Pigmentation Treatment

Pigmentation Treatment Adelaide
Advanced Cosmetic Medicine offers several clinically supervised approaches to pigmentation treatment, each selected based on your pigmentation type, skin tone and treatment goals.
Cosmelan Depigmentation: Cosmelan is a professional-grade depigmentation system that works by inhibiting excess melanin production. It may be recommended for melasma, post-inflammatory hyperpigmentation and diffuse sun damage. The treatment involves an in-clinic mask application followed by a structured home care protocol. Cosmelan can be suitable for a wider range of skin tones compared to some laser-based approaches.
Laser Pigmentation Treatment: Our clinic uses targeted laser technology to fragment excess pigment in the skin. Laser treatment may be recommended for discrete sun spots (solar lentigines), age spots and other focal pigmentation. The number of sessions typically varies depending on the type, depth and extent of the pigmentation. Laser treatment requires careful assessment of skin type, as it carries a higher risk of complications in darker skin tones.
Chemical Peels: Medical-grade chemical peels can help improve the appearance of superficial pigmentation and overall skin tone by accelerating cell turnover. Peels may be used as a standalone treatment for mild discolouration or as part of a broader pigmentation treatment plan.
Your consultation will determine which approach, or combination of approaches, is most appropriate for your skin. Not every treatment suits every pigmentation type, and some conditions such as melasma typically require ongoing management rather than a single procedure.
Pigmentation Removal involving specialised techniques (such as specific lasers or advanced light systems) and requiring a doctor’s consultation is classified as a higher risk non-surgical cosmetic procedure. This is due to the potential for impacting the skin’s melanocytes (pigment-producing cells), which carries risks of both hypo-pigmentation (lightening) and post-inflammatory hyperpigmentation (darkening), especially in darker skin types or if exposed to sun post-treatment. The procedure is not medically necessary; it is an elective choice made purely for aesthetic enhancement. Risks associated with the specialised techniques include: temporary redness, localised swelling, blistering (rarely), and the potential for long-term changes in skin colour. Because the procedure demands rigorous clinical judgment regarding machine settings and patient selection to minimise these long-term risks, it requires expert oversight. These potential complications and risks are integral to the decision-making process for your Pigmentation Removal treatment and will be fully detailed during your mandatory consultation.
All higher risk non-surgical cosmetic procedures, including specialised Pigmentation Removal, are performed exclusively by a registered medical practitioner (doctor), as our practice adheres strictly to the professional standards and guidelines set by the National Boards and Ahpra. This commitment means the practitioner’s primary duty is always to the patient, ensuring all decisions regarding your treatment are based on clinical necessity, safety, and evidence, not financial gain. Furthermore, every procedure will be performed by a practitioner possessing the appropriate qualifications, education, and competence relevant to the specific treatment being offered. We are obligated to provide you with clear, accurate, and objective information about the treatment, including the potential for complications. Finally, our practitioners are committed to proactively managing any potential conflict between the desire for financial return and their ethical and professional duty to provide the best and safest possible care for every patient.
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Who We Are
Our Clinicians
Dr. Rahma Targett
Registered Medical Practitioner (General Registration)
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Dr. Targett is the founder of ACM and is committed to providing responsible cosmetic care.
Frequently Asked Questions
Pigmentation Removal treatment is classified as a higher risk non-surgical cosmetic procedure because it involves techniques (like specific lasers or light systems) that disrupt the skin’s melanocytes, carrying potential risks for temporary or permanent changes in skin colour (hypo- or hyper-pigmentation), blistering, and scarring. Due to these potential complications and the requirement for accurate clinical diagnosis and precise settings, the procedure requires assessment and administration by a registered medical practitioner (doctor), as mandated by Ahpra guidelines.
No. Pigmentation treatment aims for a significant, visible fading of discolouration, but no practitioner can guarantee complete removal or a “flawless” result. AHPRA guidelines prohibit creating unreasonable expectations regarding outcomes. Your results depend on individual factors including the type and depth of pigmentation, your skin tone and your adherence to sun protection after treatment. Realistic, achievable outcomes will be discussed thoroughly during your mandatory consultation.
Yes, you should realistically expect a period of recovery or downtime. Since this is a specialised procedure, the treated pigment will typically darken, scab, and flake off, which may be accompanied by temporary redness or swelling. We will provide detailed aftercare instructions to manage your recovery, which is a crucial part of the process and must not be minimised as a “quick” or “easy” fix.
Yes, a comprehensive consultation is essential and mandatory. It allows our registered medical practitioner to confirm the diagnosis, assess suitability, and discuss all potential risks and realistic expectations for Pigmentation Removal. Following the consultation for this higher risk cosmetic procedure, we are obligated to offer a sufficient cooling-off period before you can consent to the actual treatment, ensuring you have adequate time to make a fully informed decision.
We prioritise your post-procedure safety. If you experience unexpected side effects or complications (such as signs of infection, persistent pain, or severe, unexpected changes in skin colour), you will be provided with a direct, accessible contact number for your treating doctor or the clinic. Immediate follow-up and management of complications are part of our commitment to your clinical care and professional duty of care.
Some pigmentation treatments carry a higher risk of complications in darker skin tones (Fitzpatrick types IV–VI), particularly post-inflammatory hyperpigmentation (PIH) where the treated area temporarily darkens rather than fades. This is why a clinical assessment of your skin type is a mandatory part of the consultation. Certain approaches, such as Cosmelan depigmentation, may be more suitable for a broader range of skin tones compared to some laser-based techniques. Your treating clinician will recommend the safest and most appropriate option based on your individual assessment.
The number of sessions varies depending on the type of pigmentation, its depth, the treatment method selected and your individual skin response. Some focal pigmentation such as sun spots may respond within one to three laser sessions. Cosmelan depigmentation typically involves one in-clinic session followed by a structured home care phase. Conditions such as melasma are typically managed over time rather than resolved in a single treatment. A realistic treatment timeline will be discussed during your consultation.
Common types of pigmentation treated at our Adelaide clinic include sun spots (solar lentigines), age spots, melasma, post-inflammatory hyperpigmentation (PIH) from acne or injury, and freckles (ephelides). Each type has different causes and depths, which is why a clinical diagnosis is essential before recommending a treatment approach. Some pigmentation is superficial and may respond well to chemical peels, while deeper pigmentation may require Cosmelan or laser treatment.