This study was done in Germany by the Leibniz Research Institute for Environmental Medicine, and one of the lead investigators said that in addition to particulate matter, traffic-related air pollution is characterized by increased concentrations of nitrogen dioxide.
Not just this exposure to NO₂ is also associated with low lung function and lung cancer, and this is the first time a study was conducted on its effects on skin.
There were two groups made for the study; the first one contains 806 Caucasian German women who were part of the SALIA (Study on the Influence of Air Pollution on Lung Function, Inflammation, and Aging). The average age of the participants was 73.5 years, and out of them, nearly 20% were past smokers. Also, these women spent on average 2.6 hours in the sunlight.
Whereas the second group included 743 Han Chinese women from the Taizhou region who were a bit younger as compared to the SALIA group, with an average age of 59 years, and again 20% of them had been smoking in the past with daily sun exposure of 3.5 hours.
So there was no link found between levels of NO₂ and the formation of dark spots called lentigenes on the back of the forearms and hands, but NO₂ exposure was significantly found to be associated with more lentigenes on the cheeks in the participants of both groups.
Lentigines are also known as liver spots and are small darkened areas of the skin. In the beginning they are very small in size but later they may enlarge and separate; patches may merge and are commonly found on the forearm, cheeks, face, and upper trunk.
How Does Air Pollution Affect Skin?
Air pollutants such as particulate matter (PM2.5), nitrogen dioxide, and polycyclic aromatic hydrocarbons (PAHs) penetrate deep into the skin. These harmful particles generate free radicals, which damage skin cells and weaken the skin’s natural protective barrier.
- When the skin is constantly exposed to pollution:
- Melanin production increases as a defense mechanism
- Skin inflammation becomes more frequent
- Collagen breaks down faster
All these factors contribute to dark spots, uneven skin tone, and premature aging.
Pollution and Hyperpigmentation
One of the most visible effects of air pollution is hyperpigmentation. Pollutants activate melanocytes (melanin-producing cells), leading to excess pigment formation. Over time, this appears as stubborn dark patches on the cheeks, forehead, and around the mouth.
People who spend long hours outdoors or live in highly polluted cities are at greater risk of developing pollution-induced dark spots.
Signs Your Dark Spots Are Pollution-Related
- Dark patches that worsen despite sun protection
- Dull, tired-looking skin
- Increased sensitivity and redness
- Uneven skin tone even with a proper skincare routine
How to Protect Your Skin from Pollution
While avoiding pollution completely is impossible, you can minimize its impact with the right care:
1. Cleanse thoroughly
Use a gentle but effective cleanser to remove dirt and pollutants twice a day.
2. Use antioxidants
Skincare ingredients like Vitamin C, Vitamin E, niacinamide, and green tea neutralize free radicals and reduce pigmentation.
3. Never skip sunscreen
UV rays combined with pollution make dark spots worse. Use a broad-spectrum SPF daily—even indoors.
4. Strengthen your skin barrier
Moisturizers with ceramides and hyaluronic acid help repair pollution-damaged skin.
5. Night-time repair
Your skin repairs itself at night. Use serums with retinol or peptides to fade dark spots over time.
Air pollution is an invisible but powerful trigger for dark spots and uneven skin tone. Understanding its impact and adopting a pollution-protection skincare routine can help keep your skin clear, bright, and healthy. In today’s polluted environment, skincare is not a luxury—it’s a necessity.
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