What is hyperpigmentation? 

Hyperpigmentation is when patches of the skin become darker in colour than the normal surrounding skin due to an excess of melanin and it can go into overdrive during the warmer months. This is because the melanocytes in our skin respond to heat and sunlight by producing more melanin in an attempt to protect us, and to protect the skin from sunburn and skin cancer. Malfunctioning of the melanocytes can happen in those who are more prone to hyperpigmentation from sun damage than others. What you see on the surface of the skin is the tip of the iceberg, with worse pigmentation in the deeper layers that rise to the surface over time.

What causes hyperpigmentation? 

Dr Yusra specialises in treating hyperpigmentation at her premium Harley Street and Liverpool clinics. She believes that prevention is better than cure and extols the virtues of high factor SPFs. This is because sun damage is cumulative and damage done in our 20s will show in our 30s and our 40s, with age spots appearing over time and becoming wider. However, once the damage is done, there are ways to reverse it.

Who is prone to hyperpigmentation?

​According to Dr Yusra, it’s easy to identify those most likely to be affected: “those at risk of hyperpigmentation tend to be Fitzpatrick skin type three, four or five – they will almost never burn and usually tan. Skin pigmentation can also be hormonal and women who are taking HRT, the oral contraceptive pill or who go through pregnancy can also find that their skin is prone to these changes.”

How do you treat hyperpigmentation?

Dr Yusra shares her advice on how to tackle hyperpigmentation:

Opt for medical-grade prescription skincare rather than over-the-counter remedies to treat pre-existing hyperpigmentation. 

These will penetrate into the deeper dermis, allowing cellular change and have formulations and enzymes aimed at reducing hyperpigmentation and improving cell turnover.

Some of the best products for hyperpigmentation are medical grade ones, with the best treatment being a combination of four percent hydroquinone with tretinoin, both of which are only available on prescription. Hydroquinone is the ‘gold standard’ for treatment of hyperpigmentation and is often used in combination with antioxidants and hydroxy acids retinoids. Tretinoin is also known as retinoic acid and is the generic name for synthetic vitamin A.  

When it comes to non-prescription or over-the-counter products, Dr Yusra believes that the best ones are mainly about prevention. She cites vitamin C as an essential buy, as it promotes collagen formation, reduces age spots, brightens the skin and helps to strengthen SPF eight fold. 

Choose in-clinic solutions, such as INTRAcel, the Obagi Blue Peel and the ZO three-step skin peel to expedite the treatment process, lifting pigmentation and improving skin texture and radiance.

Dr Yusra’s treatment of choice is the ZO three-step skin peel, which would need to be performed across three to six sessions monthly in order to see sensational results. This would need to be supported by daily use of bespoke medical grade skincare and Dr Yusra would recommend a four month course of medicated skincare. 

She also recommends INTRAcel treatments. This is an in-clinic procedure which combines micro needling with radio frequency, allowing deep penetration of the medicationslift any residual pigmentation and tighten up the skin. Unlike laser procedures or surgery, INTRAcel protects the surface of the skin from damage and the treatment is targeted at variable depths below the skin surface, meaning that healthy skin is left undamaged causing minimal pain and discomfort.

High factor SPFs are essential to preventing hyperpigmentation – but not all SPFs are created equal. 

Choose a stand alone SPF of over 30 and with a high PA factor, and apply it as the last step in your skincare routine. If you are acne prone, she suggests opting for a mineral spf with Zinc Oxide, which is healing on the skin.



An SPF evangelist, Dr Yusra believes those prone to hyperpigmentation should use a high factor product every day and states that sunbeds should be absolute no go for those affected.

She recommends topping up your SPF every two hours, and this can be with a powder or a mist. However, if your face is directly in the sun then topping up every 10 minutes is recommended.  

To control pigmentation, Dr Yusra recommends wearing a factor of 30 or above, alongside wearing wide brim sun hats and large sunglasses. Her recommended SPF would be a mineral with an SPF of 50, that offers UVA, UVB and infrared protection and this should be applied all over exposed areas. 

Also according to Dr Yusra, many products are actually chemical SPFs that are reliant on a chemical reaction to provide adequate protection, and those chemicals are absorbed into the body, with new evidence demonstrating that these can be endocrine disruptors. Chemical SPFs are cheap and found in most over the counter SPFs and she recommends avoiding these if you can afford a mineral SPF. When it comes to her own skincare, Dr Yusra always opts for a mineral SPF, with her preferred products being either Obagi SPF50 matte or Colorscience mineral face shield. A good combination of chemical and mineral SPF is Heliocare 360 which offers a high level of protection.

To find out more or to book a consultation, please contact us.

Dr Yusra Al-Mukhtar

Dr Yusra Al-Mukhtar

Dr Yusra is a distinguished dental surgeon and a skilled medical aesthetic clinician with a wealth of experience in maxillofacial head and neck surgery and skin cancer surgery. She holds an impressive academic background, having graduated with first-class honours in Medical Science and Healthcare Management from Imperial College London and earned Honours and Distinction as a dental surgeon from King’s College London. Dr Yusra is a Level 7 Trainer in medical aesthetics, in line with Ofqual guidelines, and is renowned for her expertise in providing natural-looking non-surgical facelifts and a range of aesthetic treatments. Her commitment to patient well-being and safety is unwavering, making her a trusted practitioner in the field.

