at-home microinfusion

Dark Spots, Post-Acne Marks & Hyperpigmentation After 40

Dark Spots, Post-Acne Marks & Hyperpigmentation After 40

Medically Reviewed by Dr. Lisa Hartford, MD

Skin Science Desk · Pigmentation

Dark Spots, Post-Acne Marks, and Hyperpigmentation After 40

What is actually happening in your skin, what fades a spot at home, and the one thing that quietly decides whether any of it works.

Evidence-based 12 cited sources Honest limits included
The short answer

Most dark spots on mature skin are one of three things: post-acne marks and post-inflammatory hyperpigmentation (the flat brown or grey shadows left after a blemish or irritation), melasma (hormonal, patchy, stubborn), or sun spots (sharp-edged, from years of light). They are not the same problem, and the fix is not the same. At home, the tools with real evidence are niacinamide, which slows the handoff of pigment to skin cells, plus barrier and anti-inflammatory support, plus a delivery method good enough to get those actives past the skin's surface. Sunscreen every single day is the part nobody wants to hear and the part that makes or breaks all of it. What follows is who each approach is for, where an at-home microinfusion kit genuinely fits, and where it does not.

1

Niacinamide is the most reliable at-home pigment active. In lab co-culture it cut the transfer of melanin-filled melanosomes to skin cells by 35 to 68 percent, and in clinical use it visibly reduced facial hyperpigmentation within four weeks.1 It sits high in the EvenSkyn Syntha-Pep formula.

2

Post-inflammatory hyperpigmentation is an inflammation story before it is a pigment story. Calm the inflammation and support repair, and the excess melanin has less reason to keep forming. That is where Centella asiatica and PDRN earn their place.9,10

3

Delivery is the quiet decider. Skin needling has been shown to enhance how well a depigmenting serum penetrates, which is the entire premise of microinfusion versus a serum you simply wipe on.6

4

Melasma is the exception, and an important one. Needling can help when paired carefully with the right actives, but done wrong it can make melasma worse. This is a proceed-with-caution concern, not a press-harder one.7

5

For true sun spots, an at-home light-based device is the better-evidenced route. Intense pulsed light cleared 74 to 90 percent of solar lentigines across trials, with a lower rate of rebound pigment than more aggressive lasers.11,12

Who published this. This guide is written and published by EvenSkyn, a Canadian at-home skincare device brand. We make the MicroInfuser PDRN Kit discussed below, and we have a commercial interest in it. We have tried to earn any recommendation through stated criteria and to say plainly where our device is not the right tool. Manufacturer claims about our own products are labelled as ours. Independent research is cited to its source so you can check it yourself.

First, figure out which dark spot you actually have

This sounds basic. It is the step almost everyone skips, and it is why so many people spend a year on the wrong product. Pigment that looks similar on the surface can come from completely different machinery underneath, and the machinery is what determines whether a given treatment helps, does nothing, or backfires.

Post-inflammatory hyperpigmentation (PIH) and post-acne marks. These are the flat spots left behind after something inflamed the skin: a pimple, a scratch, a harsh peel, an ingrown hair, even an aggressive cosmetic treatment. The inflammation nudges melanocytes into overdrive, and they deposit extra melanin that lingers long after the original blemish is gone. PIH is usually tan to dark brown on lighter skin and can be deeper or greyish on richer skin tones. It fades on its own eventually, but "eventually" can mean many months, and every new breakout resets the clock. This is the category where at-home microinfusion has the most honest support, because the same actives that calm inflammation and speed repair also happen to slow pigment formation.

Melasma. Larger, symmetrical, blotchy patches, most often across the cheeks, forehead, and upper lip. It is driven by hormones and light together, which is why it flares in pregnancy, on certain birth control, and every summer. Melasma is not a surface stain you can buff away. It is a chronic, relapsing condition, and it is genuinely temperamental. Some procedural treatments help it; others provoke it. We spend a full section on this below because the wrong move here is worse than doing nothing.

Sun spots (solar lentigines). The sharply defined tan-to-brown spots that show up on the face, hands, chest, and shoulders after decades of accumulated light. These are clusters of pigment in skin that has simply seen too much sun. They respond best to light-based and energy-based treatments that target the pigment directly. Topicals can soften them slowly; the faster, more decisive route is a device built to break up pigment, which is a different EvenSkyn product than the one at the centre of this guide.

