Is this post inflammatory hyperpigmentation? (Photos)

I underwent obagi blue radiance peel yesterday. This is day 2 and I have lot of bluish discoloration over my skin. more on right cheek and right chin? I was told that this is normal. But to me it looks like post inflammatory hyperpigmentation? Please advice. Does post inflammatory hyperpigmentation happen too soon after peel? If yes, what should I do?

Doctor Answers 6

Obagi Radience Peel issue

The bluish discoloration is not likely from the peel. Radience peel is a mild, non invasive peel (less deep than the standard Obagi Blue Peel which has TCA in it) with very low risks. Preconditioning is advisable though not absolutely necessary. I prefer to precondition  all my peels. Have this evaluated by your provider.

Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Too soon for PIH following BLUE PEEL

Very unlikely, PIH or post inflammatory hyper pigmentation takes several days to weeks to appear, not within 2 days following a peel. Please consult your specialist for a formal evaluation. Kind regards, Dr Davin S. Lim. Brisbane. Australia. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 77 reviews

Pigmentation with a Blue peel and Melarase creams to correct

If the pigmentation persists, I would start Melarase AM, Melarase PM, and Melapads followed by Melapeels at least twice over a one month interval. 


Dr. Karamanoukian

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Post inflammatory hyperpigmentation after blue peel at day 2?

Hi there and thank you for the question. 

Post inflammatory hyperpigmentation is a reaction of the body to injury or other factors that lead to inflammation. It does however take some time to appear and in your case this would be very unlikely at day 2. It is more likely to be a bruise but it is difficult to ascertain from photographs alone. Bruises can themselves hyperpigment (at a later stage) if exposed to strong sunlight so be careful going out in  the sun. You  are best advised to see and discuss with the specialist who treated you.

I hope that you found this information helpful.

Best wishes

Tariq Ahmad, MBBChir, FRCS(Plast)
London Plastic Surgeon
5.0 out of 5 stars 11 reviews

Is this post inflammatory hyperpigmentation

Thank you for your questions and photos.  An examination is needed to fully answer your questions.  Post inflammatory hyperpigmentation does not occur in the few few days. Discuss your concerns and have an examination with your physician who applied the peel.  Best wishes  

Jeff Angobaldo, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 108 reviews

Obagi Blue Peel

Thank you for sharing your case and photos.  I'm sorry to hear that you have had a difficulty recovery after your Obagi Blue Radiance Peel.  Post-inflammatory hyperpigmentation usually takes much longer to appear than two days.  Have you recovered from this initial presentation?  Did you have any other treatments (fillers/botox) on the day of your peel?

Samuel Baharestani, MD
Long Island Oculoplastic Surgeon
4.8 out of 5 stars 31 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.