Intimate hyperpigmentation is extremely common. The skin in intimate areas often darkens due to hormones, friction, genetics, sensitivity, hair removal or skin-fold shadowing. At Continental Skin Clinic in London, we offer one of the most advanced intimate brightening protocols available, suitable for all Fitzpatrick skin types — including melanin-rich and darker complexions.
We use our ToneTX™ intimate brightening method, a refined multi-modality medical approach. It is designed to target pigmentation at every level of the skin. This protocol combines advanced laser technology with controlled chemical exfoliation. It also includes laser-assisted drug delivery using LaseMD Ultra. Targeted brightening infusions form part of the treatment. Structured medical-grade homecare supports long-term results. The ToneTX™ method was developed through years of hands-on clinical experience. It has been carefully optimised to deliver consistent and safe outcomes.
Results are predictable and controlled. The protocol is particularly suitable for melanin-rich and sensitive skin. For this reason, our focus is to brighten the area gradually and safely. At the same time, we work to refine texture and restore healthy skin function. Importantly, the approach minimises inflammation and downtime. It also reduces the risk of further pigmentation. As a result, skin stability remains the priority throughout treatment. Rather than using aggressive or high-risk methods, this protocol supports long-term improvement. Overall, the emphasis is on controlled results and skin health over time.
Causes of Intimate Hyperpigmentation
Intimate hyperpigmentation develops for many reasons. Understanding your triggers allows us to create a safe and effective treatment pathway.
- Genetics: Some people naturally develop darker pigment in intimate areas, particularly those with higher melanin levels.
- Friction & Rubbing: Skin rubbing from clothing, movement, workout wear or body structure increases inflammation and pigment production. Excess weight commonly intensifies friction. Reducing friction may require weight management, Aqualyx fat dissolving, medical weight loss, or choosing softer clothing to avoid trauma as well as a more active lifestyle.
- Hormonal Imbalance: Hormones can overstimulate melanocytes, causing darkening in the bikini, groin and underarms. Common in pregnancy, PCOS and contraceptive use.
- Increased Vascularity: In some cases, our skin is naturally darker due to visible warmth and circulation rather than true pigment build-up.
- Skin Folds & Shadowing: Brown or melanin-rich skin appears darker where folds overlap. Once stretched, the area may look lighter — making the fold appear hyperpigmented when it is not true pigment.
- Hair Growth & Hair Removal: Dark hair follicles create a shadow under the skin. Repeated shaving, waxing, sugaring and ingrown hairs all worsen pigmentation. Permanent hair removal is essential to maintain long-term clarity and prevent new darkening.
- Lifestyle & Homecare: Lack of exfoliation, harsh products, friction, irritation and poor hydration all contribute.
- Consistent safe pigment-supressing and increasing skin cell turnover homecare is key.
Knees & Elbows Hyperpigmentation
Knees and elbows often darken due to friction, genetics, dryness, repeated bending which ultimately causes the skin to thicken and become rough. We treat these areas using our hyperpigmentation treatment method to lighten pigmentation, refine rough texture and restore smoothness.
Underarm Hyperpigmentation
Underarms darken from shaving, ingrown hairs, deodorant irritation, friction or excess hair follicle concentration. We strongly recommend having laser hair removal to prevent recurrence and eliminate the shadow caused by dark, coarse hair follicles.