Disorders of hyperpigmentation are common and challenging conditions which can arise due to a myriad of etiologic factors. Many of them can present across skin types but are more common in skin of color individuals with Fitzpatrick skin types III-VI. Facial hyperpigmentation, in particular, can have a significant impact on the quality of life of affected individuals due to its increased visibility. This article provides a comprehensive review of disorders of facial hyperpigmentation including epidemiology, pathogenesis, diagnostic considerations, and treatment approaches for these conditions.
Keywords: Ethnic skin; Facial hyperpigmentation; Facial melanosis; Facial pigmentation; Hypermelanosis; Hyperpigmentation; Melasma; Periorbital hyperpigmentation; Skin of color.
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