce your tightest, brightest skin. This foundational treatment has long-lasting results that continue to get better with time.
PRP therapy for skin regeneration
Platelet-rich plasma (PRP) therapy uses healing compounds from your own blood to address pigmentation concerns. Similar to how it helps with hair restoration, PRP delivers concentrated growth factors to your skin, stimulating repair of damaged tissue and encouraging healthy cell turnover.
The process is straightforward. We draw a small amount of blood, process it in our specialized centrifuge, and then apply or inject the PRP to the affected areas. This treatment works well for various types of discoloration and can improve overall skin texture and tone.
Personalized skincare protocols
Dr. Rawal also develops customized skincare regimens using products from her very own medical-grade skincare line, tR(x)i, that specifically target your pigmentation concerns. These might include specialized ingredients that inhibit excess melanin production or encourage healthy cell turnover.
Daily habits that protect your progress
Dr. Rawal’s treatments work best when you support them with good daily habits:
- Diligent sun protection (SPF 30+ daily, rain or shine)
- Consistent use of your prescribed medical-grade skincare products
- Gentle cleansing to avoid irritation that could worsen pigmentation and redness
Dr. Rawal recommends specific products and routines that she tailors to your skin type and pigmentation concerns.
Patience pays off when targeting stubborn pigment
Pigment problems develop over time, and you get rid of them the same way. Most treatments require multiple sessions, and visible improvements typically appear gradually over weeks or months. With the right approach, most pigmentation issues respond well to treatment.
If uneven skin tone is bothering you, schedule a consultation at The Rawal Institute for Hair Restoration and Aesthetic Medicine.
Dr. Rawal evaluates your skin, discusses your history and concerns, and recommends a customized treatment plan for your needs. Call our Madison office or book your appointment online today to learn more.
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