What is Facial hyperpigmentation?

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.

How is Facial hyperpigmentation evaluated in an online consultation?

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.

How long until you see results?

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.

Can I consult for Facial hyperpigmentation from Dortmund?

Yes. Hi-Doctor runs 100% online across the EU, so from Dortmund you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid at any EU pharmacy under Directive 2011/24/EU; outside Spain the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does a doctor assess a skin concern online?

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.

What is the private electronic prescription and why is it valid across the EU?

The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does Hi-Doctor work step by step?

1) Fill in an online medical questionnaire in about 4 minutes. 2) The plan is €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth; sexual health is €35 per consultation. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at any EU pharmacy. If the review is not approved, the applicable fee is refunded in full.

CONDITION · Dortmund

Facial hyperpigmentation.

Dark patches on the face: the doctor tells melasma apart from other causes and treats those that can be treated online.

Start consultation Explore Dermatology

€35 one-offFull refund if a review is not approved

DERMATOLOGY

Start in five minutes.

Answer the questionnaire. A licensed doctor reads it. You pay only if treatment is approved.

Start consultation

Licensed EU doctors

Doctor review in less than 2 hours on average

50,000+ patients served

Secure patient account

HOW IT WORKS · 5 STEPS

Five steps. No waiting room.

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

5 minutes
Start your online visit
Answer a 5-minute health questionnaire from home.
Less than 2 hours
A doctor reviews your case
A licensed doctor reviews your answers and replies personally.
Refund guarantee
Review and payment
If not approved, we refund your €35 one-off in full.
EU pharmacies
Collect treatment from the pharmacy
Collect it at any EU pharmacy with your e-prescription.
4-week check-in
Ongoing support
Private chat, 4-week check-in, simple prescription renewal.

DERMATOLOGY

Facial hyperpigmentation

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.

WHAT IT IS

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.

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
Hydroquinone 4% cream or gel, only on the patches, in a limited supervised course
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.

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