MARKHAM · TORONTO · SINCE 2017

Hyperpigmentation Treatment in Toronto & Markham

Laser and light treatments matched to your type of hyperpigmentation · Fitzpatrick III–V Asian-specialty protocol · No significant downtime · Dr. Dan Xu and our team perform each treatment

Health Canada Licensed · 4 core devices working in synergy Fitzpatrick I–VI: suitable for all skin types · Low-PIH-risk protocol Non-invasive · minimal downtime · walk-in walk-out 80,000 Clinical practice · 90% Asian faces
Dr. Dan Xu, M.D., CCFP
Dr. Dan Xu, M.D., CCFP
Allergan/Juvéderm N.A. Trainer · 5,000 clients · 80,000 treatment areas · PicoSure Pro Specialist

Quick Answer

Hyperpigmentation treatment in Toronto fades dark spots, sun spots, melasma and marks left after acne. At our Markham clinic, Dr. Xu first finds which type of pigment you have and what triggers it. Hyperpigmentation removal then combines low-energy laser and skin care over several sessions. Dr. Dan Xu and our team perform each treatment.

View Contents (12)
  1. 01 Hyperpigmentation…
  2. 02 Why choose ID Cos…
  3. 03 What is hyperpigm…
  4. 04 What causes hyper…
  5. 05 What are the main…
  6. 06 How is hyperpigme…
  7. 07 What is the best …
  8. 08 How does Dr. Xu p…
  9. 09 How much does it …
  10. 10 Is hyperpigmentat…
  11. 11 Dr. Dan Xu, M.D.,…
  12. 12 “Timeless Asian B…
REAL PATIENT RESULTS

Hyperpigmentation Before and After: Dr. Xu's Real Cases

Every patient below was treated for hyperpigmentation with a combined plan of two lasers, and some had other treatments too. Each card lists every treatment used.

Real clients treated by Dr. Dan Xu and our team at ID Cosmetic Clinic in Markham. Every client signed a Media Release Form. Photos are unretouched clinical records; results vary between patients with skin type and aftercare, and are not guaranteed.

05Spread-Out Spots Gone In Three-Quarter View

Concern
Before treatment the three-quarter view shows spots spread across the cheek with a mottled tone.
Outcome
After treatment the spread-out spots are gone and the cheek tone even and fine.
Maintenance
Strict sun protection; review as per the treatment schedule to maintain.

06Cheek And Nose Spots Cleared In Three-Quarter View

Concern
Before treatment the three-quarter view shows spots clustered on the cheek and side of the nose.
Outcome
After treatment the clusters on the cheek and beside the nose have been removed, leaving the three-quarter view clean.
Maintenance
Strict sun protection; review as per the treatment schedule to maintain.

07Mature Scattered Spots Paler In Frontal View

Concern
Before treatment the frontal view shows scattered spots on both cheeks and the forehead with a darker tone.
Outcome
After treatment the mature frontal view shows the forehead and cheek spots lighter and fewer, with a brighter tone across both areas.
Maintenance
Strict sun protection; review as per the treatment schedule to maintain.

08Dull Uneven Tone Made Radiant

Concern
Before treatment the frontal view shows a dull, uneven complexion with marked discolouration on the forehead and both cheeks.
Outcome
After treatment the complexion is radiant and even, the discolouration on the forehead and cheeks lighter and the face more luminous.
Maintenance
Strict sun protection; review as per the treatment schedule to maintain.

09Dark Spots Reduced In Three-Quarter View

Concern
Before treatment the three-quarter view shows multiple dark spots scattered loosely over the cheek.
Outcome
After treatment the dark spots are reduced, those remaining are paler and the cheek tidier.
Maintenance
Strict sun protection; review as per the treatment schedule to maintain.

10Dotted Spots On The Cheek Faded Away

Concern
Before treatment the three-quarter view shows dotted spots spread in clusters over the cheek and nose.
Outcome
After treatment the dotted spots have faded away and the cheek and nose skin is clean and even.
Maintenance
Strict sun protection; review as per the treatment schedule to maintain.

11Fine Dot Spots Resolved In Three-Quarter View

Concern
Before treatment the three-quarter view shows fine dot spots on the cheek at a fairly high density.
Outcome
After treatment the fine dots have resolved, the cheek is smooth and the tone uniform.
Maintenance
Strict sun protection; review as per the treatment schedule to maintain.