If you are not sure which you have, that uncertainty is itself useful information: it is the reason to start with the gentlest, best-tolerated approach rather than the most aggressive one, and it is a good reason to get a professional eye on melasma specifically before treating it.

35-68%reduction in melanosome transfer with niacinamide, in co-cultureHakozaki et al., Br J Dermatol 2002
74-90%of solar lentigines cleared by intense pulsed light across trialsMardani et al., J Cosmet Dermatol 2025
~80-90%bioavailability of PDRN once it reaches the tissueSquadrito et al., Front Pharmacol 2017

What "fading a dark spot" actually means

There is no ingredient that reaches down and erases pigment like a stain remover. What effective treatments do is quieter and more mechanical, and it is worth understanding because it explains why patience and consistency beat intensity almost every time.

Melanin is made inside melanocytes, packaged into little parcels called melanosomes, and then handed off to the surrounding keratinocytes, the skin cells that make up most of your visible surface. A dark spot is really a neighbourhood of keratinocytes holding more of those parcels than usual. So there are a few honest levers: make less pigment, slow the handoff of pigment to skin cells, calm the inflammation that keeps signalling for more pigment, and turn skin over so pigment-laden cells move up and out. Most credible topical actives work on one or more of these, not on some magic dissolving step.

Niacinamide is the standout for the handoff lever. In a landmark set of experiments, niacinamide did not touch the pigment-making enzyme directly but interfered with the melanocyte-to-keratinocyte transfer, cutting it by 35 to 68 percent in co-culture, and reduced visible facial pigmentation in people after four weeks of use.1 A separate randomized trial found 4 percent niacinamide produced good-to-excellent improvement in 44 percent of melasma patients, close behind prescription hydroquinone at 55 percent, and it was better tolerated over the long haul.2 Niacinamide sits fourth on the Syntha-Pep ingredient list, ahead of most of the other actives, which is where you want a workhorse ingredient to be.

Centella asiatica, the botanical also called cica or tiger grass, works the calm-and-repair lever. A systematic review of clinical wound-healing studies found it supports repair through angiogenesis and collagen production while lowering inflammatory signals like IL-1 beta, IL-6, and TNF-alpha.9 Its key compound, madecassoside, has also been shown in co-culture to inhibit UV-driven melanin synthesis and melanosome transfer by quieting the same PAR-2 pathway niacinamide's effect is linked to.10 For post-inflammatory marks, where inflammation is the root cause, that dual action is exactly the right shape.

PDRN (polydeoxyribonucleotide) is the regenerative ingredient in the formula, and it is worth being precise about what it does. PDRN is a mixture of DNA fragments that promotes tissue repair through two routes: it feeds a cellular recycling process called the salvage pathway, and it activates the adenosine A2A receptor, which drives new blood vessel formation, collagen synthesis, and a calming of inflammation.3,4 A systematic review of 34 studies concluded it reliably supports physiological tissue repair.5 There is also early laboratory work suggesting PDRN may reduce pigment-making enzyme activity, but that is in-vitro and preliminary, and we are not going to lean on it as a pigment claim.3 PDRN's honest role here is recovery: helping skin heal cleanly after the micro-channels of a microinfusion pass, so the healing itself does not create fresh marks. One note of accuracy that gets muddled in a lot of marketing: PDRN is often salmon-derived, but the PDRN in Syntha-Pep is produced through a fermentation process rather than sourced from fish. The mechanism is the same regardless of origin.

Niacinamide gave 35 to 68 percent inhibition of melanosome transfer, and significantly decreased hyperpigmentation compared with vehicle after four weeks of use. Hakozaki et al., British Journal of Dermatology, 2002

The delivery problem, and why the method matters

Here is the part that separates results from wishful thinking. All of the actives above have to get past the stratum corneum, the skin's outermost barrier, to do meaningful work in the layers where pigment lives. A serum wiped onto intact skin delivers a fraction of its actives below that barrier. That is not a flaw in the serum; it is physics.

