Post Inflammatory Hyperpigmentation is a type of condition that happens when the melanocytes, which produce pigment, create an abundance of melanin. Dark spots that are black or brown in color will begin to develop where lesions from acne once were. Anyone who has this condition will likely be very disturbed and frustrated.
The condition of Post Inflammatory Hyperpigmentation is not just something that only people with acne can contract. It can also result from certain medications, allergies, certain types of skin infections, burns, and some diseases of the skin. People who have acne can contract this condition through reactions from some medications to treat acne.
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One of the most common acne treatments is known as benzoyl peroxide. It can cause skin irritations that can move to pigmented areas of the skin. Statistics show that one in 20 people experience sensitivity to benzoyl peroxide. This sensitivity can result in further skin irritations developing and leading to Post Inflammatory Hyperpigmentation. This is especially true in those that are dark skinned.
Today many doctors prescribe retinoids for the treatment of acne in patients. Some people will experience moderate to severe skin irritation with this product use. This can predispose those patients to Post Inflammatory Hyperpigmentation. Because people with high pigment in their skin are at such a risk, many doctors will not even consider prescribing retinoids for those patients. In some cases, retinoids can be used to treat pigmentation inflammatory cases, but not very often.
When retinoids are the cause of pigmentation issues, they may go away when they are stopped. In cases of hyperpigmentation that is a result of acne treatments, this is not necessarily the case. In any case, the first step is to immediately stop whatever type of treatment is causing said irritation. Secondly, begin wearing a high SPF sunscreen to protect the skin from further damage from the harsh rays of the sun. Hyperpigmented skin has two enemies: ultraviolet light and irritation.
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Some physicians may recommend a treatment with hydroquinone, which is a topical cream that can lighten the pigmentation by a reduction in pigment production. However, hydroquinone does not come without additional problems or issues. In some animal studies it has been known to increase the risk of certain types of cancer. Some patients have reported that after long-term use they have experienced darkening of the skin instead of lightening. The preservatives in hydroquinone cause some people to have allergic reactions. It is advised that if you are a user of hydroquinone, it is best to apply a very small amount to the area that is pigmented only.
To hide pigmented areas until they can lighten, it is recommended that a good concealer be used. The lightening could take up to a year. Some other treatments for Post Inflammatory Hyperpigmentation would be glycolic acid and chemical peels. Before any treatments are implemented it is a good idea to schedule a consultation with a dermatologist. This way you can be advised on the appropriate treatment for any condition.
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