Post Inflammatory Hyperpigmentation - what can I do to treat it? (Photo)

Thank you for reaching out with your concerns about post-inflammatory hyperpigmentation (PIH). I understand how frustrating it can be to deal with skin changes, especially when you previously had clear skin.

Tretinoin and PIH:
Tretinoin, a retinoid commonly used for acne treatment, can indeed be effective in addressing PIH over time. It works by increasing cell turnover, which can help fade hyperpigmentation. However, it is important to note that results can take several months to become noticeable.

Additional Treatment Options:

Topical Treatments:

Hydroquinone: This is a skin-lightening agent that can be used to reduce the appearance of dark spots.
Vitamin C: An antioxidant that can help brighten the skin and reduce pigmentation.
Niacinamide: Known for its anti-inflammatory properties, it can help improve skin tone and texture.

Chemical Peels:

Glycolic acid or salicylic acid peels can help exfoliate the skin and reduce pigmentation over time.

Laser Treatments:

Procedures like fractional laser or intense pulsed light (IPL) can target hyperpigmentation and promote more even skin tone.

Sun Protection:

Daily use of a broad-spectrum sunscreen (SPF 30 or higher) is crucial, as UV exposure can worsen PIH.

Considerations:

Consistency: PIH treatment takes time, and consistency with your regimen is key.

Professional Guidance: Consulting with a dermatologist can provide you with a personalized treatment plan. They can also monitor your progress and make adjustments as needed.

If you are experiencing significant irritation or worsening of your skin condition with tretinoin, it may be worth discussing with your dermatologist whether you should continue its use or consider alternative treatments.