I have pitted acne scars that are also red, and have also some red marks (not pitted) in my face. Is hydrocortisone at 1% safe and effective to reducing/eliminating redness/hyperpigmentation? The cream I have also contains aloe.
Hydrocortisone 1% for Hyperpigmentation Left by Acne Scars?
Doctor Answers 4
Steroid creams are NOT recommended for acne marks.
Hydrocortisone is not a good option for treating acne/ acne spots/ scars, as long term use would damage your skin, and make it fragile, and may even predispose to pimples - steroid induced acne. There are many options ranging from LED therapy, to chemical peels, to lasers,to help with post acne pigmentation. It would be best to have your dermatologist discuss them with you.
Hydrocortisone will help but adding Retin A and Hydroquinone will also make it better
Hydrocortisone will help but adding Retin A and Hydroquinone will also make it better. The three used together is a very common approach for hyperpigmentation. You could also consider serial chemical peels on top of that.
Melarase AM and Melarase PM for acne scar discoloration
Raffy Karamanoukian MD FACS
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Hydrocortisone is not an idea medication for fading scars
Long term use of hydrocortisone can lead to more redness as it eventually thins out the skin and dilates blood vessels. It can cause permanent lightening of the skin and stretchmarks as well. Generally, I do not recommend use of hydrocortisone on the face unless there are specific rashes that may need it, and even then, only short term.
The action of hydrocortisone is at the surface. Pitted acne scars are deep. Hydrocortisone is not a good thing to use for this for multiple reasons.