Post-Inflammatory Hyperpigmentation (PIH) and Acne

Post-fiery hyperpigmentation (PIH) is those dull stamps or spots left behind after a pimple heals. Frequently, they can be much more disturbing and troubling than pimples themselves.

PIH is staining of the skin that remaining parts after an injury mends. It is the skin’s normal reaction to inflammation.

This article clarifies why those dull spots create and how you might dispose of them.


PIH Symptoms

PIH for the most part resembles a level area of staining on the skin. It can seem white, pink, red, purple, brown, or dark, contingent upon your complexion and the profundity of the staining.

PIH can create in all skin types. Notwithstanding, it will in general be more extreme and longer-going on for individuals with medium to dim appearances. PIH influences all genders.




PIH creates when an injury or bothering, similar to a scratch, rash, or pimple, makes the skin become kindled. As the skin recuperates, it creates too much melanin (the protein that gives the skin its tone).

It’s the abundance melanin that obscures and stains the skin.1 This staining stays even after the injury has totally recuperated.

A great many people with acne have some level of PIH. What’s more it’s not only the enormous imperfections that cause these spots-hyperpigmentation can follow even generally minor pimples and blemishes.1

All things considered, the more aroused a breakout, the bigger and more obscure the PIH spot will in general be. Furthermore, picking or popping a pimple increases the possibility creating PIH on the grounds that it builds aggravation.

Different reasons for PIH include:

  • Burn from the sun
  • Compound strips
  • Dermabrasion
  • Laser reemerging
  • Acne Scars versus PIH

You might be diminished to discover that PIH isn’t correct scarring. Truth be told, individuals frequently refer to it as “pseudo scarring” in light of the fact that despite the fact that it makes an imprint on the skin for some time, it doesn’t harm the follicles.

True acne scars occur when there is either a deficiency of tissue, causing a hollowed or discouraged region, or an excess of tissue leaving a raised scar.2 PIH, then again, is level. It’s not hollowed or raised, basically more obscure than the encompassing skin.


Blurring Over Time

Fortunately PIH can disappear after some time, even without treatment. But time is the employable word here. It can require three to two years for PIH to vanish completely, or considerably longer in some cases.

The time span it takes for PIH to blur relies upon how dim the spot is contrasted with the encompassing skin. The greater the difference between the dim region and your normal complexion, the more it will take to blur.

PIH doesn’t continuously disappear all alone. Now and again, it’s pretty much long-lasting.

A few medicines will help. Some may not entirely delete dim imprints, however they may basically ease up them extensively. Treatment can likewise assist accelerate blur with timing in the event that you’re not quick to trust that spots will ease up normally.


Treatment Options

Over-the-counter (OTC) items can assist with blurring more unobtrusive imprints. Notwithstanding, for more profound imprints or those that have been around for quite a while, a remedy cream may be a superior decision. Your dermatologist has a great deal of items that can get the job done.

Assuming you beat acne, you’ll likewise quit creating hyperpigmentation. So clearing acne is a fundamental stage in controlling PIH.

Anything treatment choice you pick, comprehend that improvement will require some investment.


Alpha Hydroxy Acids (AHAs)

Alpha hydroxy acids, especially glycolic corrosive, are a decent beginning stage for treatment.4 Alpha hydroxy acids (AHAs) assist accelerate the skin’s normal peeling with handling, which can assist with working on the appearance of PIH.

You can track down these fixings in numerous OTC “lighting up” medicines. Likewise, leave-on medicines like moisturizers, creams, and gels will give you preferable outcomes over wash-off items like cleaning agents.

Other OTC fixings that can assist with blurring hyperpigmentation include:

  • N-acetyl glucosamine
  • Niacinamide
  • Nutrients An and C

More intense AHA therapies are accessible with a solution. AHAs are regularly utilized as hostile to maturing medicines as well and will leave your skin delicate and smooth.



Hydroquinone is a broadly involved treatment for PIH.6 It’s accessible more than the counter in 1%-2% qualities and 3%-4% solution creams. Hydroquinone works by hindering the catalyst liable for melanin creation, accordingly easing up the skin.