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All before & after photos for Pigmentation ›

Why choose ID Cosmetic Clinic for hyperpigmentation treatment?

For hyperpigmentation and dark spots in Toronto, ID Cosmetic Clinic builds each facial pigmentation treatment plan around your type, your skin tone and your triggers. This matters because the wrong treatment can make hyperpigmentation darker, especially on Asian skin.

  • ✓ A Wood’s lamp check (a UV light that shows how deep pigment sits), VISIA imaging and a health history for every patient
  • ✓ 4 core devices used together, each where it works best
  • ✓ Special settings for Fitzpatrick III–V skin, from Korean and Japanese systems
  • ✓ Dr. Dan Xu and our team perform each treatment
  • ✓ PIH (rebound darkening) alerts, with a plan to pause and let your skin recover

Our experience and certifications

  • ✓ Clinical experience: 8 years of specialty practice + 80,000 treatment areas + specializing in Asian skin care and facial contour
  • ✓ Specialist skills: Cynosure PicoSure Pro Canada KOL · Trained in Korean & Japanese pigmentation protocols
  • ✓ Credentials & recognition: M.D. + CCFP + CPSO · Allergan North America Trainer · Published Author
  • ✓ Transparency: All cases on this page are shared with signed Media Release Form authorization · Clinical data available on request
WHAT IS HYPERPIGMENTATION

What is hyperpigmentation?

Hyperpigmentation means darker patches or spots on your skin, where too much melanin (skin pigment) builds up in the top layer (epidermis) or the deeper layer (dermis). It is a group of types, not one diagnosis: sun spots, freckles, melasma and acne marks are all hyperpigmentation. It is very common, most often on the face, and it can affect any skin tone.

What does hyperpigmentation look like?

It looks like flat spots or patches darker than the skin around them, from light to dark brown. Deeper pigment often looks grey or blue-grey, and a patch can be freckle-sized or cover a cheek. Most hyperpigmentation is harmless, and because Dr. Xu is a medical doctor, every dark spot is checked at your consultation, so you know exactly what it is before treatment starts.

Why does Asian skin get hyperpigmentation more easily?

Asian skin is usually Fitzpatrick type III–V, on a scale from I (lightest) to VI (deepest), with more active pigment cells, so hyperpigmentation is significantly more common than in Caucasian skin.

Why can’t one treatment fix every dark spot?

Each type of hyperpigmentation sits at a different depth and has its own triggers. One light device used on every type can help some spots and make others worse.

Why does some hyperpigmentation fade faster?

Top-layer pigment renews in about 28 days, but deeper pigment can take 6–18 months. Overly aggressive treatment only triggers more rebound pigmentation, so the pace must match this cycle.

Clinical key point: “Hyperpigmentation” is the result, not the cause. Dr. Xu always finds the subtype and the trigger first, because if the trigger isn’t addressed, it keeps coming back no matter how many laser sessions you do.

CAUSES

What causes hyperpigmentation?

Hyperpigmentation is caused by sun, inflammation, hormones, rubbing, some medicines and a damaged skin barrier. Each of these pushes your pigment cells (melanocytes) to make extra melanin. Clinically, 80% of failed hyperpigmentation cases aren’t caused by inadequate equipment; they’re caused by starting treatment before the trigger is resolved.

1. Sun exposure

Sun is the most common trigger. North American summer UV and winter snow glare mean a higher yearly UV load than in most Asian countries, and visible light also switches on pigment. Sun darkens every type of hyperpigmentation, so daily sun protection is part of every plan.

2. Post-inflammatory hyperpigmentation (PIH)

These are brown marks after acne, eczema, scratching, too much acid exfoliation or poorly matched laser. Asian skin has a moderately higher risk, and marks can last if the barrier is not repaired. Acne or a rash must be under control first, or new marks keep forming.

3. Hormone changes

Pregnancy, birth control pills, hormone replacement therapy (HRT) or thyroid problems can trigger melasma-type patches that respond poorly to laser alone and need a hormone check. You may first notice these patches during pregnancy or after starting the pill.

4. Rubbing and irritation

Rubbing on the neck, underarms, skin folds and bra-strap areas, or rubbing your eyes and picking your face, darkens the skin there. The habit must change first, because the skin keeps making new pigment while the rubbing goes on.

