Hyperpigmentation encompasses several different pigmentation disorders. These conditions may include post-inflammatory hyperpigmentation, melasma, solar lentigines (sun exposure), ephelides (freckles), and cafe au lait macules (birthmarks). When encountering clients with hyperpigmentation, performing a history, physical, and lifestyle examination is crucial in developing an appropriate treatment plan. Most hyperpigmentation disorders are exacerbated by ultraviolet rays and heat exposure, although some may be caused by hormonal changes caused by underlying medical conditions. Gathering information such as age, amount of sun exposure, frequency of sunscreen use and level of sun protection factor (SPF), medication history, previous trauma skin, Fitzpatrick type, and current skin care products will be useful in guiding clients.

Rachel File is a bachelor’s prepared registered nurse, licensed aesthetician and owner of Beauty Ritual Skincare in Fort Myers, Florida. File has had a passion for the beauty and medical field for more than a decade. Her desire to help patients improve their skin through medical knowledge and her extensive experience has resulted in optimal results for the empirically supported treatments she utilizes. Understanding the science behind aesthetic treatments helps maximize their effectiveness. As a science-based aesthetic practitioner, she understands the importance of keeping abreast of the research in skincare. Education is a driving force behind the development of her practice, and she hopes to spread awareness of the processes behind aesthetic treatments in her field.