Microinfusion addresses this directly. A grid of very fine, short needles creates temporary micro-channels through the outer barrier, and the serum is delivered into those channels rather than left to seep in on its own. The evidence for this is concrete: in a study of melasma, skin needling was used specifically to enhance the penetration of a depigmenting serum, and it improved the outcome versus the serum alone.6 A broader systematic review of microneedling for melasma found that most successful studies paired the needling with topical actives, reinforcing that the needling is a delivery amplifier, not a standalone eraser.7

This is the honest case for a device over a jar. It is not that the device contains some superior pigment ingredient. It is that the same well-evidenced ingredients do more when a meaningful amount of them actually reaches the tissue. For post-acne marks and PIH in particular, where you are trying to both calm and re-even a patch of skin, getting niacinamide and cica below the surface is a real advantage.

7.6/ out of 10
The verdict

EvenSkyn MicroInfuser PDRN Kit, for pigment

Scored strictly as a tool for post-acne marks and post-inflammatory hyperpigmentation. It is a strong fit for that job and a poor fit for two others. Read the bars before you buy.

$69.99 kit Dissolving microneedle delivery Niacinamide + PDRN + cica + peptides At-home, no downtime clinic
Post-acne marks & PIH9.0
Best-fit use. Delivery of niacinamide and cica below the barrier, plus PDRN-supported healing, targets exactly the calm-and-re-even job PIH needs.
Skin texture & overall tone8.2
The peptide and PDRN payload supports smoother, more even-looking skin over weeks of consistent use.
Sun spots / solar lentigines5.5
Can soften them slowly via actives, but a light-based device targets sun pigment far more decisively. See the IPL note.
Melasma4.5
Deliberately low. Melasma can respond to careful low-depth needling with the right actives, but it can also worsen. Not a self-guided project.
Speed of visible change6.0
Honest expectation: weeks to a couple of months of consistent use, not days. Pigment turnover is slow by nature.

Best for

  • Flat brown or grey marks left after breakouts
  • Post-inflammatory pigment from irritation or past treatments
  • Uneven tone and texture on skin that tolerates actives well
  • People who want salon-grade delivery without repeat clinic fees

Not the best fit for

  • Active, inflamed acne (treat the acne first)
  • Melasma without professional guidance
  • Deep, sharp sun spots that want a light-based device
  • Anyone unwilling to wear daily sunscreen
  • Fish allergy: the serum contains marine collagen

How to choose a dark-spot approach that fits

1

Name the pigment first

PIH, melasma, and sun spots want different tools. Matching the treatment to the type is the single highest-value decision you will make, and it costs nothing.

2

Match the active to the mechanism

For the pigment handoff, niacinamide. For the inflammation behind PIH, cica and PDRN. For sun pigment, a device that targets melanin directly. Do not ask one ingredient to do every job.

3

Respect the inflammation paradox

The same controlled injury that helps skin remodel can, if overdone, trigger the exact pigment response you are trying to fade. Gentler and consistent beats harsh and occasional, especially on richer skin tones.

4

Weight delivery, not just the label

An active that cannot get past the barrier is a label, not a result. This is the honest reason a delivery method earns its keep over a wipe-on serum.

5

Treat sunscreen as step zero

Every pigment process is fed by light. Without daily broad-spectrum SPF, you are refilling the bucket as fast as you empty it. This is not optional, and no device changes it.

6

Judge on weeks, not days

Pigment lives in cells that turn over slowly. Set a realistic clock of six to twelve weeks and take standardized photos, not mirror checks, to see real change.

The honest comparison: at-home options for dark spots

Approach Best for Delivery Honest limitation
Topical niacinamide / vitamin C serum Mild PIH, maintenance, prevention Surface only Slow; much of the active never reaches the pigment layer
At-home microinfusion (EvenSkyn MicroInfuser) Post-acne marks, PIH, tone & texture Micro-channels below the barrier Not for melasma unguided; slower than a device on true sun spots
At-home IPL (EvenSkyn Pulsar) Sun spots, solar lentigines Light targets pigment directly Not for melasma; wrong tool for flat post-acne marks
At-home microneedling roller/pen alone Texture, general remodeling Channels, but no matched serum Without the right actives, less pigment-specific benefit
In-office laser / peel / professional microneedling Stubborn or deep pigment Clinical depth and energy Higher cost per session; PIH risk if aggressive on richer tones

Brand names belong to their respective owners and appear here for comparison only. Device capabilities, indications, and prices change; verify against the current product listing before purchase. This table describes categories of approach, not a head-to-head clinical trial.