5. Sun-sensitizing medicines and products

Some antibiotics (tetracyclines), seizure medicines, birth control pills and scented oils or cosmetics make skin darken in the sun. Stop the trigger first, but change a prescribed medicine only with your doctor.

6. A damaged skin barrier

Over-cleansing, long-term steroid creams and harsh skincare inflame the skin barrier, so pigment cells become overactive and your skin tone turns dull. Your skin may also feel tight, sting with products or turn red easily. Barrier repair comes first, in the 4 weeks of skin prep before any laser.

TYPES

What are the main types of hyperpigmentation?

The four main types are melasma, sun spots and freckles, dark marks after inflammation (PIH), and pigmentation from rubbing or medicines. Each type of hyperpigmentation needs its own plan.

Melasma

Melasma shows as large, cloud-like brown patches that sit evenly on both sides of the face. Hormones, sun and your genes all play a part, and strong laser can make it darker. It needs gentle, low-energy treatment and long-term care.

Melasma · Chloasma
DistributionBoth cheeks, the forehead and upper lip, evenly on both sides
What it looks likeLarge cloud-like brown patches
TriggerHormones + UV + Genetics
Depth in the skinEpidermal / Dermal / Mixed
Main treatmentLow-energy laser + long-term maintenance

Sun spots and freckles

These are small, separate brown spots on skin that gets sun, most often the nose and cheeks. They sit in the top layer of skin, so they are often the quickest type to fade, sometimes after the first laser session.

Solar Lentigo · Ephelides
DistributionSun-exposed areas, often the nose and cheeks
What it looks likeSeparate round or oval brown spots
TriggerCumulative sun exposure / genetics
Depth in the skinSuperficial epidermis
Main treatmentLaser, often visible after the first session

Dark marks after inflammation (PIH)

These flat marks appear where acne, a rash or an earlier treatment inflamed your skin, and they stay after the spot has healed. The skin barrier is repaired first, then very gentle laser helps them fade over several sessions.

Post-Inflammatory Hyperpigmentation
DistributionWhere acne, a rash or an earlier treatment inflamed the skin
What it looks likeIrregular patches with blurred borders
TriggerAcne, scratching, mistreated lasers, over-exfoliation
Depth in the skinEpidermal / dermal (depth varies)
Main treatmentBarrier repair + ultra-low-energy laser + time

Pigmentation from rubbing or medicines

This type shows as large, blurry brown patches where your skin rubs, or on sun-exposed skin when a medicine is the trigger. It sits a little deeper than sun spots, so it takes more sessions to fade.

Frictional / Drug-induced
DistributionNeck, underarms, joints, areas of bra-strap friction
What it looks likeLarge diffuse brown patches
TriggerLong-term rubbing, or medicines that make skin sun-sensitive
Depth in the skinEpidermis + superficial dermis
Main treatmentRemove triggers + laser or light + brightening cream

⚠️ Warning: Many clients say “my whole face is pigmented,” but 2–3 types often overlap. Treating each type separately is the deciding factor in pigmentation treatment success.

ASIAN SKIN FOCUS

How is hyperpigmentation treated on Asian skin?

On Asian skin, Dr. Xu treats hyperpigmentation with lower energy, longer gaps, a test spot and skin prep, because strong settings can cause new dark marks (PIH). The slower pace lowers the risk of making your hyperpigmentation worse.

Why standard laser settings can be risky for Asian skin

Standard settings in North America often come from Fitzpatrick I–II (Caucasian) skin, and on Fitzpatrick III–V Asian skin they can cause three problems:

  • ✗ Too much energy raises the PIH risk — the top skin layer holds 5–10× more melanin, so it absorbs extra heat
  • ✗ Not enough diagnosis — treatment starts without a Wood’s lamp check
  • ✗ Missing the deeper layer — hyperpigmentation on Asian skin often has a part deep in the dermis

How Dr. Xu adjusts treatment

ParametersNorth American standardAsian-adjusted
EnergyStandardLower
Interval3 weeks4–6 weeks
Test spotOptionalRequired
Pre-treatmentNone4 weeks of barrier repair + brightening prep

Key differentiators: Dr. Xu has focused on Asian faces for 8 years, with 90%+ of clients in Fitzpatrick III–V, using the Korean and Japanese clinical framework for pigmentary disorders rather than a North American Caucasian-skin template.

