Hi, This is the first time i got a big pimple and i started pinching it and the pimples spread over just like anything on my left cheek and the result is full of black marks which are just like chicken pox black marks. Could you please look into the below picture once and let me know the solution so that it will a great help for me. Thanks in advance, Sravanthi
How to Remove Black Marks on my Face From Pimples? (photo)
Doctor Answers 13
The PIH will resolve in most cases
hyperpigmentation or PIH as a result of the acne and your pinching or picking at them. You need a
consultation with a board-certified dermatologist to get your acne under control and to determine the
best treatment for the PIH. Over time, the PIH will resolve in most cases. Various bleaching creams,
including hydroquinone and some of the “active” fading cosmeceuticals can also work well here. Light
chemical peels also can improve PIH when needed, so find the right provider and see what will work best
Sunscreen, Hydroquinone, Lytera and chemical peels
1. Sunscreen and sunprotection- this forms the absolute cornerstone of management. You need to be on this for the duration of any treatment .
2. If you can get hold of HQ or bleaching cream (hydroquinone), I would use 5-7 % daily. For at least 8 weeks.
3. If no HQ is available, Lytera is a good agent.
4. Chemical peels such as glycolic acid can help. You will need 4-7 treatments over the next few months.
5. Vitamin A such as tretinoin can help.
The best treatment is a combination of the above.
Dr Davin Lim
Laser and aesthetic Dermatologist
How to treat discoloration from acne
Thanks for the question. Acne is an inflammatory problem and the inflammation from acne bumps can irritate the color producing cells in the skin. This can result in darker (hyperpigmented) or lighter (hypopigmented) skin in the area of an acne bump. Discoloration from acne can be very frustrating for patients. Here is how I treat it.
1) Treat and cure the patient's acne. This is most important. The inflammatory process of acne must be shut down in order to prevent skin discoloration. Each patient is different, however, all patient's must be put on a successful regimen for their acne before the discoloration can truly improve.
2) Treat the discoloration. There are multiple ways to help with the discoloration. The most often successful and important are to practice sun protection with strict sun screen use and to use a fade cream such as hydroquinone. In addition to these basic treatment, select patients may benefit from chemical peels, retinoid creams, and laser treatments.
Hope this helps! Take care!
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Treating Discoloration From Acne
Based on what I see in your pictures, it appears you have mostly discoloration (hyperpigmentation) from the acne lesions. This is very common, especially in darker skin types. In addition to treating the active acne, there are treatments that can help fade the dark spots, specifically topical RetinA (tretinoin) and hydroquinone which can both help to lighten the color. There are also office-based treatments such as Silkpeel Dermalinfusion which can help exfoliate the skin and improve the discoloration. I recommend you consult with a board-certified dermatologist to discuss what will work best for your skin.
Post Inflamatory Hyperpigmentation (PIH)
First, is to get the acne under control to prevent causing any further injury and discoloration. Your skin tone is particularly prone to this issue and extra caution needs to be exercised in both preventing and treating this condition. You also need to use sunscreen daily to prevent further darkening. Also a regimen including a Retin A product and a lightener such as Hydroquinone or kojic acid. Lastly, light Q-switch laser or chemical peels can help hasten removal of the PIH. Good Luck
Dr. Michelle Ellern
Pigmented acne scars - sun protection and skin care
In brief, you need to get the acne better controlled, learn about what to do with breakouts in the meanwhile, use sunblock routinely and have the pigmentation treated of it persist even given the passage of time (usually with a "brightening" agent which suppresses melanin production like hydroquinone).
Go see your family doctor and involve a skin doctor if necessary.
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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.