Facial pigmentation Alteration in skin colour is a major concern in todays practice. Though pigment changes are more of cosmetic problems but may sometimes reflect an internal disorder. Thus it is important to identify the condition, its underlying cause, aggravating factors for appropriate treatment outcome. Hyperpigmentation over face can be due to hormonal causes, use of cosmetics, allergies and other factors like thyroid disorders, drugs, sun exposure, and few genetic causes. Treatment depends on type of facial pigmentation which includes oral medication, topical drugs, chemical peels, microdermabrasion, mesotherapy and lasers.