TREATMENT OPTIONS

What is the best treatment for hyperpigmentation?

The most effective treatment for hyperpigmentation is a plan matched to your type and triggers, not one device. To fix hyperpigmentation, you stop what triggers it, protect your skin from the sun every day, and then fade the pigment that is already there. For hyperpigmentation treatment on the face, a low-energy laser usually comes first, supported by brightening creams, injections or peels. Our guide to the best laser for hyperpigmentation compares the devices.

Recommended

Long-pulse 1064 nm laser

It reaches deeper hyperpigmentation, pigment from rubbing and dark neck or underarm skin, and also stimulates collagen. At our clinic, this laser is Fotona ClearGlow.

Adjunctive

Brightening injections

Injections of glutathione and tranexamic acid just under the skin slow tyrosinase, the enzyme that makes pigment. We use them between laser sessions to clear pigment faster.

Adjunctive

Chemical peels

Peels speed up skin renewal so pigment sheds faster. They suit PIH after acne, with strict patient selection and a recovery plan; see our peels page.

Adjunctive

HydraFacial

This gentle 3-in-1 facial helps dullness from a weak skin barrier during skin prep and maintenance. See our HydraFacial page.

YOUR PLAN

How does Dr. Xu plan your hyperpigmentation treatment?

Dr. Xu plans your hyperpigmentation treatment in six steps: find your type, prepare and test your skin, treat, check progress and keep your results. With 1 to 12 sessions, one every 4 to 6 weeks, sun spots may take a few months and mixed types 6 months to over a year.

01

Consultation and type check

A free 30-minute visit with a Wood’s lamp check, VISIA imaging and a health history shows your type of hyperpigmentation. Dr. Xu also asks about sun exposure, hormones, medicines and skin care habits to find what triggers it.

02

4 weeks of skin prep

You use a brightening cream, barrier-repair skincare and mineral SPF 50+ while triggers are removed (any medicine change only with your doctor). This step decides the success or failure of every later treatment.

03

Test spot

A small hidden spot below the cheekbone is watched for 7–10 days, an essential step for Asian skin. It shows how your skin reacts, so the settings can be adjusted before your whole face is treated.

04

Treatment matched to your type

Dr. Xu combines the options above by type of hyperpigmentation, such as brightening injections between laser sessions or peels alternating with laser for acne marks. Lower energy and longer intervals give better long-term results and lower recurrence. The table below shows the usual sessions for most types; epidermal melasma usually needs 4–6, Hori’s nevus (blue-grey patches deep in the skin) 6–10, and hard-to-treat mixed cases 10 or more.

05

Progress check after 8 weeks

A second Wood’s lamp check and VISIA comparison decide between maintenance and more treatment. It comes 8 weeks after your last session, because pigment keeps fading for weeks after treatment.

06

Long-term maintenance (every 8–12 weeks)

Maintenance means low-energy sessions, home care and strict sun protection, and for hyperpigmentation it matters even more than the main treatment. Among our patients, those who follow the structured maintenance protocol have a recurrence rate far below those who don’t.

When will you see results?

TypeSessionsFirst visible resultsMaintenance
Sun spots / freckles1–3 sessionsAfter session 1Every 12 weeks
Post-inflammatory hyperpigmentation (PIH)4–6 sessionsAfter session 2Not usually needed
Overall dull complexion5–8 sessionsAfter session 2Every 8–12 weeks
Pigmentation from rubbing6–8 sessionsAfter session 3Every 12 weeks
Mixed types8–12 sessionsAfter session 3Every 8–12 weeks

“Hyperpigmentation is one of the most common aesthetic concerns among Asian faces — and also one of the most commonly mistreated. The problem isn’t the device. It’s whether anyone is willing to spend the first 30 minutes on subtyping.” — Dr. Dan Xu

COST

How much does it cost to get hyperpigmentation removed?

Hyperpigmentation removal cost in Toronto depends on your type, the area, your treatments and the number of sessions. Dr. Xu gives you a personal price at your free 30-minute consultation, and reference prices are on the page for our first-choice laser.

