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Skin & Hair Concerns
Question #16688
130 days ago
160

marks after pimples - #16688

Ishita

I am really frustrated with these marks after pimples that just won't go away! A few months back, I had this terrible breakout — like, the worst I’ve ever had, and I kind of panicked and picked at them. I know, I know, but it's just so tempting sometimes. Now, I’m left with these dark marks after pimples that are super stubborn! I’ve tried all sorts of creams, even some natural remedies I found online, but nothing seems to help. The area where I had the worst spots is still reddish and kinda raised, and I feel like it makes my skin look so uneven. I went to a dermatologist who suggested chemical peels, and I was like, do I really need to go through that? What if it doesn’t work or makes it worse? I’m also really worried about potential side effects from those treatments. I just want to know if there are any good options for reducing these marks after pimples without doing anything too extreme. Has anyone had good luck with a certain product or treatment? Any tips would really be appreciated!

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Doctors' responses

Post-inflammatory hyperpigmentation (PIH) can be frustrating, and you’re definitely not alone in wanting to manage it effectively. When dealing with these marks after pimples, it’s useful to look at both preventive measures and treatment options. First, it’s key to avoid picking at blemishes in the future, as this can often lead to worse scarring. Since you mentioned trying several creams without success, consider incorporating products containing active ingredients that target hyperpigmentation: topical treatments with ingredients like azelaic acid, niacinamide, or vitamin C can be effective in lightening dark marks. Retinoids, such as tretinoin, can also be useful over time for normalizing skin cell turnover and improving texture. When choosing over-the-counter products, make sure they’re formulated for sensitive skin if you’re concerned about potential irritation.

Speaking of irritation, for the red and raised areas, it’s a possibility they might be early forming scars or hypertrophic scars, which may require different management. You might want to consider gentle exfoliation to encourage cell turnover while ensuring you’re not over-irritating your skin. Chemical exfoliants like glycolic acid or lactic acid can be a bit more forgiving than physical scrubs. As for chemical peels, they do have benefits and can be a helpful step, reducing the appearance of hyperpigmentation; if you’re wary of the potential side effects, perhaps discussing less invasive strengths or the potential for at-home options under guidance with your dermatologist may be more reassuring.

Beyond topical treatments, remember that daily sunscreen use is crucial as UV exposure can worsen hyperpigmentation and hinder the effects of treatments. Using a broad-spectrum, SPF30 or higher sunscreen every day can go a long way toward preventing marks from becoming more pronounced. Ensure that any new product you try is tested on a small skin patch first to avoid adverse reactions. If after trying topical treatments there are no improvements, consulting again with a dermatologist or a second opinion could help tailor treatment options, maybe laser therapies or more personalized care based on your unique skin type and concerns.

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