These creams frequently contain extra easing up fixings, which can give you preferred outcomes over utilizing hydroquinone alone. Ingredients joined with hydroquinone include:

  • Kojic acid (a substance produced using parasites)
  • Glycolic corrosive
  • Tretinoin and other retinoids
  • L-ascorbic acid

To try not to ease up your regular skin tone, apply hydroquinone creams just to obscured regions.

Hydroquinone might cause skin bothering for certain individuals, so it merits conversing with your medical care supplier prior to starting this kind of therapy.


Effective Retinoids

Dermatologists frequently endorse effective retinoids to treat acne.7 That’s on the grounds that retinoids assist with clearing acne by accelerating cell turnover rates. This rapid exfoliation can additionally assist with blurring PIH.

Retinoid creams include:

  • Retin-A (tretinoin)
  • Retin-A Micro
  • Tazorac (tazarotene)
  • Differin (adapalene)

An additional advantage of retinoids is that they diminish PIH as they treat acne breakouts.1

With the exception of Differin, these drugs are accessible by solution as it were. Like with different medicines, it might require a little while to a while to see perceptible outcomes.

While utilizing these medicines, be keeping watch for unreasonable dryness, redness, and aggravation, as this can set off PIH all alone.


Acne Treatment Options

Azelaic Acid

Azelaic acid is one more medicine used to treat acne and PIH.1 It works by diminishing aggravation and accelerating cell turnover rates. Individuals now and again use azelaic corrosive alongside glycolic corrosive or tretinoin.

A few investigations have shown azelaic corrosive to be pretty much as successful as hydroquinone at treating hyperpigmentation.8 Therefore, a decent option for those can’t utilize hydroquinone.

Azelaic corrosive is accessible by remedy as it were. As usual, screen your skin for redness and disturbance and let your medical care supplier in on immediately assuming that you experience these secondary effects.


In-Office Treatments

More persevering instances of PIH can be dealt with expertly at your dermatologist’s office. Medicines include:

  • Compound strips
  • Lasers
  • Microneedling
  • Microdermabrasion

Only one treatment isn’t to the point of blurring hyperpigmentation. You’ll probably require a progression of medicines divided two to about a month separated (contingent upon the strategy you’re having done). Your medical services supplier can assist with figuring out which of these therapies, if any, might work out great for you.


Instructions to Get the Best Results

To get the most ideal outcomes, you’ll need to make certain to set the stage. Remembering a couple of things can assist with setting up your skin for whichever treatment you pick.


Control Your Acne

Before treatment, your acne should be taken care of. If not, each new pimple could cause another dim spot, and you could never stretch out beyond the bend (and never see the unmistakable, even complexion you’re searching for).

Over-the-counter acne products are powerful for treating gentle acne.9 However, you might have to treat more difficult or serious breakouts with prescription acne medications if you need to see genuine improvement.


Use Sunscreen

Use sunscreen consistently. The sun might obscure the stains and make them blur more slowly.1 Plus, numerous PIH medicines (and numerous acne medicines, as well) can make your skin more delicate to the sun.

Assuming you’re stressed that sunscreen could exacerbate your breakouts, don’t be. There are many sunscreens for breakout-inclined skin.


Screen Your Skin

Screen your skin for disturbance. In spite of the fact that medicines are assisting you with clearing your skin, acne medicines and PIH medicines the same additionally have the potential for irritation.1

Tragically, bothered skin could prompt considerably more dull spots and lopsided complexion. Assuming PIH is an issue for you, let your medical care supplier know as to whether your skin becomes bothered from your acne therapies.



PIH is dull spots left on the skin after a pimple recuperates. It doesn’t harm the skin, so it doesn’t cause pits or raised scars on the skin.

PIH ordinarily recuperates over the long run without treatment, however it can require up to a few years. A few spots may never blur. Medicines incorporate OTC creams, physician recommended drugs, and in-office strategies.

To seek the best outcomes from treatment, be certain your acne is taken care of and use sunscreen. During treatment, cautiously watch your skin for disturbance.