Pricing for hyperpigmentation can vary significantly between clinics, but the real cost driver isn’t the device itself: it’s who assesses you, identifies the subtype and sets the pace. Dr. Dan Xu and our team perform each treatment. Complex cases are managed directly by Dr. Xu, and the pricing structure reflects that level of physician involvement, while stable or straightforward cases can be safely treated by our trained medical team under Dr. Xu’s protocol, making care more accessible.

  • We accept VISA / Mastercard / Amex / Debit / E-transfer
  • Affirm / PayBright financing available (on select treatment packages)
  • Private insurance: Some commercial EHB plans may reimburse consultation fees — case-by-case inquiry
  • OHIP does not cover cosmetic procedures
SAFETY

Is hyperpigmentation treatment safe?

For most people, yes, as long as your type of hyperpigmentation is checked first and the settings suit your skin. Before your first treatment, Dr. Xu explains every section of the informed consent form in person.

Who is a good candidate, and who should wait?

Good candidates have hyperpigmentation, such as brown patches, acne marks or a darker skin tone, that has lasted over 3 months. Please wait, or deal with these first, if:

  • ✗ Pregnant or breastfeeding
  • ✗ Strong sun, or a sunburn that has not healed, in the past 4 weeks
  • ✗ Active eczema, dermatitis or a severe acne flare on your face (it must be controlled first)
  • ✗ Taking medicines that make skin sun-sensitive, or isotretinoin (an acne medicine) in the past 6 months
  • ✗ Expecting complete clearing in 1–2 sessions (not a realistic expectation)
  • ✗ Rubbing from clothing or habits not yet stopped
  • ✗ A severe keloid (thick, raised scar) tendency that has not been checked
  • ✗ A condition that makes your skin sensitive to light
What are the main side effects and risks?
1. PIH, or rebound darkening: a moderate risk in Asian skin, significantly reduced by the steps in the next answer. 2. Redness, dryness and flaking: common, and gone in 1–5 days. 3. A pinprick feeling: tolerable, and a cold compress or numbing cream helps. 4. Blistering or crusting: rare with the right protocol. 5. Hyperpigmentation coming back in rubbing or hormone types, unless the trigger is addressed. Each option’s own side effects are on its treatment page, linked above.
How do we lower the risk of dark marks (PIH)?
Five core steps: a test spot first; the lowest energy, raised slowly; at least 4 weeks between sessions; strict mineral SPF 50+ (with iron oxide) for 4 weeks before and after; and a cold compress and barrier-repair skincare right after treatment. Come back promptly if redness lasts beyond 7 days.
YOUR DOCTOR

Dr. Dan Xu, M.D., CCFP

Dr. Dan Xu, M.D., CCFP is a Canadian-trained M.D. and CCFP-certified family medicine specialist, registered with CPSO. Dr. Xu is a fully credentialed physician in Asian pigment management in Toronto. Dr. Xu founded ID Cosmetic Clinic in Markham in 2017 and has focused long-term on pigmentary disorders in Asian faces.

Dr. Xu has brought the Korean + Japanese specialty system for pigmentary disorders to Canada, serving the Chinese and Asian communities. Dr. Xu is a Cynosure PicoSure Pro Canada KOL (fewer than 50 nationwide), Allergan / Juvéderm North America Trainer, and author of Timeless Asian Beauty.

8+Years of specialty practice
80,000Clinical procedures
<50Canada PicoSure Pro KOL

Credentials · Training · Certification

  • ✓ M.D. Canadian Doctor of Medicine (M.D.)
  • ✓ CCFP Certified Specialist in Family Medicine
  • ✓ CPSO Ontario Medical License
  • ✓ Cynosure PicoSure / PicoSure Pro Canada KOL
  • ✓ Allergan / Juvéderm North America Official Trainer
  • ✓ Sofwave / Fotona Advanced Certified Provider
  • ✓ Author of Timeless Asian Beauty
  • ✓ Specialty clinical training in pigmentary disorders in Korea
  • ✓ Japan ADM / Pigmentary Disorder Study Group training

Medically reviewed by Dr. Dan Xu, M.D., CCFP. This page is based on Dr. Xu’s clinical experience and Korean and Japanese research on pigment disorders. Your own treatment plan is decided at your consultation.

