Summary
Dr. Mandell explains the physiological causes of hyperpigmentation and provides a dual-action approach—internal regulation and external treatment—to effectively fade dark spots.
Highlights
Understanding the Root Cause00:00:02
Hyperpigmentation is caused by melanocytes producing excess melanin in response to stress, inflammation, or UV exposure. If the signaling persists or skin turnover is slow, these dark spots remain.
Internal Drivers of Pigmentation00:01:09
Chronic triggers like blood sugar instability, systemic inflammation, and oxidative stress keep melanocytes overactive. Addressing these from within by stabilizing blood sugar and reducing inflammation is essential before topical treatments can be effective.
External Treatment Strategy00:03:00
Dr. Mandell recommends using 3% hydrogen peroxide as a targeted topical solution. By applying it sparingly with a Q-tip for two minutes and rinsing, one can help break down superficial pigment while working to correct the underlying physiological triggers.