AbstractMany pigmentary skin illnesses influence appearance, mental health, and social functioning. The main skin pigmentations include hyperpigmentation and hypopigmentation. Clinically, albinism, melasma, vitiligo, Addison's disease, and post inflammatory hyperpigmentation from eczema, acne vulgaris, and drug interactions are the most common skin pigmentation problems Anti-inflammatory, antioxidant, and tyrosinase-inhibiting medications cure pigmentation. Oral and topical medications, natural therapies, and cosmetic products can help. This review covers pigmentation types, causes, and treatments.