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Kinga Podczaszynska
Kinga Podczaszynska
30 April 2024
Trustindex verifies that the original source of the review is Google.
I would like to say big thank you for Dr Yusra for today’s appointment and your professional opinion , definitely recommend
Mevish Arif
Mevish Arif
29 April 2024
Trustindex verifies that the original source of the review is Google.
Very good experience, made me feel very comfortable . Realistic expectations and Dr Yusra has a good eye and procedure was done professionally with the utmost care .
Hafsa Noreen
Hafsa Noreen
18 April 2024
Trustindex verifies that the original source of the review is Google.
I visited the Liverpool clinic for NSR treatment with Dr Lauren she was lovely welcoming and very talented. She went through everything with me in great detail and ensured I was comfortable and getting the right treatment, we discussed my concerns before the treatment so I felt very safe and knew I was in the best hands. I’m happy with the outcome and not to forget the follow up care and call which I didn’t expect. My advice is if you are thinking of getting any treatment then stick with the best professionals in the business and Dr Lauren is an asset to Dr Yusra’s team.
Beth Snape
Beth Snape
24 March 2024
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I have been going to dr yursa since 2022 starting with nose filler and now nose and chin filler and facials! The only team I would trust with my face super helpful and advise on treatments personalised to you and have seen massive improvements in my confidence but also visually with my skin! Thankyou x
Louisa
Louisa
18 March 2024
Trustindex verifies that the original source of the review is Google.
I had a consultation and enzyme peel with Olivia. The consultation was very informative and helped tweak my skincare routine. The enzyme peel has rejuvenated my skin and was very relaxing.
E Khan
E Khan
10 March 2024
Trustindex verifies that the original source of the review is Google.
Had very bad hallow eyes and dr yusra and her team were amazing with the process. Being a man it can feel uncomfortable to consider these procedures but they do everything to make it as smooth and comfortable as possible. Listen to the advice! Dr yusra analysed my face and realised it was cheeks that needed some help and not the under eyes, its given me such a fresh younger look and I couldn't be happier with the results!
S
S
29 February 2024
Trustindex verifies that the original source of the review is Google.
Title: Exceptional Aesthetic Experience I recently had an aesthetic treatment at Dr Yusra Clinic, and I cannot express enough how pleased I am with the entire experience. From the moment I walked in, the staff displayed a level of professionalism and kindness that instantly put me at ease. Dr. Yusra, in particular, went above and beyond in ensuring my comfort. She took the time to calm my nerves and spent an extended period discussing my reasons for seeking the treatment. What truly set her apart was her thorough explanation of the treatment process. She didn't just outline the procedure; she made sure I understood every aspect, leaving no room for uncertainties. Dr. Yusra's genuine care for her patients was evident throughout the consultation. I felt valued and reassured, not just as a client, but as someone she genuinely cared about. She took the time to discuss various products, explaining why each was the best fit for me. Additionally, she offered valuable advice on other concerns I had, demonstrating a holistic approach to my well-being. One of the most comforting aspects of the consultation was the lack of pressure to proceed with the treatment. Dr. Yusra allowed me the time to carefully assess the costs involved and make a decision that I felt comfortable with. Her advice was not only honest but also presented in a factual and easily understandable manner. In conclusion, my experience at Dr Yusra Clinic exceeded my expectations. Dr. Yusra and the entire staff made me feel more important than just a client, providing a level of personalised care that is truly commendable. I highly recommend their services for anyone seeking not only effective aesthetic treatments but also a compassionate and considerate approach to patient care.
Ariana Fraval
Ariana Fraval
27 February 2024
Trustindex verifies that the original source of the review is Google.
Wow well what can I say? What a lovely lady Dr Yusra is and so talented! She went through everything with me in SUCH detail and analysis in a way I have not experienced before, so before the treatment I felt very safe and sure she would do a great job. She did! I’m so happy with the teaks to my nose which has been wonky for years after several breaks. She also covered my whole face and discussed many areas where there was volume loss, or over active muscles etc. She was wonderful and I will definitely be booking in with her again! Thankyou SO much Dr Yusra!
Jemma Milne
Jemma Milne
22 February 2024
Trustindex verifies that the original source of the review is Google.
I have met Dr Yusra on 3 occasions now and each time she has immediately made me feel at ease, she is so friendly and approachable and has advised me on exactly what treatments would suit me personally. She has maintained a natural look which I love and her knowledge is second to none. I would highly recommended Dr Yusra to anyone. A stunning clinic.
Anisa Ali
Anisa Ali
19 February 2024
Trustindex verifies that the original source of the review is Google.
Dr Yusra was absolutely amazing at the liverpool clinic. From the staff on reception, all the way to the entire procedure being completed, it was a very swift and efficient service. She made me feel completely comfortable and explained everything very well. Thank you for the amazing service.