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Skin treatment · Cologne

Facial hyperpigmentation, Cologne

An EU-licensed doctor reviews your case online. If treatment is appropriate, you can take your e-prescription to the pharmacy you choose in Alemania.

€40once
  • No appointment, no travel
  • Collect at your usual pharmacy
  • If it's not safe for you, we'll say so, at no cost
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EU-licensed doctors

Every case read by an EU-licensed doctor.

Reply in under 2 hours on average

In writing, in your private chat. The doctor can ask for a call when needed.

Full refund if it is not right for you

Not approved? Refunded in full, automatically.

Reviewed on Trustpilot

Independent reviews from real patients, published by Trustpilot.

Electronic prescription

Sent to the pharmacy you choose; each pharmacy decides whether it can dispense it.

Facial hyperpigmentation treatments in Cologne

One-off consultation

One consultation, one doctor, one decision.

€40/ once
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Healthy skin starts with a real diagnosis

Answer a few simple questions and a doctor reviews your case in under 2 hours on average.

Start consultationIf the doctor cannot treat you online, we refund the full amount.
The clinical information on this page was reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Barcelona College of Physicians, no. 080869277 View profile

If the doctor does not approve treatment, we refund the full amount. Every consultation is fully refundable. How refunds work

More about your care

What is it?

Facial hyperpigmentation is any localised darkening of facial skin from excess melanin. The most common causes are melasma, marks left after acne or inflammation (post-inflammatory hyperpigmentation) and solar lentigines.

Telling them apart matters because they are not all treated the same way, and some pigmented lesions, especially single, asymmetrical or changing ones, must be examined in person to rule out other diagnoses.

In the online consultation, the doctor examines your photos, identifies the type of mark and, when it is melasma or a treatable post-inflammatory hyperpigmentation, prescribes a supervised depigmenting course with strict sun protection.

Read the full condition information

The melasma pathway assesses any facial hyperpigmentation. The doctor confirms whether it is melasma or a post-inflammatory mark, prescribes a depigmenting course when appropriate and refers lesions that need examination to in-person care.

HOW COMMON IT IS

Very common in adults, particularly in medium and darker skin types and after acne; melasma is the most frequent cause of symmetrical patches in women.

CAUSES

  • Melasma (hormonal and sun-driven)
  • Post-inflammatory hyperpigmentation after acne, eczema or injuries
  • Solar lentigines from cumulative exposure
  • Photosensitising medicines
  • Cosmetics or fragrances that react with sunlight

TREATMENT APPROACHES

  • Daily SPF 50+ sun protection as the first measure in every case
  • Prescription treatment, when the doctor considers it appropriate
  • Kligman-type compounded formula for selected melasma
  • Treating active acne to prevent new marks
  • Review with photos at the end of the course
  • Laser, peels or assessment of doubtful lesions only in person

WHEN TO SEE A DOCTOR

See a doctor if the patches do not improve with sun protection or worry you. A single, asymmetrical, raised, bleeding or changing spot must be examined in person without delay.

How it works, step by step

HOW IT WORKS · 5 STEPS

Five steps. No waiting room.

From the online consultation to ongoing follow-up, without leaving home.

  1. 1. 5 minutes

    Start your online visit

    Answer a 5-minute health questionnaire from home.

  2. 2. Under 2 hours on average

    A doctor reviews your case

    An EU-licensed doctor reviews your answers and replies personally.

  3. 3. Refund guarantee

    Review and payment

    If not approved, we refund your €40 one-off in full.

  4. 4. EU pharmacies

    Collect treatment from the pharmacy

    Collect it at the pharmacy you choose with your e-prescription; each pharmacy decides whether it can dispense it.

  5. 5. 4-week check-in

    Ongoing support

    Private chat, 4-week check-in, simple prescription renewal.

Payment and refunds

PRICING

If it is not approved, it costs you nothing.

€40 one-off. €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth.

ONE-OFF

One consultation, one doctor, one decision.

Photos reviewed by an EU-licensed doctor

WHAT'S INCLUDED

  • Consultation reviewed by an EU-licensed doctor
  • Electronic prescription if approved
  • Full refund if not approved

Full refund if a review is not approved

If a review is not approved, we refund the €40 consultation fee in full.

Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi Doctor does not sell medications.

Read the refund terms
Facial hyperpigmentation sits within the dermatology area that Hi Doctor covers. Our doctors review your case individually, not through an algorithm, and propose a therapeutic approach when indicated.
You fill in a dermatology-oriented medical questionnaire (~5 min). An EU-licensed doctor reviews your clinical history, current medication, allergies and background in less than 2 hours on average. If clarifications are needed, they message you via the private chat in your account.
The doctor proposes the most appropriate treatment among those authorised in the EU for dermatology. A skin consultation is a €40 one-off. Other areas: €25/month for weight loss, €15/month (billed €45 every 90 days) for hair growth and €35 per sexual health consultation. If your case is not eligible, the applicable fee is refunded in full.
It depends on the case. For dermatology, reasonable timelines are explained during the consultation and follow-up lives inside the private chat. The full medical record stays in an auditable thread inside your account.
Yes. Hi Doctor runs 100% online across the EU, so from Cologne you can fill in the questionnaire and receive the medical review without travelling. The EU-licensed doctor issues the electronic prescription under Directive 2011/24/EU, and each pharmacy decides whether it can dispense it; outside Spain some pharmacies do not accept PDF prescriptions, and those that do dispense the locally marketed equivalent of the same active ingredient.
The doctor reviews its appearance and progression, your history, allergies, current products and clear photos when needed. If your skin needs an in-person examination, the doctor refers you before prescribing.
The private electronic prescription (Receta Médica Privada Electrónica) is issued by an EU-licensed doctor. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose). Each pharmacy decides whether it can dispense it. In Spanish pharmacies it is dispensed from the QR; outside Spain, some pharmacies do not accept PDF prescriptions, and those that do dispense the locally marketed equivalent of the same active ingredient.
1) Fill in an online medical questionnaire in about 4 minutes. 2) A skin consultation is a €40 one-off. Other areas: €25/month for weight loss, €15/month (billed €45 every 90 days) for hair growth and €35 per sexual health consultation. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at the pharmacy you choose; each pharmacy decides whether it can dispense it. If the review is not approved, the applicable fee is refunded in full.

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