Unfortunately, this is not a yes-or-no question. Some forms of hyperpigmentation, like post-inflammatory hyperpigmentation caused by trauma to the skin, acne or other damage, may fade over time but there’s no guarantee. Hyperpigmentation caused by prolonged sun exposure likely worsens with time, especially on parts of the skin that are unprotected outside often, like hands. Determining if your hyperpigmentation will fade naturally takes time and relies on genetics and skin make-up, which is not something everyone wants to chance.