Get a prescription for hyperpigmentation cream
Consultation price: $59
Response time: 1-2 working days
- Board-certified dermatologists
- Commercial or customized formulas
- No appointment needed

Why get hyperpigmentation treatment via Miiskin?

First consultation is $59 and medication refills are $39.

No subscriptions, order your treatment on-demand.

You can get a customized hyperpigmentation treatment.
*The Miiskin-affiliated dermatologists are independent healthcare providers. Miiskin does not interfer with their practice of medicine.
Get a custom hyperpigmentation formula
Get a customized formula for hyperpigmentation and fade dark spots with a treatment made specifically for your skin. Whether you’re dealing with sun spots, post-acne marks, or uneven skin tone, a personalized solution targets the root causes of hyperpigmentation for clearer, more radiant skin.
What is hyperpigmentation?
Hyperpigmentation is a common skin condition where certain areas of the skin become darker than the surrounding skin due to excess melanin production. It can be caused by sun exposure, inflammation (such as from acne), hormonal changes, or skin injuries. Common types include sun spots, melasma, and post-inflammatory hyperpigmentation. While harmless, hyperpigmentation can be persistent and often requires targeted treatments to fade effectively.
Causes of hyperpigmentation

Sun exposure
Sun exposure is the leading cause of hyperpigmentation, as it triggers the production of melanin.

Hormonal factors
Hormonal changes in women can lead to superficial or deeper hyperpigmentation.

Genetics
Genetics can influence skin color variations, as well as melanocyte function leading to the development of localized patches.

Post-Inflammatory Hyperpigmentation (PIH)
Skin inflammation after acne, psoriasis, and dermatitis can lead to hyperpigmentation after the injury has healed.

Medication-induced
Some medications such as antibiotics, birth control pills, antimalarials and some antidepressants, may cause hyperpigmentation.

Cosmetic procedures
Hyperpigmentation may occur as a consequence of laser or other cosmetic procedures if you have a darker skin tone.
What hyperpigmentation creams can you get?
An experienced dermatology provider will work closely with you to offer the best dermatology care. This can include prescribing hyperpigmentation creams that you’re interested in, if they are a safe and optimal fit for your condition. Learn more about the most used ingredients for hyperpigmentation.
Provider & Prescription Information
Miiskin connects patients with independent dermatologists who provide care through their own private practices. Miiskin does not employ dermatologists and does not sell or distribute medications. Any prescriptions issued by the dermatologists can be filled at third-party pharmacies of the patient’s choice.
How can I get an online prescription for hyperpigmentation cream?
Do I need a prescription for hyperpigmentation cream?
There are some over-the-counter hyperpigmentation creams available such as azelaic acid, tranexamic acid, niacinamide and kojic acid among others, but they take longer to show visible results. If you have tried OTC hyperpigmentation serums and did not get the results you had wished for, you could try a prescription-strength cream for hyperpigmentation. For this, you need to have a consultation with an online dermatologist who will prescribe prescription medications such as hydroquinone, tretinoin and prescription strength azelaic acid.
How can I get an online prescription for hyperpigmentation cream?
You can have a photo-consultation with an experienced dermatologist via Miiskin. They will evaluate your photos, symptoms and clinical questionnaire and provide you with a hyperpigmentation cream prescription, which you can pick up at your local pharmacy.
How long will it take to get a prescription for hyperpigmentation?
A photo-consultation via Miiskin takes 1-2 working days to be assessed and it costs around $59. You need to pay for your hyperpigmentation treatment separately.

How to prevent hyperpigmentation and melasma?
Although you cannot fully prevent the development of hyperpigmentation on your skin you can do three things to reduce the chance of developing or worsening it.

Protect your skin from the sun
Minimize sun exposure between the hours of 10am-2pm, wear protective clothing, and always apply sunscreen with a broad spectrum SPF of 50 and reply often when outdoors.

Switch birth control method
Consider an alternative birth control method if you are susceptible to melasma, as conventional birth control pills may worsen your hyperpigmentation.

Keep your acne under control
Acne can lead to post-inflammatory hyperpigmentation after the skin has healed, to prevent this from happening get acne treatment for a blemish and more radiant skin.

Clinically proven ingredients
Clinical trials show that 77% of patients applying Tri Luma were almost clear of pigmentation by week 82.
Research shows that 72% of patients with melasma who used hydroquinone for 4 months saw an overall improvement3.
Patients using azelaic acid over a 24-week treatment period, showed that it significantly reduced the intensity of pigmentation4.
Request a Prescription for Hyperpigmentation Cream in Three Simple Steps
- Start consultation to request your cream prescription for hyperpigmentation
- A dermatologist will create prescription treatment plan, if medically appropriate
- Go to the pharmacy to buy your treatment and wait for results


Process to getting a prescription for hyperpigmentation cream
Through Miiskin, you can connect with a dermatologist for an online consultation using photos. The dermatologist will evaluate your condition and, if appropriate, write you a prescription cream for hyperpigmentation treatment. You can then pick up the prescription at your preferred pharmacy.