Patient guides

Mesotherapy for Facial Pigmentation

Mesotherapy delivers vitamins, minerals and amino acids into the dermis to address pigmentation. What it treats, what it involves and how to care for the skin afterwards.

Pigmentation is one of the more stubborn skin complaints, in part because the cause varies — sun exposure, hormonal change, ageing and inflammation all produce it, and they do not all respond to the same treatment.

What facial pigmentation is

Facial pigmentation presents as dark spots, patches or marks on the skin.

Hyperpigmentation can be triggered by sun exposure, hormonal changes, ageing or certain medical conditions. The dark areas result from excess production of melanin in the skin.

Establishing the cause matters before treating it. Melasma driven by hormonal factors behaves differently from post-inflammatory pigmentation or sun damage, and responds differently to treatment.

What mesotherapy is

Mesotherapy is a non-surgical treatment involving injections of medications, vitamins, minerals and amino acids into the middle layer of the skin. By targeting specific concerns such as dark spots, patches and hyperpigmentation with a tailored combination of these, mesotherapy aims to stimulate collagen production and support cell turnover.

The combination is adjusted to the individual finding, whether that is age spots, melasma or another pattern of pigmentation.

Compared with treatments such as deeper chemical peels or ablative laser, mesotherapy is a gentler option with limited downtime. It generally requires a course of sessions rather than a single treatment.

What it addresses

Targeted treatment Mesotherapy delivers the treatment combination directly into the affected area rather than relying on topical absorption through the epidermis. This is the principal difference from a topical product — the active ingredients reach the layer where the pigmentation is being produced.

Skin quality Beyond pigmentation, the microinjections stimulate collagen synthesis and support skin hydration, which affects texture as well as tone.

Duration Because the delivery is intradermal rather than topical, the effect is more durable than that of a topical product, though it is not permanent and a maintenance course is usually required.

Limited downtime Mesotherapy is minimally invasive and most patients resume normal activities immediately after each session.

Aftercare

Aftercare affects the result significantly, particularly sun protection — inadequate sun protection after treating pigmentation will undo the treatment.

1. Keep the treated area clean Cleanse gently twice daily with a mild cleanser. Avoid harsh scrubbing or exfoliation, which irritates the skin.

2. Moisturise Apply a moisturiser suitable for your skin type. Products containing hyaluronic acid or ceramides help maintain moisture levels.

3. Protect from the sun Use a broad-spectrum sunscreen with at least SPF 30 daily, including on overcast days. This is the single most important step — ultraviolet exposure drives melanin production and will reverse the result.

4. Avoid heat and sweating Avoid activities causing excessive sweating or exposing the face to high temperatures immediately after treatment — hot showers, saunas, steam rooms and intense exercise.

5. Be gentle with the skin Avoid picking at any scabs or peeling skin that develops; allow it to heal without interference.

6. Use recommended products Specific skincare products may be recommended for post-treatment care based on your skin.

7. Stay hydrated Adequate water intake supports skin health and healing.

8. Limit makeup Minimise makeup application immediately after treatment, which can block pores and interfere with healing.

9. Consider complementary treatments Microneedling or laser resurfacing may be used alongside mesotherapy to address texture as well as pigmentation, where appropriate.

10. Attend follow-up Regular review allows progress to be monitored and the treatment plan adjusted.

How we quote

Fees depend on the number of sessions required and the treatment combination used, and are set out in writing after assessment.

The procedure this relates to

A skin treatment in which fine sterile needles create controlled micro-injuries in the surface of the skin, prompting the body's own collagen and elastin response. Used for skin texture, fine lines, acne scarring and pigmentation.

Microneedling Mesotherapy

Before you act on this

Everything here is general. What applies to you depends on your anatomy, your history and what you are trying to achieve, and none of that can be assessed from a page. If a question here is yours, bring it to a consultation.

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