Pigmentation disorders include melasma (often hormonal and sun-related) and post-inflammatory hyperpigmentation, the dark marks left after acne, inflammation or injury. Because these are managed differently, assessment focuses on identifying the type of pigmentation before agreeing a plan centred on sun protection and appropriate treatment.

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What to expect from the appointment

Identify the cause – Distinguishing melasma from post-inflammatory marks and other causes.

Sun protection first – Daily broad-spectrum SPF is the foundation of any plan.

Gradual improvement – Realistic expectations, as pigmentation fades over months.

Patient Journey

1

Consultation and assessment

We begin with a detailed consultation to understand your history, symptoms and goals, and to confirm the right approach for you.

2

Skin assessment and diagnosis

We examine the affected skin, discuss the likely cause, and confirm the diagnosis, using dermoscopy or tests where helpful.

3

Treatment plan

We agree a plan built around sun protection and appropriate treatments for your type of pigmentation.

Why choose Bond Medical for pigmentation disorders?

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GP with specialist dermatology expertise. Care from a GP holding a Postgraduate Diploma in Clinical Dermatology.

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NHS and private dermatology experience. Active in the community dermatology service at Guy’s & St Thomas’ NHS Foundation Trust.

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Medical and minor-surgical skin care. Assessment of skin conditions alongside minor surgical procedures in one place.

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Research-informed practice. Involved in national dermatology research and clinical trial networks.

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Clear, tailored treatment plans. A thorough approach with practical, personalised guidance you can act on.

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Convenient Marylebone location. Based at 109 Gloucester Place, Marylebone, London W1U 6JW, a few minutes from Baker Street and Marylebone stations.

Frequently Asked Questions

You’ll find answers to the most frequently asked questions below. Everything you need to know is right here, designed to help you make an informed and confident decision.

What is the difference between melasma and dark marks from spots?

Melasma is usually hormonal and sun-driven and tends to be symmetrical, while post-inflammatory hyperpigmentation is the mark left behind after a spot or inflammation. They are treated differently.

Will pigmentation go away?

Post-inflammatory marks usually fade gradually over months with sun protection and gentle care. Melasma can be more stubborn and prone to returning, so ongoing management is key.

Does sunscreen really matter?

Yes. Daily broad-spectrum SPF 30 or higher is the single most important step, because sun exposure deepens and prolongs pigmentation.

How long will it take for my skin treatment to work?

Most skin treatments take time. Many conditions, including acne and inflammatory skin problems, need several weeks, often up to around three months, before a treatment’s benefit can be judged fairly, and some improvements build gradually after that. We set realistic expectations at the start and review your progress, so the plan can be adjusted if it is not working as hoped.

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Hear from patients about their experiences at Bond Medical and the care and support they received from our team. Discover why patients choose Bond Medical for personalised, considered care.

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I had an outstanding experience at Bond Medical, thanks to the exceptional care provided by Dr Komal Patel. From the moment I walked in, the clinic felt welcoming,…

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Dr Komal Chadha is an experienced and knowledgeable doctor who provides high-quality patient care with compassion and a holistic approach. She has a friendly and approachable manner that…

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