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Pigmentation

Blog

Sep 2025

Pigmentation 2025: The New Science of Treatment & Prevention

Pigmentation concerns touch almost everyone at some stage of life. Uneven patches of colour, stubborn sunspots, or melasma that refuses to fade, these skin changes often leave people searching for answers. In 2025, the science of pigmentation has never been clearer, nor the solutions more effective. Advances in microneedling, chemical peels, and ZO Skin Health medical-grade skincare are transforming how pigmentation is treated and prevented.

At Dr Liesel Holler’s clinic in Chislehurst, every treatment offered is carefully chosen for its safety, credibility, and ability to deliver real, visible results. Pigmentation is no longer something to endure, it can be addressed with precision, medical insight, and a tailored plan designed for lasting clarity.

Understanding Pigmentation

What Is Pigmentation?

Pigmentation is the colouring of the skin determined by melanin, a pigment produced by specialised cells called melanocytes. While melanin provides natural protection against UV rays, overproduction or uneven distribution leads to visible dark patches or discolouration.

 

Types of Pigmentation (Sun Damage, Melasma, Post-Inflammatory Hyperpigmentation)

  • Sun Damage (Solar Lentigines): Often called age spots, these appear on areas frequently exposed to sunlight such as the face, hands, and décolletage.
  • Melasma: Characterised by symmetrical patches, particularly across the cheeks, forehead, or upper lip. Often linked to hormones, genetics, and UV exposure.
  • Post-Inflammatory Hyperpigmentation (PIH): Discolouration left behind after acne, eczema, or injury to the skin.

Why Pigmentation Becomes More Common With Age

As skin ages, cell turnover slows and the melanocytes become more erratic in their pigment production. Combined with decades of sun exposure and environmental stressors, pigmentation becomes more noticeable in midlife and beyond.

 

The Science of Pigmentation in 2025

Cellular and Genetic Insights

In 2025, researchers have mapped out the genetic and cellular triggers behind hyperpigmentation. The discovery of signalling pathways that control melanin production allows treatments to target pigment at its source rather than simply resurfacing the skin.

The Role of Inflammation and Skin Barrier Health

Inflammation is now recognised as a central driver of pigmentation disorders. A weakened skin barrier invites oxidative stress, leading to overstimulation of melanocytes. Strengthening barrier function with medical-grade skincare is a cornerstone of long-term pigmentation management.

Advances in Prevention – Sunscreen, Antioxidants, and Lifestyle

Modern sunscreens, combined with potent antioxidants such as vitamin C and niacinamide, are redefining prevention strategies. In 2025, prevention is no longer just SPF, it is a daily, multi-pronged approach that incorporates topical defences, diet, and lifestyle habits.

 

Cutting-Edge Pigmentation Treatments

Microneedling –  Collagen Stimulation for Even Skin Tone

Microneedling creates controlled micro-injuries in the skin, stimulating collagen production while enhancing product penetration. For pigmentation, it accelerates cell turnover and helps break down clusters of excess melanin. At Dr Liesel Holler’s clinic, microneedling is delivered with medical precision, offering gradual yet powerful improvement.

 ➡ Discover how microneedling stimulates collagen to reduce pigmentation

Chemical Peels – Resurfacing for Pigmentation Control

Chemical peels remain a gold-standard for pigmentation. Using acids such as glycolic or trichloroacetic, peels remove the outermost layers of skin, fading surface pigmentation and revealing fresh, even-toned skin beneath. In skilled medical hands, chemical peels can be tailored to each patient’s needs for safe, controlled resurfacing.

 ➡ Learn how our advanced chemical peels resurface and brighten uneven skin

Cosmelan Peel – Medical Depigmentation for Stubborn Pigmentation

For patients struggling with deep or resistant pigmentation such as melasma, the Cosmelan Peel offers one of the most effective medical-grade depigmentation treatments available.
Formulated with a blend of active ingredients that inhibit tyrosinase, the enzyme responsible for melanin production, Cosmelan targets pigmentation at its source.

