PIH or post inflammatory hyperpigmentation
I assume you pick, secondary to stress, and this is causing marks? Ok, the first thing to do (apart from distressing) is to treat acne - see a general dermatologist for this. Once the substrate of acne goes,
your picking and stress will decrease.
Then we can work on the dark areas- I like using creams, SPF, gentle lasers, and even low strength TCA peels to help with pigmentation.
All the best
Dr Davin Lim
Acne Scars – Combination of Treatments Needed
The best treatment for acne scars depends upon an
individual’s skin type, age, ethnicity, sun exposure, overall health and most
importantly, the type of acne scars present (ice pick scars, boxcar scars,
rolling scars, hypertrophic scars and variable degrees of hyperpigmentation).
In order to give you an accurate treatment plan, a consultation is required to
properly assess your skin.
An important step for all skin types is sun protection
including the use of daily sunscreen, sun hats and sunglasses, all of which
help prevent aging and sunburns.
When it comes to acne scar treatments, a combination of
treatments are available including cosmeceuticals (medical grade skin care
products specific for acne including ZO® Skin Health or ZO® Medical,
Skinceuticals® or Glo-Minerals®), advanced laser resurfacing procedures (CO2
laser, Er:YAG laser, Fraxel DUAL®, PicoSure® FOCUS Lens Array), chemical peels
(light, medium, deep including the blue peel), dermabrasion,
augmentation/fillers, excision and/or subcision, punch techniques,
microneedling/rolling, injections (corticosteroids, 5-FU), cryosurgery,
electrodesiccation and microdermabrasion.
These are advanced techniques so be sure to get an
experienced dermatologist or plastic surgeon consultation for recommendations
and treatment options.
I can't fully advise you without pictures. It seems you complain of post inflammatory hyperpigmentation. If that is the problem, chemical peels, Retin A and hydroquinone is mainstay therapy. If scars are the issue, I like to use the Infini. Please see link.