Neck Pigmentation (Acanthosis Nigricans)
Clear the Neck, Correct the Root
What Is Acanthosis Nigricans?
Acanthosis Nigricans is a common pigmentation condition where the skin of the neck, underarms, or groin becomes dark, thickened, and velvety in texture. It is not dirt, nor does it fade with scrubbing.
This condition is often a visible sign of internal imbalances like insulin resistance, obesity, PCOS, or hormonal changes — making it both a cosmetic and metabolic concern.
At Dermosphere Clinic, we offer holistic treatment plans for neck pigmentation that target skin lightening and internal correction — so you can regain clear, healthy skin and confidence.

Common Areas Affected
• Back and sides of the neck
• Underarms
• Elbows, knees, groin folds
• Around the belly button or under the breasts
Causes of Acanthosis Nigricans
• Insulin resistance (pre-diabetes, PCOS, obesity)
• Polycystic Ovary Syndrome (PCOS)
• Hormonal imbalances (thyroid, cortisol)
• Certain medications (e.g. steroids, hormonal pills)
• Genetic predisposition (especially in children/teens)
• Rarely, internal malignancies (in older adults — needs evaluation)
What It’s Not
• Not a hygiene issue
• Not removable by exfoliation or soap
• Not contagious
Neck Pigmentation Treatment at Dermosphere Clinic
1. Medical Skin-Lightening Creams
• Prescribed topical creams with retinoids, glycolic acid, kojic acid, or azelaic acid
• Helps reduce thickness and pigmentation
2. Chemical Peels
• Gentle superficial peels to exfoliate dead skin and lighten pigment
• Improves texture and tone over 3–5 sessions
3. Laser Toning (Q-Switch / Pigment Laser)
• Targets deep pigment safely without damaging surrounding skin
• Ideal for stubborn pigmentation or darker skin tones
4. Microneedling with Pigment Regulators
• Enhances skin turnover and delivery of depigmenting serums
• Improves both pigment and skin texture
5. Endocrine & Lifestyle Evaluation
• Blood tests to check for insulin resistance, PCOS, thyroid issues
• Diet and exercise counselling as needed
• Referral to endocrinologist if necessary
Why Choose Dermosphere Clinic?
• Experts in pigmentary and hormonal skin disorders
• Focus on both external and internal correction
• Treatments safe for Indian and melanin-rich skin
• Personalized care for teens, adults, and PCOS patients
• Clear treatment plans with visible results and progress tracking
Frequently Asked Questions
1. Can this pigmentation go away completely?
Yes, with the right treatment, lifestyle correction, and consistency, the skin can be visibly lightened and texture improved.
2. Is it linked to diabetes?
Often yes. Acanthosis nigricans is a marker of insulin resistance, which may lead to diabetes if not managed.
3. Is laser treatment safe?
Yes.We use melanin-safe Q-switch lasers ideal for darker Indian skin types.
4. Will scrubbing or salon facials help?
No. These can irritate or worsen the skin. Medical-grade care is more effective and safer.
What to Expect from Treatment
• Improvement in skin color and thickness within 4–6 weeks
• Long-term results when underlying cause is corrected
• Regular sunscreen and gentle skincare required
• No downtime procedures in most cases