AUTHOR · 2025

“Timeless Asian Beauty”

Timeless Asian Beauty — by Dr. Dan Xu, M.D., CCFP

Dr. Xu’s book maps out the aesthetic logic of Asian faces and a framework for managing pigment. A dedicated chapter discusses classification, subtype identification and treatment cadence of pigmentation in Asian skin. It is one of the most accessible Chinese-language specialty resources for Chinese-Canadian aesthetic clients in North America.

“I wrote this book because I’ve seen too many Asian patients mistreated in North America. Hyperpigmentation isn’t just ‘a dark spot’ — it’s a group of complex conditions that require stratified management.”

Free Download — Limited Time

How can you tell sun spots from freckles?

Sun spots (solar lentigo) come from years of sun and aging, appear where the sun hits and have sharp borders. Freckles (ephelides) start in childhood, cluster on the cheeks and nose, and darken in summer. Both types of hyperpigmentation usually respond well to laser treatment.

Sun spots (solar lentigo)

DistributionRandom distribution in sun-exposed areas, with sharp borders
What it looks likeDiscrete brown spots, round / oval
SymmetryNot the same on both sides
TriggersYears of sun exposure + aging
Main treatmentLaser: single-session clearance

Freckles (ephelides)

DistributionConcentrated on the cheeks and nose bridge, starting in childhood
What it looks likeRice-grain sized, close together
SymmetryThe same on both sides
TriggersGenetic + sun exposure, darkens in summer
Main treatmentLaser: visible results in one session
PATIENTS ASK

Common questions about hyperpigmentation treatment

Are hyperpigmentation, melasma and freckles the same thing?
No. Hyperpigmentation is the general name for darker patches of skin, and melasma and freckles are two of its types, each with its own plan. Our Markham clinic treats both; for melasma, see our melasma treatment page.
Can hyperpigmentation be cured?
It depends on the type: some can be cleared, and others can be kept under control. Sun spots / freckles / PIH can be substantially cleared (as long as triggers do not recur). Melasma and friction-induced pigmentation require long-term management (cannot be permanently cured in one go). The clinical goal is significant lightening + trigger removal + long-term stability. Surface PIH usually clears well, while deeper PIH fades more slowly and may not clear completely.
Is IPL safe for hyperpigmentation, or is a picosecond laser better?
Yes, for the right types and settings, but picosecond lasers are safer for nearly all pigmentation types, especially for Asian Fitzpatrick III–V skin. It is not a first-line option for melasma, because of the high risk of rebound darkening (PIH).
Why did my skin get darker after laser treatment?
Usually the wrong type was treated (such as melasma treated as ordinary spots with high-energy IPL), Caucasian-skin settings were used, or prep, the test spot or a gradual start was skipped. This darkening is itself post-inflammatory hyperpigmentation (PIH), so treatment pauses until your skin barrier recovers.
Are acne marks hyperpigmentation, and can they be treated?
Yes. Brown acne marks are post-inflammatory hyperpigmentation (PIH). After the acne is controlled and the barrier repaired, ultra-low-energy laser alternates with peels, and skin tone usually evens out after 4–6 sessions.
Can hyperpigmentation on the neck, underarms or joints be treated?
Yes, once the rubbing from clothing, bra straps or habits stops; otherwise it comes back. A long-pulse 1064 nm laser with a brightening cream usually shows results after 6–8 sessions.
Can I treat hyperpigmentation during pregnancy or breastfeeding?
No. Hormones are very active during pregnancy and breastfeeding, so any laser or brightening cream raises the PIH risk and gives poor results. Start your assessment at least 3 months after you fully stop breastfeeding. Until then, strict mineral sun protection and barrier-repair skincare keep the hyperpigmentation from getting worse.
What is Cyspera, and why does Dr. Xu recommend it?
Cyspera is a medical-grade topical product with a cysteamine precursor. It is one of the very few Health Canada–licensed, non-hydroquinone topical regimens in North America with evidence-based efficacy for pigmentation. Dr. Xu uses it in skin prep and maintenance to lower recurrence.
Where can I get hyperpigmentation treatment near me?
You can get hyperpigmentation treatment at our one clinic, at 30 Gibson Dr, Units 113-117, in Markham. Our Markham clinic serves the GTA and is an easy commute from all GTA cities.
What are the dark spots on my face?
Most are one of at least six types of hyperpigmentation: sun spots, freckles, melasma, Hori’s nevus, PIH or café-au-lait macules (light brown birthmarks). Dr. Xu checks which one you have at your consultation.
Does hyperpigmentation go away on its own?

