What does inflammatory hyperpigmentation look like?

Author: Miss Nicolette Bosco Sr.  |  Last update: Thursday, June 26, 2025

Post-inflammatory hyperpigmentation is characterised by flat, tan, brown or black spots on the skin. This condition can occur on any area of the body, including in the mouth, the genital areas and on the nails.

How do you know if you have post-inflammatory hyperpigmentation?

When your skin cells react to damage or irritation by making extra melanin, post-inflammatory hyperpigmentation is the result. This skin condition shows up as tan, brown, dark brown, or even blue-gray patches and spots on your skin. Some medical or cosmetic procedures can also cause PIH.

How do you get rid of inflammation pigmentation?

What is the treatment for postinflammatory hyperpigmentation?
  1. Hydroquinone.
  2. Azelaic acid.
  3. Cysteamine cream.
  4. Vitamin C cream.
  5. Tretinoin cream.
  6. Corticosteroid creams.
  7. Glycolic acid peels.
  8. Others: kojic acid, arbutin, licorice extracts, mequinol, niacinamide, N-acetyl glucosamine, soy.

How long does it take for post-inflammatory hyperpigmentation to go away?

In general, PIH can take months or even years to fade depending on how deep it is, especially if left untreated. More severe and deep pigmentation, particularly on darker skin tones is most stubborn and may take years, to fade without proper treatment.

What worsens post-inflammatory hyperpigmentation?

Patients should be encouraged to avoid picking or irritating affected areas, as trauma can exacerbate postinflammatory hyperpigmentation. Sunscreen is essential, as ultraviolet exposure can worsen pigmentation and prolong healing; daily broad-spectrum sunscreen use should be a foundational part of treatment.

Post Inflammatory Hyperpigmentation | Treat PIH and Fade Acne Scars 🏆

What is the fastest treatment for post inflammatory hyperpigmentation?

Alpha Hydroxy Acids (AHAs)

Alpha hydroxy acids , especially glycolic acid , are a good starting point for treatment. 6 Alpha hydroxy acids (AHAs) help speed up the skin's natural exfoliation process, which can help improve the look of PIH. You can find these ingredients in many OTC "brightening" treatments.

What fades hyperpigmentation the fastest?

Three types of skincare treatments fade hyperpigmentation marks fast:
  • Physical exfoliants.
  • Chemical exfoliants.
  • Brightening actives such as vitamin C, kojic acid, liquorice extract.

Does losing weight get rid of hyperpigmentation?

This can mean stopping any medicine that's causing the problem or treating diabetes and other health conditions. Losing weight will help acanthosis nigricans fade. If you're concerned about your weight, talk to your doctor before going on a diet. Doctors may prescribe creams or lotions that can help lighten the skin.

What skincare is good for post inflammatory hyperpigmentation?

Products containing low concentrations of the active ingredient azelaic acid are available over the counter. But for treating P.I.H., stronger, prescription-only formulas are recommended, like Skinoren 20% cream and Finacea 15% gel.

Can you exfoliate post-inflammatory hyperpigmentation?

Exfoliating regularly can help remove dead skin cells and promote cell regeneration, which can improve the appearance of PIH. Always opt for gentle exfoliants that do not irritate the skin to avoid exacerbating skin inflammation and pigmentation.

Does apple cider vinegar really get rid of age spots?

There's also evidence that it may help manage dry skin, acne, and age spots, among other conditions. ACV is generally safe to use, but it does come with a risk of irritation or worsening skin symptoms, especially for people with sensitive skin or skin conditions.

What to eat to reduce pigmentation?

7 Foods to Reduce Pigmentation
  • Pomegranate. ...
  • Papaya. ...
  • Fatty Fish. ...
  • Carrot. ...
  • Green vegetables. ...
  • Sweet Potato. ...
  • Citrus Fruits. ...
  • Cleanse: Cleanse your face with a gentle face wash to eliminate dust, dirt, and pollution trapped under the skin.

Can a dermatologist treat hyperpigmentation?

Depending on the cause of your hyperpigmentation, some medications can be prescribed by your dermatologist. Intense-pulsed light treatment is used for treating melasma using a broad spectrum of light to generate heat to target and remove pigment.

How to remove post-inflammatory hyperpigmentation naturally?

To reduce Hyperpigmentation, you could use the below method:
  1. Mix an equal proportion of apple cider vinegar and water in a cup.
  2. Apply the mixture to the affected areas of your skin and leave for up to two to three minutes.
  3. Now, wash using lukewarm water.
  4. Repeat this twice daily to get better results.

What does hyperpigmentation look like on the face?

Hyperpigmentation appears as darkened patches or spots on the skin that make skin look uneven. The spots are known as age spots or sun spots and hyperpigmentation is also at the heart of skin conditions such as melasma and post-inflammatory hyperpigmentation.

Does drinking water help with hyperpigmentation?

Does Drinking Water Help Pigmentation? Research notes that increasing how much water you drink everyday can positively impact the skin's overall health and appearance. 5 This suggests, that in some cases, staying hydrated may help with some types of skin pigmentation.

What does acanthosis look like?

The main sign of acanthosis nigricans is dark, thick, velvety skin in body folds and creases. It often appears in the armpits, groin and back of the neck. It develops slowly. The affected skin might be itchy, have an odor and develop skin tags.

Which vitamin deficiency causes pigmentation on the face?

The deficiency of vitamin B12 can cause specific skin manifestations, such as hyperpigmentation, vitiligo, angular stomatitis, and hair and nail changes [1].

What worsens hyperpigmentation?

As sun exposure worsens hyperpigmentation it is important to protect the skin with sunscreen on a daily basis. Treatment often begins with a skin care regimen composed of a daily sunscreen, moisturizers, and skin care brighteners.

Why do I have post-inflammatory hyperpigmentation?

Severe inflammation or trauma can disrupt the bottom layer of the epidermis (first layer of the skin) causing the pigment to leak into and become trapped in the dermis (second layer of the skin). This results in a deeper and more treatment resistant pigmentation.

Is CeraVe good for hyperpigmentation?

For those looking to reduce pigmentation on the face, our vitamin C serum is expertly formulated to help visibly reduce hyperpigmentation. Our CeraVe Skin Renewing Vitamin C Serum for Anti-Ageing is enriched with 10% pure vitamin C to visibly brighten and even out your skin tone.

Which serum is best for hyperpigmentation?

Shop the Best Hyperpigmentation Serums
  • Best Overall. SkinMedica Even & Correct Advanced Brightening Treatment. Read more.
  • Best for Sun Spots. La Roche-Posay Mela B3 Dark Spot Serum. Read more.
  • Best for Mature Skin. Dr. Loretta Anti-Aging Repair Serum. Read more.

Is vitamin E or C better for hyperpigmentation?

Vitamin C is great for all skin types, especially people who experience hyperpigmentation. Because it is unstable, it is typically paired with vitamin E when creating topical skincare formulations. This combination of vitamin C and vitamin E limits chronic UV damage.

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