Dark spots staring back at you?  You’re not alone.  Uneven skin tone or pigmentation or hyperpigmentation is not uncommon, particularly as we get older and it presents as irregular darkening of the skin.  

There are a number of factors that could cause pigmentation including sun exposure as a result of over production of melanin, increased hormonal stimulation (most commonly experienced by women who are pregnant or taking contraceptives, but can also be a reaction to cosmetics or medications), pollution and trauma (post-inflammatory hyperpigmentation).