how to get rid of dark spots caused by pimples - #16921

Dark spots post-acne, known as post-inflammatory hyperpigmentation (PIH), can indeed be quite persistent. It’s good that you’ve seen a dermatologist, as they can provide a treatment plan based specifically on your skin type. While it’s disappointing that topical treatments haven’t yet yielded the desired results, they often require consistent use over a few months to show significant improvement. Some key ingredients to look for in these products include hydroquinone, azelaic acid, kojic acid, or niacinamide, which are known to lighten hyperpigmented areas. Retinoids may also help by promoting cell turnover which can gradually fade dark spots. Over-the-counter options may work, but prescription strengths might be necessary for more stubborn PIH.

If topical treatments haven’t been sufficient, professional treatments like chemical peels, laser therapy, or microdermabrasion might be options worth exploring. Chemical peels using glycolic or salicylic acid at a dermatologist’s clinic can accelerate the removal of hyperpigmented skin layers, though it can require multiple sessions for noticeable results. Laser treatments like fractional laser or intense pulsed light (IPL) target melanin and can be particularly effective, though they do come with higher costs and the need for downtime. Microdermabrasion also gently exfoliates the skin and might improve skin texture and appearance over several sessions.

Natural remedies like lemon juice and baking soda often circulate, but as you’ve experienced, they can irritate the skin and may not be suitable for everyone, particularly if you have sensitive or acne-prone skin. It’s important not to pick at or excessively scrub your skin, as this can worsen pigmentation. Sun protection remains crucial too, as UV exposure can intensify pigmentation. Use a broad-spectrum sunscreen daily with an SPF of 30 or higher regardless of your indoor or outdoor plans, and reapply every two hours when outside, as this will prevent further darkening of spots and protect the skin as it heals.

Consulting with your dermatologist about professional procedures could definitely be a viable next step, especially if you are looking for quicker results ahead of summer. They can assess your specific situation, including your risk factors and skin type, to provide guidance on what might be most effective and safe—ensuring that you maintain realistic expectations regarding timelines and outcomes.