Aging naturally contributes to skin getting darker and uneven over time. As the skin ages, melanocytes become irregular in their function, producing excess pigment in certain areas. Years of cumulative sun exposure begin to show as age spots, sunspots, and uneven skin tone. The skin also becomes thinner and slower to regenerate, so pigmentation takes longer to fade. Even individuals with good skincare routines may notice gradual darkening as part of the aging process.
Medical conditions can sometimes explain persistent skin getting darker. Acanthosis nigricans is a condition characterized by dark, thick, velvety skin, commonly appearing on the neck, underarms, elbows, and knees. It is often linked to insulin resistance, diabetes, obesity, or hormonal disorders. Addison’s disease causes increased production of melanocyte-stimulating hormone, leading to generalized darkening of the skin, including the gums and scars. Liver, kidney, and adrenal disorders can also affect skin color due to toxin buildup and metabolic changes. Certain medications, such as chemotherapy drugs, antibiotics, hormonal treatments, and antimalarial drugs, may cause pigmentation as a side effect.
Genetics also play a key role in skin getting darker. Some people are genetically predisposed to produce more melanin or to tan easily. Family history influences how the skin responds to sun exposure, inflammation, and hormonal changes. People with darker skin tones naturally have more active melanocytes, which provide better protection against UV damage but also increase the risk of hyperpigmentation. This genetic tendency means even mild triggers can cause noticeable darkening.
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