PIH & Uneven Skin Tone: Rethinking Management Through
Multi‑Pathway Control

Our Faculty

Dr Farida Modi

MD Consultant Dermatologist and Cosmetologist, DermaCare, Mumbai

Dr Valerie D. Callender

MD Founder & Medical Director, Callender Dermatology & Cosmetic Center; Founder & Principal Investigator, Callender Center for Clinical Research, Washington

Prof. B S Chandrashekar

MD, DNB (Derma) Chief Dermatologist & Managing Director – CUTIS Academy, Bengaluru Chairman – CUTIS Group

LEARNING OBJECTIVES

• Reframing everyday pigmentation: Highlight how the majority of cases in clinical practice are PIH and uneven skin tone rather than classic melasma.
• Why current approaches often fall short: Limitations of single-pathway treatments and over-reliance on aggressive therapies, with a gap in long-term, tolerable management.
• PIH as a multi-pathway condition:
  • Melanin production
  • Inflammation
  • Epidermal turnover and barrier function
• Need for a multi-pathway approach: The importance of addressing these mechanisms simultaneously to achieve better and more sustained outcomes.
• Practical clinical application:
  • Early intervention, especially post-acne or post-inflammation
  • Importance of daily-use, well-tolerated regimens
  • Role of consistency and patient compliance
• Managing uneven skin tone: Moving beyond spot treatment to overall tone correction and uniformity, which is increasingly a key patient concern.
• Clinical experience / evidence: Case-based insights or experience with multi-active formulations in PIH and uneven tone would be extremely valuable.

Agenda

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