The focus point

At the point when you’re prepared to start treatment, you have a lot of choices. Be ready to show restraint. PIH consumes a large chunk of the day to blur, regardless of which treatment choice you pick. Think as far as months rather than weeks. Consistent and reliable treatment is your companion.

Keep in mind, this is anything but an extensive rundown. Different medicines might be accessible, and your medical care supplier can assist with directing you to the appropriate therapy for your skin.


The most effective method to Treat Post-Inflammatory Erythema

Acne breakouts in some cases leave red, pink, or purple patches afterward. These obstinate spots are known as post-incendiary erythema (PIE).

PIE is probably going to happen in individuals with lighter complexions, for example, skin types I, II, and III on the Fitzpatrick skin phototype scale. PIE doesn’t expect treatment to determine.

PIE can keep going for a considerable length of time. There are, notwithstanding, at-home and clinical medicines that can assist with disposing of it sooner.



The shallow red, pink, or purple blotches that portray PIE are brought about by enlargement, irritation, or harm to the little veins known as vessels that live under skin.

Cystic acne is a typical reason for PIE, however any fiery skin condition, like dermatitis and sun related burn, can be to blame.

PIE at last blurs all alone, yet there are powerful medicines that can diminish or dispense with it all the more rapidly.


Side effects

PIE normally takes after acne spots, however it doesn’t look like pimples or whiteheads. PIE can be red or pink in shading. It might likewise take on a profound purple color.

PIE can show up in groups or as solo spots on skin.



PIE can require as long as a half year to scatter all alone. Assuming you wish to determine it all the more rapidly, there are at-home medicines which might help. These incorporate the accompanying.



There are a few skin drugs that can accelerate the interaction.


Effective hydrocortisone

Hydrocortisone is a steroid that lessens aggravation. It’s occasionally utilized related to different meds to treat acne, yet it ought to be utilized with the direction of a dermatologist, as there’s expected danger for incidental effects.


Effective L-ascorbic acid

The job of L-ascorbic acid in acne-prompted PIE hasn’t been concentrated broadly. In any case, it’s been shown to be effectiveTrusted Source at lessening erythema brought about by bright B (UVB) beams.

Since it likewise has skin easing up properties, L-ascorbic acid might be gainful for individuals who have post-incendiary hyperpigmentation (PIH) as well as PIE. PIH is a different skin condition that we’ll cover later in this article.



Niacinamide is a type of vitamin B3. It decreases irritation and assists skin with holding dampness. Niacinamide might have some advantage for PIE when applied topically. It might likewise assist with diminishing cystic acne breakouts.

In the event that you have huge scope PIE, or then again on the off chance that it doesn’t react effectively to DIY arrangements, seeing a dermatologist can help.


Clinical medicines

Think about clinical medicines in the event that you’re not happy with skin prescriptions.


Laser treatment

Dermatologists utilize a few sorts of lasers, including serious beat light laser and beat color laser, to treat PIE.

These work by pinpointing and dispensing with harmed areas of veins under the skin, which lessens irritation and staining. It might take a few medicines before you get results.



Microneedling uses a dermaroller of minuscule needles to produce a shallow, controlled skin injury. This initiates skin to create new collagen-rich tissue, taking out surface red spots.

Microneedling likewise helps separate acne-related scarring. These outcomes might be improved when joined with L-ascorbic acid serum or topically applied tretinoin.

This should likewise be utilized distinctly under the direction of a dermatologist, as utilizing a home dermaroller with tretinoin can prompt huge aggravation, redness, and scarring.

Likewise with laser medicines, you might have to have microneedling done on numerous occasions.


PIE versus post-incendiary hyperpigmentation (PIH)

Post-provocative hyperpigmentation (PIH) is one more expected side-effect of acne and other fiery skin conditions. It happens when skin harm causes an overproduction of melanin.

PIH is most frequently found in individuals with more obscure complexions, like IV, V, and VI on the Fitzpatrick skin phototype scale. In any case, PIE and PIH can happen at the same time in many skin types.

PIH contrasts from PIE in shading. PIH is brown, rather than red, pink, or purple. PIH may likewise be longer enduring than PIE.