Why the MicroInfuser fits PIH, drawn together honestly

Follow the chain. Post-inflammatory hyperpigmentation is inflammation first and pigment second. The most reliable at-home pigment active, niacinamide, works by slowing the handoff of melanin to skin cells, and it works better when it actually reaches those cells. Microinfusion creates the channels that let it. Alongside it, cica and PDRN address the inflammation and the repair, so the healing after each pass does not seed fresh marks. Put those together and you have a coherent, evidence-linked case for using this specific kit on this specific concern. Notice what the chain does not claim: it does not say this erases melasma, it does not say it out-performs a light device on sun spots, and it does not promise speed. An honest fit is a narrow fit. This one is narrow and real.

Melasma: read this before you needle anything

Melasma deserves its own warning because it behaves unlike other pigment. It is chronic, hormonally driven, and prone to relapse, and it reacts badly to excess inflammation. The evidence on microneedling for melasma is genuinely mixed: a systematic review found most benefit came only when needling was combined with specific topical agents and kept conservative, and it noted a relatively low but real risk of post-treatment dyspigmentation.7 The mechanism that can help melasma, controlled micro-injury plus targeted actives, is the same mechanism that can flare it if the depth or frequency is wrong.

The honest guidance: if you know or suspect you have melasma, this is not a solo project. See a dermatologist, treat it conservatively, and never chase it by needling harder or more often. For melasma specifically, a professional plan will out-perform anything self-directed, and the downside of getting it wrong is a longer, more stubborn problem than you started with.

Sun spots are a different tool: the IPL note

We would rather point you to the right device than sell you the wrong one. For true solar lentigines, the sharp sun spots on faces, hands, and chests, a light-based approach has the stronger evidence. A 2025 systematic review of solar lentigine treatments put intense pulsed light at 74 to 90 percent clearance, among the best of the non-invasive options, and noted that IPL carried a lower rate of post-inflammatory hyperpigmentation than more aggressive lasers.11 An earlier clinical study of IPL on sun spots on the hands reported more than 50 percent improvement in 62 percent of patients and more than 75 percent improvement in 23 percent, with no post-inflammatory pigment or scarring recorded.12

EvenSkyn's light-based device for this job is the Pulsar. If your primary concern is defined sun spots rather than post-acne marks, that is the more logical starting point, and a microinfusion kit becomes a supporting player for tone and texture rather than the lead. We would rather you buy the tool that matches your spot.

The cost picture, plainly

Pigment is rarely a one-session fix in any setting, so cost is really a cost-per-outcome question. The value case for an at-home kit is not that a single treatment is cheaper than a single clinic visit; it is that a reusable device plus a course of serum lets you run the consistent, repeated protocol that pigment actually requires, without paying per visit each time.

Route Typical commonly-reported cost Cadence pigment usually needs
EvenSkyn MicroInfuser PDRN Kit $69.99 kit (reusable device + serum course) Repeatable at home on a set schedule
In-office microneedling session Commonly reported in the low-to-mid hundreds per session Often a series of several sessions
In-office IPL / laser for pigment Commonly reported in the mid hundreds per session Multiple sessions plus maintenance

Figures are commonly-reported ranges for context only and vary widely by region, provider, and treatment area. Verify current pricing directly; treat these as ballpark, not quotes.

The pick

EvenSkyn MicroInfuser PDRN Kit

For post-acne marks and post-inflammatory hyperpigmentation on skin that tolerates actives, this is the honest at-home pick: a well-chosen active payload delivered where it can work, with recovery support built in. Here is the balanced view.

What it does well

  • Delivers niacinamide and cica below the barrier, not just onto it
  • Pairs pigment actives with PDRN and peptides for cleaner healing
  • Runs the repeated, consistent protocol pigment genuinely needs
  • One reusable device instead of per-session clinic fees

What it will not do

  • Will not erase melasma, and should not be self-directed on it
  • Will not clear deep sun spots the way a light device can
  • Will not work in days: think weeks to months
  • Will not hold results without daily sunscreen
  • Not suitable with a fish allergy (contains marine collagen)
See the MicroInfuser PDRN Kit

How to use it for post-acne marks, step by step

1

Start on calm, clear skin

Treat marks, not active breakouts. Skin should be clean, dry, and free of open or inflamed lesions before a microinfusion pass. If acne is still active, address that first.

