Neck Pigmentation: Causes & Advanced Treatments

Restore even skin tone & confidence

At Dermedica, we offer expert neck pigmentation treatments to restore a clearer, even complexion. With 25+ years of experience, we provide personalized solutions in Scarborough, Perth, for lasting results

Neck pigmentation treatment in Perth – Close-up of a woman's neck with uneven skin tone and dark patches, highlighting pigmentation concerns

Recognising the Concern

Do You Notice These Changes?

Close-up of a neck with widespread dark, uneven hyperpigmented patches on the skin.

Visible Darkening or Discolouration

Patches of brown, grey, or uneven tone appearing across the neck, often more noticeable in natural light or when compared to surrounding skin.

Close-up of freckled skin with light red blotches and textured surface.

Texture & Tone Changes

Skin may feel rougher or appear blotchy, with pigmentation sometimes accompanied by fine lines or uneven texture.

Understanding the Concern

What Causes Neck Pigmentation?

Neck pigmentation, or dark patches on the neck, can be caused by several factors. Identifying the root cause is essential for effective treatment. Here are some common reasons:

  • Sun Damage (Hyperpigmentation) – Prolonged sun exposure triggers excess melanin production, leading to dark spots and uneven skin tone, especially on the neck and décolletage.
  • Hormonal Changes (Melasma) – Hormonal fluctuations, pregnancy, or birth control pills can cause melasma, resulting in brown or grayish patches on the neck and face.
  • Skin Conditions (Acanthosis Nigricans) – This condition, linked to insulin resistance, diabetes, or obesity, causes dark, thickened, velvety patches on the neck and other body folds.
  • Post-Inflammatory Hyperpigmentation (PIH) – Previous skin irritation, acne, eczema, or allergic reactions can leave dark marks or discoloration after healing.
  • Poor Skincare & Friction – Using harsh skincare products, excessive scrubbing, or frequent friction from clothing and jewelry can worsen neck pigmentation over time.
  • Fungal Infections – Certain fungal infections can cause patchy discoloration on the neck, often appearing lighter or darker than the surrounding skin.

Understanding the cause is the first step to effective treatment. At Dermedica, we offer advanced pigmentation treatments tailored to your skin type.

Treatment Options

Approaches We May Discuss

Clear Complexion Laser

Uses precision light energy to target and break down excess pigmentation in the neck area. This gentle, non‑invasive treatment helps even out skin tone, reduce visible dark patches, and restore a clearer, more radiant complexion. Over time, the laser stimulates natural skin renewal for smoother texture and improved luminosity.

IPL/BBL

Uses broad-spectrum light to gently target and fade unwanted pigmentation across the neck. The light energy breaks down excess melanin while stimulating skin renewal, helping to even out tone and improve overall clarity. This non-invasive treatment also enhances skin texture and radiance over time.

OPL

Delivers precise pulses of light energy to treat deeper or more stubborn pigmentation on the neck. The Optimised Pulsed Light technology penetrates targeted layers to reduce discoloration and promote collagen regeneration. Skin appears clearer, smoother, and more evenly toned after a series of treatments.

Other medical treatments

Dr. Teh also offers additional treatments under medical guidance that, in line with TGA advertising restrictions, cannot be detailed publicly on this website. Please contact the clinic directly to discuss the full range of options available to you.

REAL PATIENTS. REAL RESULTS.

Neck Pigmentation Treatment Before & After

Before and after results of neck pigmentation treatment at Dermedica Perth – Visible improvement in skin tone, reduced redness, and a more even complexion
Before and after images showcasing the reduction of chest pigmentation after treatment at Dermedica, revealing a visibly clearer and more even complexion.

At Dermedica, all treatments are under the guidance of  Dr. Joanna Teh

(General and Specialist Registration – General Practice – MED0001531429) and her team of experienced Nurses and Dermal Therapists.

 

*Representative examples, individual results may vary. Some patients may require 1 or more treatments. To find out if you will achieve these results, we recommend a thorough assessment with Dr Joanna Teh and her team

Your Treating Doctor

Assessed by Dr. Joanna Teh

Dr. Teh has over 20 years of clinical experience in non-surgical cosmetic medicine (General & Specialist Registration – General Practice – MED0001531429). Every treatment plan begins with an in-person consultation to assess your skin and discuss suitable options.

Getting Started

Your Path to Consultation

Step 01

Book a Consultation

Schedule an in-person appointment with Dr. Teh or her clinical team to discuss your neck pigmentation concerns in a confidential setting.

Step 02

Assessment & Discussion

Dr. Teh assesses your skin, discusses your goals and medical history, and explains the full range of options, risks, and alternatives available to you.

Step 03

Personalised Plan

If suitable, a tailored treatment plan is developed based on your individual skin condition, goals, and the depth of your concern.

