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Black pimple spots on face
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Skin & Hair Concerns
Question #12162
45 days ago
87

Black pimple spots on face - #12162

Diya

I am really freaking out about these black pimple spots on my face. It started maybe a month ago when I noticed a couple of small dark spots, and at first, I thought it was just some weird pimple that would go away, but no. They’ve multiplied, and now I have like 6 or 7 black pimple spots on my chin, and they won't budge! Sometimes they look like they might be healing but then they just stay there, like a stubborn ex you can't shake off. I haven't tried any new products except for switching to a different face wash, but I'm not sure if that’s a culprit or not. My sister says it could be some kind of acne hyperpigmentation or something, but I usually don’t have issues like this. I went to a derm last week and they said it might be clogged pores, but that doesn’t make sense cause I thought blackheads were different than black pimple spots on face, right? I’m worried that these black pimple spots will become permanent and seriously ruin my skin texture. Is there any way to treat black pimple spots on my face that actually works? Should I be looking into different treatments or products? Like, do I need to worry about scarring? Ughhh, I don't know what to do! Any advice would be super appreciated!

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Doctors’ responses

It sounds like you’re dealing with what might be post-inflammatory hyperpigmentation (PIH) or possibly a certain kind of acne lesion that can darken due to melanin production and exposure to sunlight. It’s understandable to be concerned about the potential for lasting marks, but let’s break down some steps which might help. First, any new skin regimen should include a sunscreen with at least SPF 30, even if you’re primarily indoors, as UV exposure can worsen pigmentation. In terms of topical treatments, consider products containing ingredients like azelaic acid, niacinamide, or even retinoids, which can help reduce pigmentation and encourage skin renewal but may take a few weeks to show results. You could also explore chemical exfoliants such as AHAs (Alpha Hydroxy Acids) or BHAs (Beta Hydroxy Acids), but be cautious and introduce them slowly to see how your skin reacts. As for the blackhead differentiation, blackheads are technically open comedones, where the surface plugs of sebum and dead cells turn dark upon exposure to air. They might not be the classic blackhead, so a gentle salicylic acid treatment might still be worth considering. Avoid picking or squeezing them, as this could lead to further irritation or infections. If topical treatments don’t seem effective, consult a dermatologist again; sometimes treatments like professional peels, micro-needling, or laser therapy might be appropriate, but these should only be pursued after professional advice, given potential risks and suitability. Always patch test a new product on a small skin area to ensure there’s no adverse reaction. Keep monitoring your skin’s response, and if any redness, irritation, or unusual symptoms arise, it would be crucial to reach out to your healthcare provider promptly. While it can be frustrating and slow-going, patience with a consistent skincare routine is often key to seeing improvement.

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