2

Patch test, then go low and slow

Test a small area first. With any micro-channel delivery, gentler and consistent beats aggressive and occasional, particularly on richer skin tones where the pigment response is more reactive.

3

Apply the serum as directed and let skin recover

Follow the kit's instructions for serum use and spacing between sessions. The recovery window is when the PDRN and cica do their calming, repairing work, so do not layer strong acids or retinoids immediately after.

4

Protect relentlessly the next day

Fresh skin is light-sensitive, and light drives pigment. Daily broad-spectrum SPF is not a suggestion here; it is the step that protects everything you just did.

5

Photograph and give it weeks

Take standardized photos in the same light. Reassess on a six-to-twelve-week horizon. Pigment fades on a cellular clock, not a daily one.

Who should not use this, and when to stop

Skip or seek advice first if you have a fish or shellfish allergy (the serum contains marine collagen), active or infected acne, eczema or a compromised barrier in the area, a history of keloid scarring, or if you are pregnant or breastfeeding. Do not use over moles, raised lesions, or anything changing in size or colour; have those assessed by a professional. If you have melasma, treat it only under guidance. Stop and consult a clinician if you see prolonged redness, worsening pigment, or any sign of irritation or infection.

Frequently asked questions

Does PDRN fade dark spots?
Not directly, and we would be wary of anyone who says it does. PDRN's evidence base is in wound healing and tissue repair, driven by the salvage pathway and adenosine A2A receptor activation. Its honest role in a pigment routine is supporting clean recovery so the healing itself does not create new marks. There is early laboratory work hinting PDRN may also reduce pigment-enzyme activity, but that is preliminary and in-vitro, not a proven at-home pigment claim. For actual pigment work, look to niacinamide, which is in the same serum.
Is microinfusion good for hyperpigmentation?
For post-inflammatory hyperpigmentation and post-acne marks, yes, with a clear mechanism: it delivers pigment-active ingredients past the skin barrier, where they can work, and skin needling has been shown to enhance depigmenting serum penetration. For melasma it is a proceed-with-caution situation, and for deep sun spots a light-based device is the stronger tool. Microinfusion is good for the pigment types driven by inflammation, less so for the others.
Can it help my melasma?
Possibly, but not on your own. The research on microneedling for melasma is mixed, and benefit tends to appear only with conservative technique plus specific topical agents. The same controlled injury that can help melasma can also flare it. If you have melasma, see a dermatologist and treat it under guidance rather than self-directing. This is the one concern where the wrong move is worse than doing nothing.
What is the difference between post-acne marks and acne scars?
Post-acne marks are flat pigment or redness left after a blemish; they are a colour problem and they fade over time. True acne scars are textural, an actual dent or raised area in the skin's surface, and they need remodeling rather than pigment work. Microinfusion of the right actives targets the flat marks well; deep textural scars are a bigger, often in-office conversation.
How long until I see a difference?
Think weeks, not days. Niacinamide showed visible reduction in facial pigmentation after about four weeks in clinical use, and most people should plan on a six-to-twelve-week course of consistent treatment for pigment. Standardized photos are far more honest than the bathroom mirror for judging progress.
Do I really need sunscreen if I am treating spots indoors?
Yes. Every pigment process is fed by light, and freshly treated skin is more light-sensitive, not less. Skipping daily broad-spectrum SPF undoes the work by re-triggering the exact pigment response you are trying to calm. It is genuinely the highest-leverage habit in any dark-spot routine.
Why niacinamide and not hydroquinone?
Hydroquinone is a prescription-strength option and can be effective, but it carries more tolerability concerns over long-term use and is regulated differently across regions. In a head-to-head melasma trial, 4 percent niacinamide reached good-to-excellent improvement in 44 percent of patients versus 55 percent for hydroquinone, while being better tolerated. For a daily, at-home, long-run active, niacinamide is a sensible, well-evidenced choice.
Can I use retinol or vitamin C with it?
Not stacked directly on top of a fresh microinfusion pass. Give skin its recovery window first, then reintroduce actives on non-treatment days. Vitamin C pairs well with a pigment routine in general as an antioxidant that supports even tone; retinoids support turnover but can irritate freshly channeled skin, so spacing matters. When in doubt, simpler and gentler wins.
Is it safe for darker skin tones?
It can be, with extra care. Richer skin tones are more prone to post-inflammatory hyperpigmentation, which means the inflammation paradox matters more: go conservative on depth and frequency, protect with SPF, and stop if you see any darkening rather than lightening. Encouragingly, one study in skin of color found microneedling improved both acne scarring and the associated pigmentation. Caution and consistency are the watchwords.
Does the serum contain anything allergenic?
The Syntha-Pep serum contains marine collagen, so it is not suitable if you have a fish or shellfish allergy, and it is not vegan. It also contains a small amount of botanical fragrance from bitter orange flower oil, which reactive skin may want to patch test. Always read the full ingredient list on the current product page against your own sensitivities.
Will it help sun spots on my hands and chest?
Slowly, at best. Sun spots respond most decisively to light-based treatment that targets the pigment directly; intense pulsed light cleared 74 to 90 percent of solar lentigines across trials. For sun spots specifically, an IPL device such as EvenSkyn's Pulsar is the more logical tool, with microinfusion playing a supporting role for overall tone.
Is this the same as a clinic microinfusion facial like AquaGold?
It shares the core idea of delivering serum through fine channels, but an at-home device is not a clinical treatment and we will not claim it is equivalent. Clinic procedures reach depths and use protocols an at-home kit does not. What at-home microinfusion offers is convenience, affordability, and the ability to run the repeated schedule pigment needs. Different tool, honest trade-offs.
How we made this. We separated verified science from product claims throughout. Every research statement is cited to a peer-reviewed source or systematic review, checked at the time of writing. Statements about the EvenSkyn MicroInfuser and Syntha-Pep formula are ours as the manufacturer and are labelled as such; the ingredient list referenced is the current published formula. Where evidence is preliminary, in-vitro, or mixed, we said so rather than rounding it up. This is a general education guide, not medical advice, and it does not replace an assessment by a qualified professional, which matters most for melasma, changing lesions, and richer skin tones prone to pigment.

