Medically reviewed by Dr. Amey Kelkar (MBBS, MD – Dermatology, Venereology & Leprosy). Last updated: August 2026.
Common questions about pigmentation, melasma, dark spots and uneven skin tone treatment at Derma Solutions, Kothrud, Pune — including treatment options, sessions and costs.
Facial pigmentation is most often caused by sun exposure, hormonal changes, inflammation after acne or injury, and certain medications. In Indian skin, which has more melanin, pigmentation appears more readily and takes longer to fade than in lighter skin types
Melasma is a hormonally influenced pigmentation that appears as symmetrical brown patches, usually on the cheeks, forehead and upper lip. It is manageable rather than permanently curable — treatment lightens the patches, and ongoing sun protection prevents them from returning.
Depending on the type and depth of pigmentation, treatment may include prescription topical creams, chemical peels, Q-Switched Nd:YAG laser toning and strict photoprotection. Most patients need a combination approach rather than a single treatment, decided after examination
A chemical peel costs Rs. 1,200 per session at Derma Solutions, Kothrud. Pigmentation usually needs a course of 3 to 4 peels spaced about 4 weeks apart, with the exact number confirmed after your skin is assessed.
Q-Switched Nd:YAG laser toning costs between Rs. 3,500 and Rs. 5,000 per session at Derma Solutions, depending on the area treated and the depth of pigmentation. The number of sessions is decided after a skin assessment.
A chemical peel applies a controlled solution that removes the outermost pigmented layers of skin and speeds up cell turnover. Peels are performed in a graded course, with strength adjusted to your skin type to reduce the risk of irritation or rebound pigmentation.
Yes, when settings are chosen carefully for higher-melanin skin. Aggressive settings can worsen pigmentation in Fitzpatrick III–V skin, which is why laser for pigmentation should only be done under a dermatologist’s supervision after a proper skin assessment.
Pigment-producing cells stay active after treatment. Without daily sunscreen and maintenance, sun exposure and hormonal triggers cause spots to return. Most recurrences are linked to stopping sun protection once the skin looks clear.
Yes — it is the single most important step. UV exposure drives both the formation and recurrence of pigmentation, so a broad-spectrum sunscreen applied every morning and reapplied through the day is essential alongside any clinical treatment.
Pigmentation responds gradually. Most patients see visible lightening over several weeks to a few months of consistent treatment, with deeper pigmentation taking longer. Progress is reviewed at follow-up visits and the plan adjusted as needed.
The first consultation is Rs. 600 and follow-up visits are Rs. 400. Dr. Kelkar examines the affected areas, identifies the type of pigmentation, and outlines a treatment plan with expected timelines. Book an appointment.
