What Is It And Why Does It Occur?

Uneven pigmentation refers to areas of skin that appear darker than the surrounding tissue, often caused by an overproduction of melanin. This can present as freckles, sun spots, age spots, or melasma.
Sun exposure is the most common cause — ultraviolet (UV) rays stimulate pigment-producing cells over time, leading to long-term discoloration. Hormonal changes, inflammation, certain medications, and even past acne can also contribute to irregular skin tone. As we age, the skin’s ability to repair sun-induced damage slows, allowing these spots to become more prominent.

What Patients Typically Notice

Patients often describe noticing “patchy” or “uneven” areas on their skin, particularly across the face, neck, chest, and hands. Some see new freckles or brown spots after years of sun exposure, while others notice dullness or blotchiness that makes their skin look older or less radiant. Many express frustration that makeup no longer evens out their complexion as easily as it once did.

The AvenueMD Approach

Every AvenueMD journey begins with a comprehensive consultation to evaluate your skin tone, history of sun exposure, and underlying causes of discoloration. Our multidisciplinary team uses a combination of dermatologic insight, medical-grade skincare, and laser or light-based technologies to restore evenness and brightness safely.
The goal is to create a balanced, luminous complexion that looks natural and healthy — enhancing the skin’s clarity while respecting its integrity.