Skin may appear darker than normal and may be blotchy, uneven areas, or patches of brown to gray discoloration or freckling. Skin pigmentation disorders occur because the body produces either too much or too little melanin, a pigment produced by melanocytes.
Increased melanin production, also known as hyperpigmentation, is often referred to as melasma (general term describing darkening of the skin), chloasma (discolorations caused by hormones) or solar lentigines (darkened spots on the skin caused by the sun). In addition, hyperpigmentation can be caused by skin damage, such as remnants of blemishes, wounds or rashes.
Skin-lighteners (like bearberry leaves extract and undecylenoyl phenylalanine) inhibit melanin tyrosinase or melanotropin and reduce or block some amount of melanin production. Many treatments use a combination of topical lotions or gels containing melanin-inhibiting ingredients along with a sunscreen, and a prescription retinoid. Depending on how the skin responds to these treatments exfoliants, either in the form of topical cosmetic or chemical peels, and lasers may be used.