When to see a dermatologist

PIE can cause you to feel unsure. On the off chance that you’re not happy concealing it with cosmetics or feel profound pain at living with PIE, see your primary care physician.

A dermatologist can suggest or give treatment which can accelerate your skin’s recuperation. Your primary care physician can likewise assist you with treating the conditions that cause PIE in any case.


Famous US Esthetician guidelines

It’s quite hard to purchase skincare products in lockdown situations,specially in bd now . So just for few skin care at least you can control and minimize skin problems.

There’s is so many reasons behind acne that triggers acne – internal health ,stress, hormones , food , dehydration, sun , environmental pollution , lack of sleep . So you can’t eliminate from root .

I’m esthetician I’m not dermatologist so I can’t diagnosis . Only I play with upper epidermis layer of skin . We don’t go deeper into dermis . But we know the process that’s we can’t utilize.

Beacuse as an esthetician we had to study about skin histology, anatomy, infection control , chemistry, electrotherapy so on ! Just because of knowledge for future opportunities!


Now let’s talk about acne . I told you on top description of acne causes that triggered by :


1)you have to find out your skin types by follicles(so Called pores ) size. Skin can be oily but that’s for dehydration. The more bigger pores all over skin you’re oily . Barely you can see pores and tight feeling you are dry .

And sometimes super oily T-ZONE sometimes super dry outer areas that means you’re combination ! And normal skin everything balanced here you’re blessed!

2)Cleanser- chose mild cleanser( you can use noncomedogenic oil jojoba oil for oil cleanse then use besan + honey mix cleanse after that lightly circular motion) .

Cerave , la roche posay , dermalogica , PCA , InstaNatural, derma E , has great cleanser for every skin types .

3) Tone with green tea . Use raw green tea or rose water to toner and balance skin pH . choose korean toner klairs has SOME good hydrating toner . Versed toner really my personal fav .

If you use exfoliating toner do t use regularly use 3-4 days and rest of time use a hydrating toner to strengthen skin barriers.

4) Mask – at least try to collect bentonite clay . That u can use for oily to acne prone skin by mixing with apple cider vinegar. For dry skin – mixing with green tea or camomile tea even you can add aloe. Weekly 2 times .

3) Spot treat or targeted acne treatments- only on acne . Cinnamon powder 1/2 tea spn and 1 teaspn honey mix (here mix honey ration more coz of balancing the strength) and only apply on acne and spots not all over !!!! For 20 min then wash .

Or u can use benzoyl peroxide 2.5 % . Clindamycin 1% lotion all are topical and mild in strength.

4) Moisturizer- don’t forget to moisturize skin after every wash . Washing not more than 2-3 times a day and after that must moisturize according skin types .

If skin oily choose oily free gel based moisturizer. If dry choose thick cream based moisturizer or noncomedogenic oil like grape seed oil or squalane .

In reasonable-price for oily skin choose PURITO centella or IUNIK 70% centella gel . And dermalogica calm water gel most favorited mine. For dry skin chose EMBRYOLISSE or dermalogica skin smoothing cream .

5) Don’t touch your skin !!!!

6)Eat healthy and drink healthy!

7)Try to avoid makeup products when you face acne . Only that time.

8)Exfoliation- for active acne and dry skin use enzyme exfoliator like (papaya/pineapple /pumpkin very low amount +rice power + honey ) mix and make paste and apply for 5 min then wash .

No need to rub.Or must have DERMALOGICA  microfolient  (for every skin type) or superfolient (for congested acne prone skin ) . Or use mendalic acid serum weekly 2-3 night. After exfoliation always sooth skin with sheet mask or gel hydrating mask

9) Sun protection must have for every skin. Not only face but all over the body . Minimum spf 30 .

10) Always remember less is more . Do less but follow rules and extact try to find what your skin needs . Your skin need always hydration.


The primary concern

Post-fiery erythema (PIE) is the leftover red, pink, or purple spots left behind by acne breakouts.

PIE disappears all alone, however it tends to be settled all the more rapidly when dermatological medicines are utilized. At-home medicines may likewise help decrease or dispense with PIE.

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