The two-phase system begins with an in-clinic peel to remove surface pigment, followed by an at-home protocol that suppresses new pigment formation and refines overall tone and texture.


Results are typically visible within weeks, with skin appearing brighter, smoother, and more uniform.

ZO Skin Health Medical-Grade Skincare – At-Home Science-Backed Solutions

ZO Skin Health, a world-renowned system of medical-grade skincare, offers pigmentation-targeting protocols that work synergistically with in-clinic treatments. Retinol, hydroquinone, and advanced brightening complexes deliver measurable improvement in pigmentation when used consistently.

 ➡ Explore how ZO Skin Health products transform pigmentation concerns at home

Combination Approaches for Optimal Results

The most effective pigmentation strategies combine treatments. Microneedling enhances absorption of brightening serums, chemical peels resurface, while ZO Skin Health supports skin health daily. Personalised combinations create dramatic improvements not possible with a single modality alone.

 

Prevention Strategies for Long-Term Skin Health

Daily Skincare Regimens Backed by Dermatology

The cornerstone of prevention is daily skincare that strengthens, protects, and brightens. Medical-grade serums rich in antioxidants and pigment suppressors, combined with broad-spectrum SPF, help halt the progression of pigmentation.

The Importance of Consistency in Pigmentation Management

Pigmentation responds to cumulative care. Sporadic treatments cannot outpace continuous triggers such as UV light and inflammation. Long-term consistency ensures pigmentation remains under control.

How Clinics Are Personalising Prevention in 2025

No two pigmentation cases are identical. In 2025, clinics like Dr Liesel Holler’s in Chislehurst use skin assessments and digital imaging to personalise prevention. Tailored regimens prevent relapse and maintain results long after active treatment.

 

Choosing the Right Clinic for Pigmentation Treatment

The Role of Medical Expertise in Safe and Effective Care

Pigmentation treatments are not one-size-fits-all. Mismanagement can worsen the issue. A medically trained practitioner ensures treatments are chosen based on skin type, pigmentation depth, and medical history.

Why Consultation-Led Plans Outperform Quick Fixes

A consultation allows for a tailored approach that considers the patient’s unique skin biology, lifestyle, and long-term goals. Quick-fix solutions may fade pigmentation temporarily but often fail to address root causes. At Dr Liesel Holler’s clinic, consultation-led care is the standard, ensuring safe and sustainable results.

 ➡ Book a professional consultation to receive a personalised pigmentation plan

 

Pigmentation is one of the most common yet misunderstood skin concerns. Fortunately, 2025 brings forward a new era of science-led solutions. With the power of microneedling, chemical peels, and ZO Skin Health skincare, pigmentation can be managed safely and effectively. The secret to long-term results lies in preventive care and consistent, personalised treatment guided by medical expertise.

At Dr Liesel Holler’s clinic in Chislehurst, patients receive treatment plans designed not just for improvement, but for transformation. Clearer, brighter skin is not a fleeting dream, it is achievable, sustainable, and supported by the most advanced science available.