Some types fade slowly, but many do not go away on their own. Dark marks after acne or a rash (PIH) often fade over months with strict sun protection, and freckles lighten in winter. Sun spots rarely fade much without treatment, and melasma usually needs ongoing care. Creams with retinol, glycolic or azelaic acid can help surface marks a little, but too much acid can cause new dark marks, so for marks that stay, treatment matched to your type works much faster.

Real Clients · Google Reviews

What Our Clients Say

★ 4.9 · 283 Google reviews

Vivian Okoth

Vivian Okoth

0 reviews

★★★★★

Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.

today on Google →
Mary Jane

Mary Jane

1 reviews

★★★★★

I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.

5 days ago on Google →
Millicent Akisa

Millicent Akisa

1 reviews

★★★★★

She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.

a month ago on Google →
Chen cheng

Chen cheng

15 reviews

★★★★★

Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…

a month ago on Google →
Emmaculate Matswa

Emmaculate Matswa

1 reviews

★★★★★

I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .

2 months ago on Google →
Sally Yang

Sally Yang

2 reviews

★★★★★

Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!

2 months ago on Google →
Zara F. Bell

Zara F. Bell

2 reviews

★★★★★

Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…

3 months ago on Google →
Caroline Fan

Caroline Fan

8 reviews

★★★★★

I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…

3 months ago on Google →
Vivian Okoth

Vivian Okoth

0 reviews

★★★★★

Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.

today on Google →
Mary Jane

Mary Jane

1 reviews

★★★★★

I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.

5 days ago on Google →
Millicent Akisa

Millicent Akisa

1 reviews

★★★★★

She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.

a month ago on Google →
Chen cheng

Chen cheng

15 reviews

★★★★★

Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…

a month ago on Google →
Emmaculate Matswa

Emmaculate Matswa

1 reviews

★★★★★

I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .

2 months ago on Google →
Sally Yang

Sally Yang

2 reviews

★★★★★

Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!

2 months ago on Google →
Zara F. Bell

Zara F. Bell

2 reviews

★★★★★

Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…

3 months ago on Google →
Caroline Fan

Caroline Fan

8 reviews

★★★★★

I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…

3 months ago on Google →
Grace

Grace

Local Guide · 13 reviews

★★★★★

I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…

4 months ago on Google →
Yvonne H

Yvonne H

Local Guide · 54 reviews

★★★★★

Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!

7 months ago on Google →
Dou Xu

Dou Xu

2 reviews

★★★★★

Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.

7 months ago on Google →
Yan Sun

Yan Sun

3 reviews

★★★★★

Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.

7 months ago on Google →
Olivia W

Olivia W

3 reviews

★★★★★

Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…

7 months ago on Google →
Hana Yu

Hana Yu

9 reviews

★★★★★

I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!

8 months ago on Google →
xiaojie chen

xiaojie chen

7 reviews

★★★★★

Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!

8 months ago on Google →
Jackie Tse

Jackie Tse

Local Guide · 18 reviews

★★★★★

Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…

8 months ago on Google →
Grace

Grace

Local Guide · 13 reviews

★★★★★

I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…

4 months ago on Google →
Yvonne H

Yvonne H

Local Guide · 54 reviews

★★★★★

Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!

7 months ago on Google →
Dou Xu

Dou Xu

2 reviews

★★★★★

Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.

7 months ago on Google →
Yan Sun

Yan Sun

3 reviews

★★★★★

Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.

7 months ago on Google →
Olivia W

Olivia W

3 reviews

★★★★★

Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…

7 months ago on Google →
Hana Yu

Hana Yu

9 reviews

★★★★★

I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!

8 months ago on Google →
xiaojie chen

xiaojie chen

7 reviews

★★★★★

Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!

8 months ago on Google →
Jackie Tse

Jackie Tse

Local Guide · 18 reviews

★★★★★

Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…

8 months ago on Google →

View all 283 reviews →

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Clients come to our Markham clinic for hyperpigmentation treatment from across the Greater Toronto Area (GTA), including Durham Region, Toronto, North York, Scarborough, Richmond Hill, Vaughan and Stouffville.
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