Facial hyperpigmentation, Denmark
Dark patches on the face: the doctor tells melasma apart from other causes and treats those that can be treated online.
- Assessed by an EU-licensed doctor
- Oral, topical or compounded treatment
- Full refund if not approved

What is it?
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.
Treatments a doctor considers
Licensed EU doctors
Every case read by a registered doctor.
Reply in under 2 hours
On average, in writing, no video call.
Pay only if approved
Not approved? Refunded in full, automatically.
Rated excellent on Trustpilot
4.8 from 540+ independent reviews.
Valid across the EU
E-prescription accepted at EU pharmacies.
About facial hyperpigmentation
What is Facial hyperpigmentation?
How is Facial hyperpigmentation evaluated in an online consultation?
What treatments does the doctor consider for Facial hyperpigmentation?
How long until you see results?
Healthy skin starts with a real diagnosis
Answer a few simple questions and a doctor reviews your case in under 2 hours on average.
Start consultationNo charge unless a doctor approves your treatment.Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work
More about your care
Read the full condition information
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.
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.
How it works, step by step
HOW IT WORKS · 5 STEPS
Five steps. No waiting room.
From the online consultation to ongoing follow-up, without leaving home.
1. 5 minutes
Start your online visit
Answer a 5-minute health questionnaire from home.
2. Less than 2 hours
A doctor reviews your case
A licensed doctor reviews your answers and replies personally.
3. Refund guarantee
Review and payment
If not approved, we refund your €40 one-off in full.
4. EU pharmacies
Collect treatment from the pharmacy
Collect it at any EU pharmacy with your e-prescription.
5. 4-week check-in
Ongoing support
Private chat, 4-week check-in, simple prescription renewal.
Payment and refunds
PRICING
You only pay if treatment is approved.
€40 one-off. €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth.
ONE-OFF
One consultation, one doctor, one decision.
Photos reviewed by a licensed doctor
WHAT'S INCLUDED
- Consultation reviewed by an EU-licensed doctor
- Electronic prescription if approved
- Full refund if not approved
Full refund if a review is not approved
If a review is not approved, we refund the €40 consultation fee in full.
Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi-Doctor does not sell medications.
Can I consult for Facial hyperpigmentation from Denmark?
How does a doctor assess a skin concern online?
What is the private electronic prescription and why is it valid across the EU?
How does Hi-Doctor work step by step?
Other conditions we review
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