IK H profile pictureIK H
07:30 29 Oct 25
Liesel is professional but friendly and answers all your questions. I would recommend just a consultation, you leave with a wealth of information for you to consider.
Response from the owner 10:25 29 Oct 25
Thank you for such an honest review. We are so happy that you felt so well informed after your consultation, and we hope that this can help to guide you in any treatment choices moving forward.
Michelle Holman profile pictureMichelle Holman
08:13 30 Sep 25
Another visit to Dr Liesel Holler and once again I’m so pleased with the results of my lip filler. The new clinic is lovely and the welcome from reception is great. Highly recommend.
Response from the owner 16:20 18 Dec 23
Thank you Michelle for your great review.. we look forward to seeing you again soon .
Chloe profile pictureChloe
21:31 11 Sep 25
Liesel is amazing! So talented, kind and friendly. I can’t recommend her highly enough!
Response from the owner 10:39 12 Sep 25
Thank you Chloe for this great review. We look forward to seeing you again soon ,at our Chislehurst clinic.
Kerry Hambly profile pictureKerry Hambly
14:29 20 Aug 25
Liesel always takes time making one feel special
She hears what you want to achieve.
Most of all Liesel never hard sells she will not do a procedure if she doesn’t think you will achieve miracles
Response from the owner 15:54 19 Nov 21
Thank you Kerry
Samantha Arnold profile pictureSamantha Arnold
07:19 13 Aug 25
Not one bruise. Lots of discussion on what would be the best option, and all my concerns were listened to and acted upon. Couldn't be happier with the results.
Response from the owner 07:53 18 Aug 25
Thank you for this wonderful review. We are so pleased that you are happy with your experience at our Chislehurst clinic and we look forward to seeing you again.
Virginia Mc dowell profile pictureVirginia Mc dowell
17:17 06 Aug 25
I can’t recommend dr liesel holler enough! She is so caring and professional in he work! She takes a lot of time to really get to know her clients so she can give the best results! I have just had some treatments with her! I am delighted with the result 💇‍♀️❤️
Response from the owner 14:44 07 Jan 21
Thank you Gin! x
priya ilangovan profile picturepriya ilangovan
15:05 20 Jul 25
I had my first and recent Hydra facial here. Agni, was fantastic, friendly, patient and professional throughout the session. I had a very relaxing time and came back home with a healthy facial glow. I would go there again soon for sure for my second session 🤗!
Response from the owner 08:47 21 Jul 25
Thank you Priya for this glowing review. We are thrilled you were so happy with your experience and look forward to welcoming you back to our Chislehurst clinic.
emily profile pictureemily
09:15 12 Jun 25
Dr Liesel Holler is incredibly knowledgable and approachable and I feel I'm in really good hands under her care! She listened to my concerns intently and advised as to the safest way forward.
Response from the owner 09:36 12 Jun 25
Thank you Emily for this review. We are so happy that you feel good under the care of our clinic and Dr Liesel and we look forward to welcoming you back to our Chislehurst clinic in the future.
Ursula Venus profile pictureUrsula Venus
05:58 06 Jun 25
Amazing service from both Shara and Dr Liesel. Very professional
Response from the owner 06:22 06 Jun 25
Thank you so much Ursula for this lovely review. We look forward to seeing you again at our new Chislehurst clinic.
stacey Harwood profile picturestacey Harwood
10:51 24 May 23
Firstly, this is a friendly and welcoming clinic.

Dr Liesel is not only extremely knowledgeable; she also has a genuine care for her patients. She takes the time to listen and what I like best is her approach - less is more! I never feel pushed into anything and she fully explains the procedure and after care. I know I am in safe hands.

A loyal client who is very lucky to find an aesthetic doctor who is professional, smart and caring. Thank you Dr Liesel.
Apples1974 profile pictureApples1974
11:04 26 Apr 23
Dr Holler has a wealth of experience and knowledge that is invaluable. I was nervous ahead of my treatment, but I was immediately put at ease. My procedure was talked through with me thoroughly and Dr Holler took the time to suggest some alternatives that would better suit me. I would absolutely recommend Dr Holler. I couldn't be happier with my results.
Lauren profile pictureLauren
15:26 28 Mar 23
Dr Liesel has a wonderful calming presence about her. You can tell she genuinely cares about each of her patients and will never rush a treatment or go overboard. She takes time to listen to your concerns but is never pushy. She is such a professional and I would recommend her to anyone ☺️
Alexandra Taylor profile pictureAlexandra Taylor
13:41 24 Feb 23
This is my second treatment with Dr Liesel Holler and each time she has discussed and explained things in detail with me and carefully assessed my facial profile.

My results are very natural and exactly as I wanted. It’s clear she is very skilled and knowledgeable and treats each patient uniquely. I can be quite nervous and I feel totally at ease with Dr Liesel Holler and she is the most gentle with a needle that I’ve ever experienced.

I wouldn’t trust anyone else with my face now. Thank you again!