If you’ve been staring at dark patches or stubborn spots that won’t fade, you know this goes deeper than skincare. Every time you look in the mirror, it’s a reminder. And it affects how you feel in ways that are hard to explain. Pigmentation is complex, and yours is unique. What’s triggering it, the type you have, the depth of it, all of that matters.
That’s why at Vertex Aesthetics in Toronto, we don’t jump straight to the treatment. We figure out what type you have and what’s driving it first. Whether it’s melasma, sun damage, post-acne marks, or uneven tone, the visual changes affect how you show up and how comfortable you feel makeup-free.
Pigmentation is one of the most complex skin concerns to treat, and it’s what we specialize in. It’s not just about removing spots; it’s about regulating the pathways that created them. We won’t know what your skin needs until we assess your type, depth, and triggers. Our goal is to help you understand your pigmentation so you can make informed decisions.
Stubborn melasma, sun spots, or dark patches that won't fade with topicals
Post-acne marks or hyperpigmentation lingering for months or years
Uneven tone or patches that make your complexion look mottled
Pigmentation that keeps coming back even after the treatment
Not knowing what type you have or if it's even treatable
How visible pigmentation affects your confidence and comfort in photos
Treating pigmentation effectively means identifying what type you have, how deep it sits, and what’s triggering it. Generic brightening products or one-size-fits-all treatments might provide temporary fading, but lasting results come from targeting the specific pathways driving your pigmentation and addressing your unique triggers.
Here are common factors that contribute to pigmentation development and recurrence:
Sun damage is the most common trigger, activating melanocytes and darkening existing pigmentation.
Pregnancy, birth control, hormone replacement therapy, and thyroid conditions can trigger melasma.
Acne, trauma, aggressive treatments, or skin irritation can cause post-inflammatory hyperpigmentation.
Saunas, hot yoga, cooking over stoves, and even hot showers can worsen melasma.
Some individuals are more prone to pigmentation based on genetics and skin type.
Unfortunately, darker skin tones (Fitzpatrick IV-VI) are more predisposed to hyperpigmentation and PIH, which can make pigmentation more complex and persistent.
Certain prescriptions (antibiotics, chemotherapy, anti-seizure drugs) can cause pigmentation as a side effect.
Years of sun exposure manifest as solar lentigines and dyschromia over time.
The right approach depends entirely on your individual assessment. We won’t recommend a specific skin program until we’ve evaluated your pigmentation type, depth, skin tone, triggers, and medical history.
A professional depigmentation treatment that inhibits melanin production at the cellular level through a unique combination of depigmenting agents. Specifically formulated for stubborn melasma, post-inflammatory hyperpigmentation, and deep pigmentation that hasn’t responded to other interventions.
Uses dynamic pulse control (DPC) technology to target pigmentation and vascular concerns by breaking apart melanin clusters and addressing superficial blood vessels while promoting skin renewal. It is effective for solar lentigines, freckles, superficial hyperpigmentation, and select vascular lesions when properly assessed and customized. Safe for multiple skin types with appropriate evaluation. Not recommended for melasma or deeper dermal pigmentation.
Stimulates collagen production and promotes cellular turnover to help fade post-inflammatory hyperpigmentation and improve overall skin tone. Can be combined with targeted serums or growth factors to enhance results. Effective for PIH and mild dyschromia when part of a comprehensive skin program.
A gentler facial treatment designed to brighten skin tone, reduce mild pigmentation, and promote radiance. Uses exfoliation, oxygenation, and targeted brightening ingredients. Ideal for maintenance, mild pigmentation, or as part of a multi-treatment approach. Not suitable for stubborn melasma or deep pigmentation.
Chemical peels are used to improve uneven skin tone by accelerating cellular turnover and targeting excess pigment. Depending on the type and depth of your pigmentation, treatment may range from lighter maintenance peels to more advanced corrective protocols such as Cosmelan® or targeted mesopeels. Peel selection is always based on your pigmentation type, depth, skin tone, and triggers, ensuring the approach supports gradual, controlled brightening rather than aggressive surface treatment.
While primarily used for skin tightening and wrinkle reduction, TriPollar® can be combined with pigmentation treatments to improve overall skin quality, texture, and tone. Helps enhance treatment results when signs of aging accompany pigmentation.
POPULAR TREATMENTS
At Vertex Aesthetics, pigmentation is one of our core areas of expertise. We don’t treat it like every other skin concern; we understand its complexity, the different types, the pathways involved, and how challenging it can be to achieve lasting results. We believe you should be the expert in your own pigmentation. That’s why we focus on helping you understand what type you have, what’s triggering it, how deep it sits, and what realistic expectations look like before committing to anything.
We won’t recommend treatment until we’ve assessed your skin and determined what’s best for your specific situation. Our approach is built on education, realistic expectations, and ongoing support. We’ll be transparent about what’s involved, what’s realistic for your type and skin tone, and how long results typically take.
We’re here for the entire journey, not just treatment days, but the months of fading, monitoring, maintenance, and prevention that follow. You’re not just a booking on our schedule. You deserve to understand your pigmentation, your realistic options, and how to maintain results long-term. We specialize in this, and we’re here to help you get it right.
FAQs
You won’t know until we assess you. Pigmentation can look similar but have completely different causes, depths, and treatment needs. We’ll examine your pigmentation, ask about your history (when it appeared, triggers, what you’ve tried), and determine if it’s melasma, sun spots, PIH, dyschromia, or a combination. This determines your skin program.
Because the melanin pathways in your skin are still dysregulated, if treatment only removes surface pigment without addressing the overactive pathways or preventing re-triggering (sun, heat, hormones, inflammation), it returns. Lasting results require regulating pathways, correcting pigment, and controlling triggers through sun protection, maintenance, and lifestyle adjustments.
It depends on your type, depth, and treatment. Superficial pigmentation may lighten within weeks. Deeper pigmentation can take 3-6 months or longer. Treatment is progressive—not instant. We’ll give you realistic timelines based on your assessment.
Yes, when done properly. Darker skin tones are more predisposed to hyperpigmentation and need extra caution. Some treatments can worsen pigmentation if not customized correctly. We’ll evaluate your skin tone, type, and risk factors before recommending treatment to ensure safety and effectiveness.
Pigmentation is frustrating, complex, and deeply personal, especially when you’ve tried multiple treatments without lasting results. You deserve to understand what type you have, what’s driving it, and whether treatment will actually work for your situation.
At Vertex Aesthetics, we specialize in pigmentation. Let’s start with an honest conversation about what you’re experiencing, what you’ve tried, and what’s realistic for your skin. From there, we’ll create a skin program that’s honest, evidence-based, and designed specifically for your pigmentation type.