When you think of having good skin, one of the first things that probably pops into your head is even skin tone. But thanks to hyperpigmentation, redness, rosacea, age spots, melasma, or sun damage, your skin might not be as even, smooth, and glowy as you like. So, we gathered top dermatologists to give us all the important info on how to even out your skin tone, once and for all.
Ahead, three top dermatologists reveal all.
Meet the Experts
- Neal Schultz, MD, is a New York-based dermatologist and the founder of Park Avenue Skin Care.
- Rachel Nazarian, MD, is a board-certified dermatologist of Schweiger Dermatology group.
- Hadley King, MD, is a dermatologist at Dr. Hadley King Dermatology.
What Causes Uneven Skin Tone?
According to New York dermatologist Neal Schultz, MD, two main categories make a skin tone appear to be uneven: texture and color. "For successful treatment, we need to smooth the texture, decrease the dark spots, and decrease the redness," he explains. He adds that since the body can make excess pigment faster than we can remove it, we also have to protect our skin to prevent it from returning so quickly. So, how exactly do you go about getting a more even skin tone? Three dermatologists reveal all, ahead.
Add a Chemical Exfoliant to Your Routine
Exfoliating will allow the texture of your skin to be more smooth. If the texture of your skin sounds like a weird thing to bring up when on the topic of skin tone, allow us to explain. If your texture isn't smooth due to either large pores or fine lines, that texture will not only prevent your products from applying evenly but also can cause shadows and darkness.
"Skin tone is 75 percent about how the light hits it and what the light does when it hits it," Dr. Schultz explains. "Does it reflect or does it get scattered? When the surface is smooth and the light reflects off, your skin tone appears more even because it gets brighter and the dark spots are not as obvious." In other words, the first step to an even skin tone is to have smoother skin, whether that's by removing dead skin cells, minimizing pores, or evening out fine lines, and the most effective way to do that is through proper exfoliation.
Most dermatologists agree that chemical exfoliants—like AHAs, BHAs, and retinoids—are more consistently effective than physical, and Dr. Schultz recommends using a gentle glycolic acid treatment as your chemical exfoliant to slough off dead cells that block the pores and encourage collagen production.
Get a Peel
Dr. Schultz also recommends trying glycolic acid in the form of a peel for an immediate glow, but cautions that not all peels are a safe route for those with hyperactive pigmentation. "The problem with many glycolic peels if they’re not gentle enough is they cause downtime, irritation, and redness," he says. "Facial peels have to be very gentle. Any facial peel that’s going to give you any downtime, flaking, or redness, is going to cause tantamount inflammation, and inflammation drives these overactive, hypersensitive pigment cells."
Incorporate Vitamin C
Vitamin C can brighten your skin, giving you that often elusive glow. Dermatologist, Rachel Nazarian, MD, believes in the powers of glycolic acid but adds that you can’t forget one key step: “An easy method of achieving even skin is using topical wipes or washes containing glycolic acid or topical vitamins C and E, which minimize the production of melanin, the substance that causes skin darkening, and even out skin tone," she says.
One downside to vitamin C serums is how quickly they can turn and oxidize and as a result, lose their effectiveness. Dr. Schultz also says that ascorbic acid is water-soluble and unable to penetrate deep within the pores, which are surrounded by oil. The fix? A lipid-based form of vitamin C called tetrahexyldecyl ascorbate that's able to easily penetrate. It's also stable, which means no funky colors or smells because this ester doesn't break down like the acid does.
See a Dermatologist About Hydroquinone
Hydroquinone is a controversial ingredient but can be very effective at lightening freckles, dark spots, and melasma (when used under the close direction of a dermatologist). According to Dr. Schultz, dark spots are caused by too much melanin pigment being made in the skin and trapped there. "If you’re not exfoliating, you’ve got layer, over layer, over layer of dead skin cells and you’ve got extra hyperpigmentation in every layer," he says. "That adds up and gets more concentrated."
Hydroquinone can help combat this effect, but you'll need to visit a dermatologist to provide a prescription and oversee your treatment. You'll likely be advised to use a hydroquinone formula for three months in a row, then take a break to avoid unwanted side effects.
Try Topicals for Redness
If skin redness is more your concern, you have a few topical options for calming the splotches. To temporarily remove pesky red blotchiness from broken capillaries, dermatologist, Hadley King, MD, suggests taking a prescription route. “There is a prescription cream called Mirvaso that works similarly to how Visine works—it takes the red out by temporarily constricting the blood vessels that are causing the red color. It’s temporary, but the results can be remarkable," she says.
Dr. Schultz agrees that a prescription topical such as Rhofade or Mirvaso can be great for a special occasion, but warns that those using it could experience a rebound of worsened effects after it has worn off after eight to 12 hours.
Try Lasers Like IPL or Fraxel
For a more permanent solution to skin redness, you'll likely need to commit to an in-office treatment, such as IPL (intense pulse light lasers) according to both Drs. King and Schultz. "The red comes from the fact that the blood vessels have expanded and increased in diameter," Dr. Schultz explains. "These actually destroy the enlarged blood vessels that are causing the red."
IPL and the Fraxel 1927 also work to address dark pigment in the skin, and if you need to smooth texture from fine lines and pores, Dr. Schultz recommends the Fraxel 1550 setting or Vivace. "These are all different medical devices and lasers that will cause smoothing of the skin or reduction of the hyperpigmentation," he says.
However, it should be noted that if melasma is the root cause of your skin discoloration, lasers aren't the answer for you. Even if you saw improvement following a laser treatment, this complex pigmentary condition would likely return in a matter of months, according to Dr. Schultz.
Be Diligent with Your Sunscreen
Drs. Nazarian and Schultz both stress the importance of proper sun protection to stop an uneven skin tone from getting worse or prevent unevenness from returning. At the end of the day, any sun protection is better than none, but if you are someone who has melasma, it's recommended to use a physical sunscreen—rather than a chemical sunscreen—which is formulated with minerals such as titanium dioxide or zinc oxide.
Here's why: "Melasma is stimulation of the melanin, which are super-sensitized usually by female hormone so that any injury causes darkening, the most common injury being ultraviolet light," Dr. Schultz explains. "The way that chemical sunscreen works is by absorbing bad light and turning it into heat. Well, the heat it turns it into can be construed by the skin as an injury and that can stimulate your pigment." On the other hand, a physical sunscreen doesn’t absorb any energy or make heat—it just reflects off that bad energy, which is exactly what you want.