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How to Remove Hyperpigmentation Acne


Hyperpigmentation acne is actually the inflammation left after the lesion heals. More commonly known as postinflammatory hyperpigmentation, or PIH, these areas of discoloration will fade in time. As the inflammation lessens, the hyperpigmentation becomes less and less noticeable until it disappears entirely. This doesn't mean that treatment isn't available to improve the appearance of your skin; it just may not be necessary. Talk to a dermatologist to determine the best course of action.

Step 1

Apply a fade cream. Fade creams containing hydroquinone can help remove the hyperpigmentation left behind from acne, explains the American Osteopathic College of Dermatology. Apply a thin layer directly over the affected area of skin.

Step 2

Rub a prescription bleaching cream onto the hyperpigmentation. If the over-the-counter cream is unable to remove the hyperpigmentation, a prescription cream with a 4 percent concentration of hydroquinone can often do the trick. For best results, use as directed.

Step 3

Lighten hyperpigmentation with a retinoid. Instead of a prescription hydroquinone, your dermatologist may prescribe a topical retinoid to fade the postinflammatory discoloration associated with acne. According to, tretinoin is the most common used for this purpose, but you may also benefif from adapalene or tazarotene. Use as directed by your dermatologist.

Step 4

Undergo a chemical peel, suggests the American Academy of Dermatology. If a topical medication doesn't improve PIH, you can often fade the discoloration with a professional peel. In this procedure, trichloro acetic acid (TCA) or salicylic acid is applied directly to the skin, causing the epidermis to burn away and stimulating the production of new skin cells. These cells lack the inflammation associated with the hyperpigmentation. Lactic acid, glycolic acid and kojic acid are also used for peels.

Step 5

Remove hyperpigmentation with microdermabrasion. Instead of a chemical peel, you can choose to use microdermabrasion to eliminate PIH. Just the surface cells of the epidermal layer are buffed away with this procedure, triggering the formation of new skin cells. These cells lack the inflammation associated with hyperpigmentation and help fade the areas of discoloration.

Step 6

Break up the discoloration with cryotherapy. If other methods fail to improve your skin, your dermatologist may suggest cryotherapy. Cryotherapy freezes the affected areas of skin with dry ice, causing the hyperpigmentation to fade in with the rest of your skin.

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