Q: What is the best way to treat/deal with pigmentation? A: I recommend booking in for a consultation to have the pigmentation assessed by an experienced somatologist (beauty technologist) to determine the extent of the problem.There is an astounding array of products that lift superficial pigmentation. It is essential not to use anything topically that is too strong, especially products containing more than three per cent hydroquinone (a skin-lightening agent). Before using a melanocyte inhibitor, which is a must, vitamin A and C should be applied two weeks in advance, preferably in winter months; vitamin A at night and vitamin C in the day. Needling (mesotherapy) is recommended to support the process. Fraxel ® Laser, IPL (intense pulsed light) and eT wo (infrared light and radiofrequency technology stimulate new collagen growth) are alternative options. Avoid UV exposure and always apply a waterresistant sun protection. Anti-inflammatory nutrients such as omega-3 fatty acids and vitamins A and D will also assist the process. Skin peels performed by a therapist can also be effective, but there are no guaranteed results.As hormones play a role in the cause of pigmentation, this needs to be taken into consideration; in this case, pigmentation cannot be reversed, but it can be disguised.