Hydrocortisone 1% for Hyperpigmentation Left by Acne Scars?

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.

Doctor Answers 5

Hydrocortisone for red acne scars

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Hydrocortisone can be indicated in some cases of acute facial inflammatory issues, but should not be used long-term. Hydroquinone is a topical agent that is used to block pigment formation. There are many other topical agents that can also help to improve discoloration issues. In some cases, improvement in the contour/texture of the skin with laser skin resurfacing or other more invasive treatments can help to improve the overall appearance of the skin.

A consultation with a physician specializing in facial aesthetics can be very helpful to formulate a customized treatment regiment and achieve optimal results.

All the best,

Frisco Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Hydrocortisone will help but adding Retin A and Hydroquinone will also make it better

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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.

Philip Young, MD
Bellevue Facial Plastic Surgeon

Hydrocortisone is not an idea medication for fading scars

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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.

Emily Altman, MD
Short Hills Dermatologic Surgeon

Steroid creams are NOT recommended for acne marks.

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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.
Good luck!

Melarase AM and Melarase PM for acne scar discoloration

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I would begin a topical regimen of Melarase AM and Melarase PM for the hyperpigmented acne scars and for facial discoloration.  Our office utilizes the Melarase creams to help lighten skin and discoloration. 

Raffy Karamanoukian MD FACS
Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.