Dermatologist Questions Dermatologist

How do you treat hyperpigmentation from acne?

I am a 28 year old female and I have hyperpigmentation from acne. How do you treat hyperpigmentation from acne?

6 Answers

We use a variety of treatments including prescription fading creams and certain chemical peels.
I use the PicoSure and PicoDiscovery Lasers in combination with topical medical creams and gels. We get good results.
PIH (post inflammatory hyperpigmentation) following acne can be treated with a variety of topical prescription strength products to accelerate fading. These include hydroquinone in varying concentrations, arbutin, azelaic acid, kojic acid, glycolic acid, tretinoin and occasional topical corticosteroids in combination with the some of the above. If persistent or resistant, the pigmentation may also require in-office treatments to enhance the benefits and accelerate the process of fading. Treatment is best done under the supervision of a dermatologist.
We use different medications to help lighten, as well as lasers and peels in the practice.
Hyperpigmentation from acne generally is post-inflammatory hyperpigmentation and has a tendency to fade over time. I strongly emphasize daily use of sunscreen to prevent darkening of this pigmentation even with casual sun exposure. Also, there are various prescription creams that can be used to help control acne that will also help fade pigmentation. Last, chemical peels or laser treatments can also be done to help with pigmentation if you are very bothered by it.
I hope this helps! Please see your board certified dermatologist for treatment options!


Darshan Vaidya, MD, FAAD
Hyperpigmentation is very frustrating! One of the most effective treatments starts with wearing sunscreen. Studies have shown that doing this daily, without any other treatment improves hyeprpigmentation. Other options include chemical peels, certain fading creams, and microneedling. I often recommend a professional series facial routine for my patients that helps hyperpigmentation and skin rejuvenation.