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“Mastering Body Hyperpigmentation and Acne: Prevention, Treatment, and Solutions”

“Ultimate Guide: Body Hyperpigmentation and Acne – Causes, Prevention, and Treatment”

1. What causes body hyperpigmentation and acne?


Hello there! My name is Letizia Ciruolo, master aesthetician, and laser technician with 24 years of experience at Venus Spa. Today, I will dive into a topic that is very sensitive and sometimes also a cause of low self-esteem: body acne and hyperpigmentation. We’ve all struggled or are struggling with these problems. Let’s talk about what causes body hyperpigmentation and acne.

Body hyperpigmentation presents as irregular dark patches or spots on the skin, causing an uneven complexion. These spots, commonly referred to as age spots or sun spots, are indicative of variations in skin pigmentation. Conditions like melasma and post-inflammatory hyperpigmentation also stem from this phenomenon. Individuals with Fitzpatrick phototypes 3 – 6, characterized by higher melanin levels, often exhibit more pronounced hyperpigmentation compared to those with phototypes 1 & 2.


Body acne refers to the presence of acne lesions or breakouts on areas of the body other than the face, such as the chest, back, shoulders, and buttocks. Similar to facial acne, body acne can manifest as blackheads, whiteheads, pimples, cysts, or nodules.

The causes of body hyperpigmentation and acne can vary, but some common factors include hormonal changes, genetics, inflammation, excessive sun exposure, certain medications, and skincare products that clog pores.

Hormonal changes can contribute to acne and hyperpigmentation through several mechanisms:

1. Increased sebum production: Hormonal fluctuations, especially during puberty, menstruation, pregnancy, or menopause, can stimulate the sebaceous glands to produce more oil (sebum). Excess sebum can clog pores and lead to acne breakouts.

2. Inflammation: Hormonal changes can trigger inflammation in the skin, which can exacerbate acne lesions and contribute to hyperpigmentation. Inflammatory acne lesions are more likely to cause skin discoloration once they heal.

Let’s dive into hormonal changes in women and men:

• Women: Hormonal fluctuations throughout the menstrual cycle, pregnancy, childbirth, and menopause can influence acne development and hyperpigmentation. Fluctuations in estrogen and progesterone levels, especially during the menstrual cycle, can affect sebum production and skin cell turnover, leading to breakouts before or during menstruation.

• Men: Androgens, such as testosterone, play a significant role in acne development in men. Testosterone stimulates the sebaceous glands and contributes to increased sebum production. Hormonal imbalances or fluctuations in men, such as those associated with puberty or certain medical conditions, can lead to acne flare-ups and hyperpigmentation.

SUN EXPOSURE : acne/ hyperpigmentation


Sun damage can make acne worse and lead to darker spots on the skin. It increases inflammation, slows healing, and makes existing spots more noticeable. To protect your skin, wear sunscreen daily, seek shade, and avoid tanning beds.

People often wonder why the sun seems bad for acne when it can dry out pimples. While it may initially dry out acne lesions, sun exposure ultimately worsens acne by increasing inflammation and prolonging healing time, leading to more severe breakouts.

MEDICATIONS: acne/ hyperpigmentation


Certain medications can exacerbate acne and hyperpigmentation as side effects. Some medications, such as corticosteroids, hormonal treatments, anticonvulsants, and lithium, can trigger or worsen acne breakouts by affecting hormone levels, increasing oil production, or causing skin irritation. Additionally, certain medications, like some antibiotics and chemotherapy drugs, can make the skin more sensitive to the sun, leading to increased risk of sun-induced hyperpigmentation.

SKIN CARE PRODUCTS: and acne and hyperpigmentation