Pigmentation Treatment

DermAlly's dermatologist-led pigmentation programme uses a multi-laser approach — including Pico, Q-switched Nd:YAG, yellow, and fractional lasers — to target sun spots, melasma, freckles, Hori's naevus, and post-acne marks with precision tailored to each patient's skin tone and pigmentation depth.

Pigmentation is among the most prevalent skin concerns in Singapore's year-round UV environment, and DermAlly's approach is distinguished by specialist-level diagnostic precision before any treatment is commenced. Because different pigmentation conditions require different laser wavelengths and protocols, accurate identification of the pigmentation type — epidermal, dermal, or mixed — is essential to achieving meaningful results and avoiding the risk of worsening conditions such as melasma with inappropriate treatment. DermAlly employs a multi-laser toolkit to match treatment to diagnosis. The Pico laser is the clinic's primary choice for superficial epidermal pigmentation (freckles, age spots, sun-induced hyperpigmentation) and for mixed-type lesions including certain presentations of melasma, where its photoacoustic mechanism reduces the thermal stimulation that can exacerbate melanocyte activity. For deeper dermal pigmentation such as Hori's naevus, nevus of Ota, and deep melasma, the Q-switched Nd:YAG laser at 1064nm is preferred for its superior penetration to the dermal layer. The yellow laser (577nm) is uniquely positioned to address the vascular component of pigmentation — particularly persistent redness in post-inflammatory erythema (PIE) and the reddish-purple discolouration that can accompany melasma and rosacea. For patients with photoaging, sun damage, and diffuse uneven tone, fractional laser resurfacing stimulates collagen remodelling and accelerates epidermal cell turnover to fade pigmentation across the skin surface. All pigmentation assessments at DermAlly are conducted by a specialist dermatologist who evaluates pigmentation under Wood's lamp illumination and dermoscopy where indicated, enabling a more precise characterisation of lesion depth and type. Treatment plans are therefore highly individualised, with regular reviews to monitor response and adjust parameters as needed. Melasma, being a chronic and hormonally influenced condition, is managed with a maintenance mindset rather than a cure-focused approach. Combination treatments with prescription topicals (hydroquinone, retinoids, tranexamic acid) and sun avoidance protocols are integrated alongside laser sessions to achieve durable results.