Post-Inflammatory Hyperpigmentation and Acne scars

Q: What's the best treatment for acne scars?

Acne scars are stubborn, and no single treatment is best for everyone. One or a combination of the following approaches might improve the appearance of your skin, depending on your scar type, your skin type and the severity of the scarring. Soft tissue fillers. Injecting collagen, fat or other substances under the skin can plump the skin over indented scars. The goal is to make the scars less noticeable. Results are temporary, so repeat treatments are needed to retain the effect. This method has little risk of changes in skin color. Laser resurfacing. This approach is increasingly popular and is often used on scars that were once treated with dermabrasion. This technique has an increased risk of side effects for people with darker skin or a history of keloids. Chemical peel. Your doctor applies a chemical solution to the scar tissue to remove the top layer of skin and minimize the appearance of deeper scars. You can repeat mild and medium peels to maintain results. You can have only one deep peel. Potential side effects include changes in skin color, especially with deep peels used on dark skin. Skin needling. Your doctor rolls a needle-studded device over the skin to stimulate collagen formation in the underlying tissue. It’s a safe, simple and possibly effective technique for acne scarring. It has minimal risk of discoloring the skin. Results are subtle, and you may need repeat treatments.

PIH usually looks like a flat area of discoloration on the skin. It can appear white, pink, red, purple, brown, or black, depending on your skin tone and the depth of the discoloration.

Advantages

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About the procedure

Post-Inflammatory Hyperpigmentation Symptoms

PIH usually looks like a flat area of discoloration on the skin. It can appear white, pink, red, purple, brown, or black, depending on your skin tone and the depth of the discoloration.

PIH can develop in all skin types. However, it tends to be more severe and longer-lasting for people with medium to dark complexions. People with skin of color has more pigment (melanin) so there is more of a chance of PIH with certain skin problems. PIH affects both men and women.

True acne scars occur when there is either a loss of tissue, causing a pitted or depressed area, or an overgrowth of tissue leaving a raised scar. PIH, on the other hand, is flat. It’s not pitted or raised, simply darker than the surrounding skin.

In-Office Treatments

More persistent cases of PIH can be treated professionally at CIDK.

Treatments include:

Chemical peels
Lasers
Microneedling
Microdermabrasion

Just one treatment isn’t enough to fade hyperpigmentation. You’ll likely need a series of treatments spaced two to four weeks apart (depending on the procedure you’re having done). Your healthcare provider can help determine which of these treatments, if any, would be most effective for you.

Indications