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Post inflammatory hyperpigmentation and PIH with discoloration can resolve over time. Our office treats these hyperpigmentation issues conservatively with topical cream depigmentation protocols. In addition, light chemical peels and fractional ablation can help expedite the process. Best, Dr. KaramanoukianRealself100 Surgeon
Tretinoin can do some pretty amazing things but scar removal is not one of them. Steroids would help more. If you are a female and these "pimples" occur in the same place every month. I would strongly consider herpes simplex. In the female there is a nerve that hooks up into the buttock which is a branch off of the nerve that supplies sensation to the vulva. Occasionally, this nerve is affected by herpes and the recurrent rash so typical of this entity results. This is often missed for years. If this picture fits your symptoms, I would consult your dermatologist.
