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black pimple marks on face
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Skin & Hair Concerns
Question #14028
162 days ago
188

black pimple marks on face - #14028

Raghav

I am really worried about these black pimple marks on my face. Like a couple weeks ago, I had a really bad breakout, and even though those pimples are gone now, I've been left with these really dark spots all over my cheeks. It's super frustrating, and I didn’t think a pimple could leave such marks! I've tried some over-the-counter creams, but nothing seems to help with these black pimple marks on my face. I read somewhere that they’re called post-inflammatory hyperpigmentation or whatever, but I don’t really know much about it. Do these black pimple marks on the face ever go away on their own? Or is there something specific that I should be using? I don’t want to make it worse by picking at them, but they just look so bad sometimes! Also, how long do these black pimple marks usually stick around? Any tips or experiences would really help me out. Also, if anyone has ever mixed up treatments and made things worse, I’d love to hear about that too—don't want to be the next victim of that!

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Doctors' responses

Post-inflammatory hyperpigmentation (PIH) is quite a common aftermath of acne, and as you’ve noticed, they can linger as dark spots on the skin after the pimples themselves have cleared. These marks generally fade over time, but it can take several months for them to lighten naturally. The duration can vary depending on your skin type and the extent of pigmentation. While it’s understandable to feel concerned about the appearance of these marks, there are several interventions that can help accelerate the process. Ingredients like retinoids, which can be found in prescription products or over-the-counter formulations, help increase cell turnover and can promote fading of pigmented areas. Vitamin C serums are also useful as they help in skin brightening and reduce pigment production.

Furthermore, products containing ingredients like niacinamide, which is known for its anti-inflammatory properties, can be beneficial too, as they help in skin renewal and even tone. However, it’s important not to mix too many active ingredients at once, as this could irritate your skin, potentially worsening the pigmentation. Always patch test any new product before applying it to your face entirely.

One critical tip is daily sunscreen application, with at least SPF 30, which is vital to prevent further darkening, as UV exposure can exacerbate pigmentation. You’re right to avoid picking at these spots, as it can lead to more inflammation and possibly scarring.

While over-the-counter treatments can be effective, if you find these marks very persistent, consulting a dermatologist would be valuable. They might offer treatments like chemical peels, laser therapy, or stronger prescription treatments which can more effectively target PIH. Ensure you discuss all your ongoing treatments with a healthcare professional especially for ensuring it’s safe, effective, and suitable for your specific needs and lifestyle.

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