Frequently Asked Questions

  • Neck pigmentation can occur for several reasons, including sun exposure, hormonal changes, post-inflammatory hyperpigmentation, skin irritation, friction, certain medical conditions, and natural variations in skin pigmentation.
  • Identifying the underlying cause is important when considering treatment options.
  • A darker neck may be caused by excess pigment production, cumulative sun exposure, friction, hormonal influences, or certain skin and medical conditions.
  • In some cases, an assessment by a medical practitioner may be recommended to help determine the underlying cause.
  • Acanthosis nigricans is a skin condition that causes darkened, thickened, velvety patches of skin, commonly affecting the neck, underarms, and body folds.
  • It may be associated with factors such as insulin resistance, obesity, hormonal disorders, or certain medications.
  • Medical assessment may be appropriate if acanthosis nigricans is suspected.
  • Various non-surgical treatment options may be available for some forms of neck pigmentation.
  • Treatment suitability depends on factors such as the cause of pigmentation, skin type, medical history, and practitioner assessment.
  • Individual results vary.
  • Depending on the type and cause of pigmentation, treatment options may include laser and light-based therapies, chemical peels, medical-grade skincare, and other practitioner-guided approaches.
  • A consultation is required to determine which options may be suitable for your individual circumstances.
  • The number of treatments required varies depending on the type of pigmentation, its severity, the treatment selected, and individual skin response.
  • Some patients may require multiple treatment sessions, while others may benefit from ongoing maintenance.
  • The timeframe for visible improvement varies according to the treatment performed, the underlying cause of pigmentation, and individual factors.
  • Some patients notice gradual changes over several weeks or months following treatment.
  • Pigmentation may recur depending on its underlying cause.
  • Factors such as ongoing sun exposure, hormonal influences, skin inflammation, and certain medical conditions may contribute to recurrence.
  • Your practitioner may discuss maintenance strategies and preventative skin care measures during your consultation.
  • Protecting the skin from excessive sun exposure, using appropriate sun protection, avoiding unnecessary skin irritation, and maintaining a consistent skincare routine may help support skin health.
  • Where pigmentation is linked to an underlying medical condition, appropriate medical management may also be important.
  • At Dermedica Perth, all patients undergo a comprehensive consultation and assessment with Dr Joanna Teh before treatment recommendations are made.
  • Dr Teh is a qualified medical practitioner with extensive experience in non-surgical cosmetic medicine. Treatment recommendations are based on your individual concerns, skin condition, medical history, and clinical suitability.
  • During your consultation, Dr Teh will discuss available treatment options, potential benefits, possible risks, expected recovery, and associated costs to help you make an informed decision about your care.

Proudly Serving the Greater Perth Area

Dermedica welcomes patients from Scarborough, City Beach, Trigg, Doubleview, Wembley Downs, and the greater Perth area. Treatment is available by appointment at our Scarborough clinic.

Get Started

Begin with a

Consultation

Book an in-person consultation with Dr. Joanna Teh to discuss your neck pigmentation concerns and explore which options may be suitable for you.

Connect with Us

Connect with Us

Whether you want to chat with Dr Joanna Teh and her team of experts or lock in a booking, we’re here to guide you to make the right decision. Fill in the form below to explore your options with total confidence.

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Chest

Breakouts and post-acne marks on the chest that may appear as red spots, dark pigmentation, or uneven texture.

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Tiny red or purple veins visible on the surface of the chest, commonly resulting from sun damage or skin thinning.

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Small, red vascular bumps on the chest that are benign but may increase in number with age.

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Thin, wrinkled skin on the chest that lacks firmness and elasticity, typically due to sun exposure and ageing.

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Patchy brown or grey pigmentation on the chest, often triggered by sun exposure, hormones, or inflammation.

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Dark spots or uneven skin tone on the chest, often caused by sun exposure or ageing.

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Loose or drooping skin on the chest caused by collagen loss and decreased skin elasticity over time.

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Neck

Active breakouts or lingering scars in the neck area, which can range from red marks to deeper textural changes.

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Visible small red or purple blood vessels just under the skin, often caused by sun exposure, ageing, or skin trauma.

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Small, bright red spots caused by clusters of blood vessels, typically harmless but can become more prominent with age.

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Thin, finely wrinkled skin that resembles crepe paper, often due to collagen loss and sun damage.

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Brown or grey-brown patches on the neck caused by hormonal changes, sun exposure, or skin inflammation.

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Uneven skin tone caused by sun damage, ageing, or inflammation, leading to dark spots or patches on the neck.

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Loss of firmness and elasticity in the neck area, commonly associated with ageing and decreased collagen production.

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Chin

Breakouts around the chin are often hormonally driven and can lead to lingering scars, texture irregularities, or pigmentation.

