Skin · Gurugram
Pigmentation Treatment
The hardest skin condition to treat well and the easiest to make worse. Diagnosis first, then a plan measured in months.
01 · Understanding the concern
Why patients consider this
Pigmentation covers several distinct conditions that look superficially similar: melasma, post-inflammatory pigmentation after acne or injury, sun-induced spots, and pigment associated with friction or products. They behave differently, respond to different treatments, and in the case of melasma can be provoked by aggressive treatment intended to help.
02 · The procedure
What pigmentation treatment involves
Assessment identifies the type and depth of pigmentation, including whether it is epidermal, dermal or mixed. Treatment combines daily sun protection, prescribed topicals, and in-clinic treatments such as peels or selected laser and light devices where appropriate. Melasma in particular is managed rather than cured, with the aim of control and prevention of relapse.
03 · Candidacy
Who may be considered
This is general guidance rather than a diagnosis. Suitability is decided by examination.
- Pigmentation present for a period and assessed for type
- Willingness to use sun protection daily as the foundation of treatment
- Realistic expectations, particularly with melasma
- No recent aggressive treatment or sunburn at the site
- Hormonal contributors identified where relevant
What it can address
Concerns it is used for
- Melasma
- Post-inflammatory pigmentation after acne or injury
- Sun-induced spots
- Uneven tone
- Pigmentation around the mouth and neck
04 · Planning
Why the planning matters more than the technique
Sun protection is not an afterthought in this plan; it is the plan's foundation, and without it nothing else works for long. Aggressive in-clinic treatment for melasma often produces rebound pigmentation, so conservative, sustained management is deliberately preferred over dramatic short-term results.
05 · How it works
Step by step
- 01
Diagnosis
Type and depth of pigmentation assessed, including trigger history.
- 02
Foundation
Daily broad-spectrum sun protection and prescribed topical treatment established first.
- 03
Assessment point
Response reviewed before adding procedural treatment.
- 04
In-clinic treatment
Peels or selected device treatments added conservatively where appropriate.
- 05
Maintenance
A long-term regime to prevent relapse.
- 06
Review
Photographic comparison under consistent lighting.
06 · The procedure journey
Before, during and after
Before
Begin sun protection immediately and avoid new actives before your assessment.
During
Consultation and examination. In-clinic treatments are short appointments.
After
Depends on the treatment used, ranging from none to a few days of flaking after peels.
07 · Recovery
What recovery generally involves
Treatment is judged over months. Pigmentation that improves and then returns after sun exposure or stopping treatment is a recognised pattern with melasma rather than a treatment failure.
Recovery times are general ranges. Your own timeline depends on the extent of treatment, your health and your work, and is given at consultation.
- Daily broad-spectrum sun protection, reapplied, without exception
- Physical protection: hats and shade, not sunscreen alone
- Use prescribed topicals consistently
- Avoid unprescribed lightening products, which frequently worsen pigmentation
- Attend reviews with photographs
08 · Outcomes
What to expect from the result
Improvement and control rather than cure, particularly with melasma, which relapses with sun exposure and hormonal triggers. Post-inflammatory pigmentation often resolves more completely over time. Results vary and are not guaranteed.
09 · Safety
Risks and considerations
The principal risk is worsening of pigmentation through over-aggressive treatment. Unregulated lightening products are a common cause of harm, including steroid-induced skin damage. Treatment here is deliberately conservative and sustained.
No procedure is risk-free. A full, individual discussion of risk forms part of consent and takes place before any decision is made.
10 · The surgeon
Why Dr. Swikriti Raniwala
The surgeon who assesses you performs the procedure and reviews you afterwards. Surgical work takes place in accredited surgical facilities with board-certified anaesthesiologists, and you leave the consultation with the plan and the costs in writing.
In Gurugram
Pigmentation Treatment is performed at SWI Infinity in Gurugram, with patients travelling from across Gurugram and Delhi NCR, including Golf Course Road, Sushant Lok, the DLF Phases and the surrounding sectors. If you are travelling from further afield, say so when booking so consultation and follow-up can be scheduled together.
Dr. Swikriti Raniwala
Questions patients ask
Pigmentation Treatment: common questions
Can melasma be cured?
It is managed rather than cured. The aim is control and prevention of relapse, with sun protection as the foundation.
Will laser fix my pigmentation?
Sometimes, for certain types, and it can worsen melasma. Diagnosis determines whether a device treatment is appropriate at all.
How long before I see improvement?
Generally months rather than weeks, assessed against photographs under consistent lighting.
Are over-the-counter fairness creams safe?
Many contain unregulated ingredients, including steroids, that damage skin and worsen pigmentation over time. They are not recommended.
Does pigmentation come back?
Melasma commonly relapses with sun exposure or hormonal change, which is why maintenance matters.
Is sunscreen really necessary indoors?
Visible light and screen exposure contribute in melasma, and daily use is advised. Specific recommendations are given at consultation.
Consultation
Discuss pigmentation treatment
Consultations are with Dr. Raniwala. You will leave with a written plan, including the alternatives considered and the costs involved.
Or WhatsApp the clinic on +91 7017193675 · info@swiinfinity.com
