dark acne spots on face - #15663
I am really worried about these dark acne spots on face that started appearing a few months ago. At first, I thought they were just pimples or whatever, but they never really went away, and it's been kinda frustrating. I'm 28 and have always had pretty clear skin until now. The thing is, I tried all these over-the-counter creams and cleansers but nothing seems to work. Last week I had a facial, thinking it would help, and the esthetician said those dark acne spots on face were post-inflammatory hyperpigmentation or something? She suggested some brightening serums but they’re super expensive and I’m not sure if that's even the right route to take. I’ve read online about dark acne spots on face being stubborn and hard to treat which only makes me feel more anxious about it. What do you all recommend? Should I see a dermatologist or would those serums actually help with these dark acne spots on face? I just really want my skin to look normal again, and I’m nervous about any new treatments. Anyone else dealt with this? What worked for you?
100% Anonymously
No sign-up needed.

Doctors’ responses
Post-inflammatory hyperpigmentation (PIH) can be a tricky issue to manage, but you’re certainly not alone in dealing with this. The dark spots you’re noticing are indeed common after acne heals, as the inflammation can lead to excess melanin production, creating those lingering dark spots. First, while over-the-counter treatments can be effective, they often require time and consistency. Ingredients like niacinamide, vitamin C, azelaic acid, or alpha-arbutin can be beneficial in evening out skin tone and reducing pigmentation. These ingredients are often found in brightening serums, but solutions can indeed vary in price and efficacy, so you might want to start with one that fits your budget and see how your skin responds. Importantly, sunscreen is your ally here—consistent use of a broad-spectrum sunscreen can prevent existing spots from darkening and new ones from forming, as sun exposure can exacerbate hyperpigmentation.
However, since you’ve tried several options without success, and considering it could be PIH, consulting with a dermatologist could be very beneficial. They can offer tailored treatments such as prescription-strength topicals like hydroquinone, as well as in-office procedures such as chemical peels or laser therapies, which might provide more significant results. These professional treatments can be more effective in a shorter time frame but weigh the costs and benefits. If you do decide on new treatments, introduce them gradually to monitor how your skin reacts—given your prior clear skin, your cosmetic sensitivity might differ from before. While the process can be frustrating, consistency, patience, protection from UV exposure, and professional guidance can significantly improve your outcome.
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.