From stubborn acne marks to melasma and sunspots, unwanted pigmentation is one of the most common reasons people see a dermatologist. In this episode, Dr. Dustin Portela and PA Austin Lee break down the different types of pigmentation, why they happen, and the science behind how to treat them.

They cover post-inflammatory hyperpigmentation (PIH), melasma, sunspots, freckles, and even lighter pigment changes like idiopathic guttate hypomelanosis. You'll learn why pigmentation is so persistent, how heat and even blue light can make melasma worse, and why sunscreen is always step one. Dustin and Austin also dive into prescription options like hydroquinone, over-the-counter ingredients like kojic acid and niacinamide, and emerging alternatives like thiamidol and melasyl. They also explore in-office options—chemical peels, lasers, and microneedling—and explain which treatments work best for which conditions.

This week's "Did You Know?" reveals just how common pigmentation really is in dermatology offices—and why it often shows up alongside other concerns.

Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportelaYouTube (Reactions): @208SkinDocYouTube (Educational): @drdustinportelaPinterest: @DrDustinPortela

Austin Lee TikTok: @austinleepac Instagram: @austinleepac

Product of the Week — Eucerin Radiant Tone CollectionFeaturing thiamidol, a unique ingredient that helps reduce pigmentation without the risks associated with hydroquinone. The line includes a gentle cleanser, serum, tinted SPF, and night