Pigmentary Disorders

Your skin’s color comes from melanin, a natural pigment produced by specialized cells. When these cells become overactive or underactive, areas of darker or lighter skin can appear. At Dermatology Specialists of Atlanta, board-certified dermatologist Kathleen J. Smith, MD, and her team provide comprehensive diagnosis and treatment for pigmentary disorders using the most advanced therapies available to restore balance, tone, and confidence in your skin.

Diagnosis and Treatment

The first step in managing pigmentary disorders is identifying the underlying cause. Dr. Smith performs a detailed skin evaluation, which may include dermatoscopic examination, biopsy, or laboratory testing, to determine the type and depth of pigment change.

Once the diagnosis is confirmed, she creates a personalized treatment plan that may include topical prescriptions, laser or light-based procedures, chemical peels, and medical-grade skincare. The goal is to achieve even, healthy-looking skin while preventing future pigment changes.

Hyperpigmentation

Hyperpigmentation occurs when the skin produces too much melanin, leading to dark spots or uneven tone. Common causes include sun exposure, inflammation, and hormonal changes.

Conditions treated include:

• Melasma: A chronic condition that causes symmetrical brown or gray patches, often on the face. Dr. Smith offers advanced therapies beyond traditional creams and peels for resistant melasma.

• Post-inflammatory hyperpigmentation (PIH): Dark spots that appear after acne, eczema, or injury. Treatment focuses on reducing inflammation, evening skin tone, and preventing recurrence.

Hypopigmentation

Hypopigmentation occurs when the skin loses pigment, appearing lighter or white in certain areas. Dr. Smith carefully evaluates these conditions to determine the most effective treatment approach.

Conditions treated include:

• Vitiligo: An autoimmune condition that causes loss of pigment in patches. Treatment options may include topical therapies, light therapy, and emerging medical treatments to restore color and control spread.

• Post-inflammatory hypopigmentation: Temporary lightening that follows skin irritation or injury, often improving with targeted therapies and time.

• Albinism: A genetic condition resulting in reduced melanin production. While albinism cannot be cured, Dr. Smith provides guidance on skin protection and management to prevent sun damage and maintain skin health.

No matter the cause, pigment changes can affect more than your skin—they can affect how you feel about yourself.
At Dermatology Specialists of Atlanta, we combine medical expertise with the latest technology to help you achieve a clearer, more even complexion and renewed confidence.

Call our office or schedule a consultation online to learn more about advanced treatments for pigmentary disorders.