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A flat, receding or uneven chin can subtly impact your facial balance. Restoring shape and projection in the chin area can enhance harmony, confidence, and the way you’re perceived in profile.

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Horizontal lines or deep creases across the chin often develop with age or repeated muscle movement, contributing to a tired or aged look.

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Sun exposure or post-inflammatory changes can cause dark spots, uneven skin tone, or freckles to form on the chin area.

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Do you notice persistent redness or small red veins around your chin? These may be signs of broken capillaries or spider veins — a common concern that often becomes more visible with age or sensitivity. While subtle, they can affect how you feel in photos, under makeup, or in daylight.

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Jowls/Marionette Lines

Loss of skin firmness along the jawline and lower face can lead to the appearance of jowls and deepened marionette lines, often due to aging, collagen loss, or gravity.

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Marionette lines and jowls can create a downturned expression, making the face appear sad or fatigued even when well-rested.

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Chronic sun exposure accelerates collagen breakdown, leading to premature skin aging, uneven tone, and deeper lines around the mouth and jaw.

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Double Chin

A double chin refers to the appearance of excess fat or sagging skin beneath the chin and along the jawline. It can be caused by aging, genetics, poor skin elasticity, or weight gain. This concern may lead to a softer jawline and less facial definition, even in people with a healthy weight.

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Accumulation of fat under the chin that creates a “double chin” appearance.

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Loosened or lax skin under the chin and jawline, often due to ageing or weight changes.

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Smile lines, or nasolabial folds, are the natural creases that run from the nose to the mouth. They can become more prominent over time due to ageing and facial movement.

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Jaw Slimming

Reducing lower face fullness (often from muscle or fat) to create a more contoured, V-shaped appearance

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Laxity along the jawline can cause jowls and blur the definition of the lower face.

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Treatments aim to tighten the skin and enhance jawline definition for a sculpted, youthful look.

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Rejuvenation of the jawline with a focus on skin tightening and revitalising tired or heavy-looking lower face.

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Cheeks

Inflammatory acne and lingering scars on the cheeks can impact skin texture and confidence.

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Sun-induced spots or uneven skin tone often appear prominently on the cheeks, creating a mottled or patchy appearance

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A lack of definition or volume in the cheek area may affect overall facial balance and profile.

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Hormonal pigmentation commonly affects the cheeks in symmetrical brown or greyish patches, often triggered by sun and heat.

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Loss of volume and firmness in the cheeks can lead to a drawn or aged appearance.

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Redness, flushing, and visible veins frequently affect the cheeks, especially in sensitive or rosacea-prone skin.

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Lips

Fine lines, volume loss, and dryness around the lips can develop with age, affecting lip shape and definition

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Dark patches or uneven tone may appear on or around the lips due to sun exposure, hormonal changes, or inflammation

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Breakouts around the mouth and chin can lead to inflammation and scarring, often worsened by hormonal fluctuations or mask-wearing.

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Nose

Breakouts and post-inflammatory marks commonly appear on the nose due to excess oil and clogged pores

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Small brown spots or uneven skin tone caused by sun exposure can concentrate on the bridge and tip of the nose.

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Discolouration beneath the eyes that can make the area appear shadowed or tired.

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The nose often shows enlarged pores and blackheads due to high sebaceous activity and buildup.

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Though more common on the cheeks and forehead, melasma may appear on the nose as symmetrical brown patches triggered by hormones and sun exposure.

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Eyes

Fine lines that appear around the outer corners of the eyes, often more noticeable with facial movement or smiling.

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Discolouration beneath the eyes that can make the area appear shadowed or tired.

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A heaviness or sagging appearance of the upper eyelid area, which can contribute to a more tired or aged look.

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Mild swelling or puffiness under the eyes, often associated with fluid retention or skin changes over time.

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A common concern where the eye area may appear dull, puffy, or shadowed, often giving a fatigued or less refreshed appearance.

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Visible creases or folds beneath the eyes, which may become more noticeable with age or repeated facial expressions.

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Forehead

Improve skin texture and clarity by addressing active acne and reducing the appearance of post-acne marks.

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Small, red to purple raised spots on the forehead caused by clusters of dilated blood vessels; typically harmless but can become more noticeable with age

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Smooth and refresh the appearance of forehead lines caused by repetitive movement and ageing.

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Help reduce the appearance of deep creases between the brows caused by repeated frowning or stress.

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Fade the look of sun spots, freckles, and uneven pigmentation for a more even-toned complexion.

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Support the management of hormonally triggered pigmentation with tailored skin treatments.

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Enlarged pores on the forehead are often due to excess oil, aging, or sun damage, making the skin texture appear uneven.

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Calm visible redness and reduce flare-ups with treatments designed for sensitive, redness-prone skin.

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