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Online Specialist Consultation
Post-inflammatory hyperpigmentation follows inflammation — acne, friction, irritation. In pigmentation-prone skin, safe and lasting correction demands barrier-first pacing, carefully sequenced actives, and a considered plan for relapse prevention. Our specialist builds every plan around your skin's specific inflammatory history and tone.
Start Online ConsultationClinical Approach
PIH correction in pigmentation-prone and deeper skin tones requires a precise, layered approach. We pace every plan to protect the barrier first — reducing the risk of further inflammation that would deepen the very marks we are working to clear.
A written AM/PM routine card built specifically for pigmentation-prone skin. Every product, step and sequence is chosen with your skin tone, sensitivity and current condition in mind — removing the guesswork and reducing the risk of reactive flares from an incorrectly ordered routine.
A structured approach to reducing excess melanin production, incorporating tyrosinase inhibition strategies where clinically appropriate. Active selection — whether azelaic acid, tranexamic acid, niacinamide, kojic acid or prescription-strength alternatives — is guided by your skin type, tone and the depth of pigmentation present.
A compromised or sensitised barrier is often the hidden driver of PIH — inflammation from irritation triggers further pigmentation. Before actives are introduced, we establish a barrier repair phase: calming, occlusive and ceramide-focused steps that stabilise the skin and prepare it to tolerate treatment safely.
Where appropriate, bespoke compounded formulations are coordinated via pharmacy — combining clinically active ingredients at concentrations not available over the counter. These are offered where standard retail options are insufficient for the depth or pattern of pigmentation, and are priced separately from the consultation.
The Process
Answer a short questionnaire and upload clear photos of the affected areas — face, body or both. This gives our specialist the clinical detail needed to assess pigmentation depth, pattern and likely cause without a rushed in-person appointment.
Your case is reviewed within 24–48 business hours by our Independent Nurse Prescriber. A tailored, phased plan is created around your skin tone, inflammatory history and current barrier status — not a template approach.
You receive a written AM/PM routine card and clinical plan. Where compounded or prescription products are appropriate, these are coordinated for delivery via pharmacy — directly to your door, anywhere in the UK or internationally.
Common Questions
Yes — in sensitised or reactive skin, certain actives can trigger a temporary increase in pigmentation if introduced too quickly or at too high a concentration. This is a well-recognised risk in PIH treatment, particularly in deeper skin tones. We pace every plan deliberately to reduce this risk — starting conservatively and building intensity only once the barrier is stable and tolerating treatment well.
No — compounded formulations and any prescription products are priced separately and paid directly via pharmacy. All costs are disclosed in full before anything is issued. There are no hidden charges at any stage.
Yes. This consultation covers both face and body hyperpigmentation. Body PIH — commonly affecting areas of friction such as the inner thighs, underarms, knees and elbows — is assessed and planned separately from facial pigmentation, with different pacing and active selection where needed. Please upload clear photos of all areas of concern when submitting your consultation.
Yes. Shujo treats all skin types and is widely recognised for specialist outcomes in skin of colour, Asian and ethnic skin — where PIH risk is significantly elevated and where many standard protocols are unsafe without careful adaptation. Every plan accounts for your Fitzpatrick skin type from the outset.
PIH at the epidermal level typically responds within 8–12 weeks of a consistently followed plan. Deeper dermal pigmentation takes longer and may require multiple treatment cycles. Your plan will include a milestone timeline with realistic expectations for your specific type and depth of pigmentation — and clear guidance on what to look for at each review point.
Yes — where clinically appropriate and suitability is confirmed, repeat prescriptions and minor plan adjustments can be issued without a full consultation for £25. This is assessed on an individual basis by our prescriber and is not available as a default option.
Transparent Pricing
All consultations are carried out by an Independent Nurse Prescriber within a CQC-registered clinic.
Compounded formulations and prescription products are priced separately and paid directly via pharmacy. All costs are disclosed in full before anything is issued.
Your Skin. Our Expertise.
Specialist-level hyperpigmentation management — paced safely for your skin tone and barrier. Your consultation is reviewed by our Independent Nurse Prescriber within 24–48 business hours.
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