Hyperpigmentation is a common, usually harmless condition in which patches of skin become darker in color than the normal surrounding skin. This darkening occurs when an excess of melanin, the brown pigment that produces normal skin color, forms deposits in the skin.

It affects all skin types regardless of age and ethnicity but higher pigmented skins have an increased risk. Pigment spots such as age spots or freckles develop due to sun exposure, and can vary in size.

Melasma or Chloasma is often referred to as “the mask of pregnancy”, as it a high percentage of pregnant women. It occurs as a result of hormonal influences such as pregnancy and birth control pills, and causes dark and irregularly shaped areas on the face or arms that can be quite large.

Post-inflammatory Hyperpigmentation can occur when an injury or trauma to the skin heals and leaves an area of discolouration behind. It’s commonly found among acne sufferers, and can also be caused by cosmetic procedures such as dermabrasion, laser treatment and chemical peels.

Treatment with Obagi Nu Derm is very effective for reducing the pigmentation the skin treatment kit contains Hydraquinone which is a prescription only treatment.

The Obagi Nu Derm is an 18 week skin transformation treatment kit, the kit has to be ordered for the individual and the instructions for use will be explained in full. You will also be expected to attend the clinic for a review at 6 weeks, 12 weeks and 18 weeks.

You will expect to see some side effects in the first 2-4 weeks which will then settle, these include redness and dry flaking skin, this is normal. Some products in the kit may need to be replaced dependent upon your individual prescription and can be purchased separately.

Once the 18 week treatment phase is complete the hydraquinone will be gradually reduced until the therapeutic level is reached, to ensure that you do not experience rebound pigmentation, at this time some patients chose to move onto the CRx kit, which also contains hydraquinone. There are patients who will not require on-going treatment with Hydraquinone this can be omitted from the CRx kit and replaced with a standard Vitamin C Serum if you chose to continue to use the Obagi range of products.

Other causes of skin darkening include moles, scarring, birthmarks, solar or actinic keratoses and skin cancers but these aren’t considered to be forms of hyperpigmentation. See your doctor or pharmacist if you’re concerned about any of your dark spots, or if they are new, start to bleed, itch, or change in size or colour.


Absolutely amazing!! Just been to see Mandie for lip fillers and they look incredible!! Mandie is so professional and completely honest with the best options for you. I am so so happy with my lips! I was an absolute nervous wreck as it was my first time but I was so impressed with how quick the procedure was and how painfree it was!!

Victoria Whyler

Only known Mandie for seven months but have built up an amazing friendship with her, went to get my first lip fillers feeling very nervous she immediately put at ease with no pressure, talked me all the way through it.
I've since had more filler and the Nanopore Microneedling which has had amazing results! I've recommended her to lots of friends and family .
She tells you how it is and gives the best advice..
Very pleased and extremely happy with my results.

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Adele Hardcastle

Mandie knows her profession
Very professional and thoughtful and service
Spot on keep up the great work.

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Lovely staff makes you feel
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Iv been going to mandie for 3+ years now and I’d never go to anyone else! She’s the best at what she does, highly recommend!!

Sian Hage

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Sammy Chapman

Amazing, absolutely loved my lip fillers every time, very natural looking and gave me so much more confidence to smile. Would highly recommend Mandie, since having a year out to have a baby I’ve noticed such a big difference in my lips disappearing and really can’t wait to be back in the next few weeks, will never look back.

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First time visiting Mandie for my lip fillers and I am over the moon with them achieved exactly what I wanted if not better than I could of imagined.. a really lo lovely lady and very professional.. highly recommend and will 100% be returning, thank you again hun x

Leigh Dunn

Amazing lady and so happy with what I’ve had done. Can’t wait to see her again.

Hannah Needham

Was very nervous going to get my lips done but Mandie put me at ease and I love my lips! Done a fab job and now girls at work want to book in with Mandie

Aysha Bond
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