Hyperpigmentation is the overproduction of melanin that results in dark spots or uneven patches. While topical skincare (Vitamin C, retinoids) can help, these treatments are often slow and produce only partial results.
At Esthetics Center, we use light-based and laser technologies to target pigment at the source. Under the guidance of Dr. Reginald Rice, MD, FACS, we provide protocols tailored to specific skin types to ensure safety and efficacy.
Hyperpigmentation occurs when certain areas of the skin produce excess melanin, resulting in spots or patches that appear darker than the surrounding tissue. This condition can affect the face, neck, chest, hands, or legs, and it occurs across all skin tones.
In Northern California’s sun-heavy climate, many patients at our Sacramento and El Dorado Hills clinics seek treatment for sun-induced dark spots. However, sun exposure is only one factor; melasma, acne-related discoloration, hormonal fluctuations, and genetics also play significant roles.
Because not every laser is appropriate for every skin type or condition, accurately identifying your specific type of hyperpigmentation is the essential first step in choosing a safe and effective treatment.
While pigmentation issues often look similar, they arise from different biological triggers. Identifying the root cause—whether it is hormonal, inflammatory, or genetic—is essential for selecting a laser technology that will clear the skin without causing adverse reactions.
Melasma is caused by hormonal fluctuations that trigger symmetrical dark patches, typically on the cheeks, forehead, and upper lip. Common triggers include pregnancy—often called the "mask of pregnancy"—and hormonal birth control.
Because melasma-prone skin is sensitive to heat, we use calibrated protocols, such as the Pico laser, to treat it safely. Using standard IPL or aggressive resurfacing on melasma can occasionally worsen the condition in medium to dark skin tones, making a professional assessment critical.
PIH occurs when the skin overproduces melanin following irritation, injury, or inflammation. It is often more pronounced and persistent in medium to dark skin tones. Common triggers include acne, eczema, burns, or even skincare treatments performed with incorrect settings. Because PIH can be an unintended side effect of improper laser use, we utilize skin-tone-specific protocols rather than a one-size-fits-all approach.
Inflammation from acne frequently leaves behind "post-acne macules" after the breakout heals. The more severe the original inflammation, the larger and darker the resulting spot. Picking or squeezing blemishes further intensifies this process, often leading to deeper pigmentation.
Patients with long-standing acne discoloration typically see significant clearing within two to three laser sessions.
Not all dark circles are caused by fatigue. Periorbital hyperpigmentation refers to brown or tan discoloration around the eyes, distinct from the blue-purple hue caused by visible blood vessels.
This is often a result of aging or hereditary factors. Treating this area requires a delicate touch and high precision, as the skin around the eyes is exceptionally thin and sensitive.
Effective pigmentation removal requires matching the right technology to your specific skin type and goals. We utilize three distinct modalities to ensure safe, predictable results for every patient.
IPL (Intense Pulsed Light) uses highly filtered bursts of multi-wavelength light to target discoloration. It is an option for those looking to address several concerns simultaneously.
For those looking to address hyperpigmentation more aggressively and who can accommodate a recovery window, CO2 is a non-surgical method for overall skin surface improvement.
Patients with darker skin tones have traditionally been advised to avoid certain lasers due to the risk of burns or post-inflammatory hyperpigmentation (PIH). The Pico laser provides an alternative.
The cost of treatment is based on the specific technology used, the size of the area, and the total number of sessions needed. Because every patient's needs differ, we provide a personalized quote during your consultation.
A quick phone call or text is all it takes to schedule your consultation and receive an exact quote for your goals.
Esthetics Center provides hyperpigmentation treatment and dark spot removal with IPL, CO2 laser resurfacing, and Pico laser across 4 Northern California clinics. Each location offers consultations and personalized protocols matched to skin tone and pigment type.
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Selection depends on your skin tone and the type of pigmentation. IPL is effective for light skin with sun damage, while CO2 is for those seeking a single, aggressive treatment with recovery time. The Pico laser is the safest option for medium to dark skin tones and melasma.
Most patients see results in 1 to 3 sessions. IPL and Pico typically require a short series for deeper spots, while CO2 resurfacing is usually performed as a single, comprehensive treatment.
Yes. Unlike traditional heat-based lasers that can cause burns on darker skin, the Pico laser uses ultra-short pulses to shatter pigment mechanically. This eliminates the sustained heat that typically risks further discoloration in melanin-rich skin.
Expect 10 to 14 days of social downtime. The skin will appear red and sensitive, similar to a sunburn, before flaking and peeling as the surface regenerates.
Treated pigment is permanently removed. However, new spots can form due to sun exposure, hormones, or acne. Consistent SPF 30+ use is necessary to maintain results, and some patients choose an annual maintenance session to address new sun damage.
