Treatments for Dyschromia

Ever notice a discoloration in patches of your skin? It could be dyschromia. Treatments at Orlando's Associates in Dermatology can help erase this hypopigmentation or hyperpigmentation of the skin that's caused by any of multiple factors, including pregnancy, hormonal changes or a fungal infection.


Dyschromia is a condition marked by an alteration of color on the skin, hair or nails. The color of the skin is dependent on how many melanocytes a person has. Hypopigmentation and hyperpigmentation are used to describe light or dark patches on the skin. Melasma is often a diagnosis of dark patches, whereas Vitiligo typically is a diagnosis of light patches.

Signs and Symptoms

Dyschromia presents as single or multiple light or dark patches on the skin. Physical symptoms generally do not occur with dyschromia, though in certain cases patients may experience itching.

Diagnosis and Treatment

Diagnosis is made by clinical examination and patient history. Hypopigmentation such as vitiligo can start as one patch and grow into multiple patches or even whole areas of light skin, sometimes affecting the whole body. Light patches on the skin could also be part of eczema (pityriasis alba) or a fungal infection (tinea versicolor). Each condition has different dyschromia treatments so an Orlando Associates in Dermatology examination is necessary.

Hyperpigmentation can be triggered by hormonal changes associated with pregnancy and birth control pills, and can fade without treatment. However, dyschromia patients choosing treatment have several options including topical creams such as hydroquinone (to lighten skin tone) and tretinoin or steroid creams (to enhance skin lightening). Procedures for melasma include chemical peels such as TCA peels administered by our paramedical esthetician, and laser treatments administered either as an addition to your personalized skin care regimen or as an alternative based on your visit with the provider. Chemical peels or laser treatments are not covered by medical insurance. So, Associates in Dermatology in Orlando offers many different payment options.

In conjunction with the treatment options recommended at Associates in Dermatology, you also can use Steppie MD® In the Light Intensive Pigment Corrector, twice daily. This revolutionary product contains a high concentration of Axolight, a patented, certified organic brightening complex that is safe and gentle and has been clinically proven to act even faster than Arbutine (another powerful skin brightener). Acting in synergy with kojic acid and other natural skin brighteners, it helps inhibit melanin production while promoting a more even and flawless skin tone. In just 28 days, volunteers saw an improvement and 91% noticed brown spots fade away significantly in 56 days. (Efficacy evaluated on a panel of 22 volunteers - 2x/day application.)

Follow up and Outcomes

For prevention and daily maintenance of dyschromia, treatment should involve proper sun protection. We recommend using Steppie MD® Antioxidant Sunscreen spray SPF 25, which provides broad-spectrum protection from both UVA and UVB rays with no chemical sun fillers. It contains the FDA approved physical blocker Zinc Oxide to reflect light away from the skin.

DISCLAIMER: The information provided by this site is intended solely for educational purposes. This information is not to be used for medical diagnostic purposes and is not intended to serve as a recommendation for treatment and/or management of any medical/surgical condition. Most of all, this information should not be used in place of a physician or other qualified health provider. If you believe you have a medical condition, please contact your physician immediately.