References

  1. Hakozaki T, Minwalla L, Zhuang J, et al. The effect of niacinamide on reducing cutaneous pigmentation and suppression of melanosome transfer. Br J Dermatol. 2002;147(1):20-31. doi:10.1046/j.1365-2133.2002.04834.x
  2. Navarrete-Solís J, Castanedo-Cázares JP, Torres-Álvarez B, et al. A double-blind, randomized clinical trial of niacinamide 4% versus hydroquinone 4% in the treatment of melasma. Dermatol Res Pract. 2011. PMCID: PMC3142702
  3. Squadrito F, Bitto A, Irrera N, et al. Pharmacological activity and clinical use of PDRN. Front Pharmacol. 2017;8:224. doi:10.3389/fphar.2017.00224
  4. Polydeoxyribonucleotide regulation of inflammation. Adv Wound Care. PMCID: PMC7585621
  5. The effects of polydeoxyribonucleotide on wound healing and tissue regeneration: a systematic review of the literature. Regen Med. 2020. PMID: 32757710
  6. Fabbrocini G, De Vita V, Fardella N, et al. Skin needling to enhance depigmenting serum penetration in the treatment of melasma. Plast Surg Int. 2011;2011:158241. doi:10.1155/2011/158241
  7. A systematic review of the efficacy and safety of microneedling in the treatment of melasma. Dermatol Surg. PMID: 32897944
  8. Al Qarqaz F, Al-Yousef A. Skin microneedling for acne scars associated with pigmentation in patients with dark skin. J Cosmet Dermatol. 2018;17(3):390-395. doi:10.1111/jocd.12520
  9. A systematic review of the effect of Centella asiatica on wound healing. PMCID: PMC8956065
  10. Actions and therapeutic potential of madecassoside and other major constituents of Centella asiatica: a review. Appl Sci. 2021;11(18):8475. doi:10.3390/app11188475
  11. Mardani G, Nasiri MJ, Namazi N, et al. Treatment of solar lentigines: a systematic review of clinical trials. J Cosmet Dermatol. 2025. doi:10.1111/jocd.70133
  12. Clinical effectiveness of intense pulsed light therapy for solar lentigines of the hands. J Dermatolog Treat / Dermatol Surg. PMID: 22515674
Published by EvenSkyn. Educational content, not medical advice. Product claims are the manufacturer's. Independent research is cited to its source. Consult a qualified professional for diagnosis and treatment, especially for melasma or any changing skin lesion.

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