Seeing Clear Through All Shades: Combination Strategies to Tackle Pigment with Confidence

In a recent presentation, Dr. Mona Sadakpur, a board-certified dermatologist, discussed the complexities of managing pigmentation in skin of color, emphasizing that effective treatment requires a multimodal approach due to varying pathophysiology. She highlighted the significance of addressing hyperpigmentation, particularly as the U.S. population becomes increasingly diverse. Dr. Sadakpur proposed an algorithm for diagnosis and treatment based on the dynamic (involving inflammation and fluctuating pigmentation) versus static (stable lesions) nature of pigmentation disorders. Through case studies, she illustrated treatment protocols, beginning with thorough patient histories to tailor interventions effectively. For static pigmentation, she promoted skin preparation using hydroquinone and targeted laser therapy, while for dynamic conditions, she stressed the importance of addressing inflammation before treating pigmentation, often utilizing topical therapies and oral medications like tranexamic acid. Without relying heavily on lasers, she demonstrated that informed, patient-centered care could yield significant improvements in skin conditions like melasma or post-inflammatory hyperpigmentation. Dr. Sadakpur concluded by reiterating the need for careful consideration in treating skin of color, recommending collaboration with specialists when advanced laser treatments are indicated.