acne marks on back - #17664

Dealing with post-inflammatory hyperpigmentation (PIH) from acne can definitely be a bit frustrating, especially on areas like your back. Since you mentioned trying over-the-counter options without much success, let’s talk about a few strategies that might help you see some improvement over time. First up, incorporating gentle but consistent chemical exfoliation into your routine can be beneficial. Look for products containing ingredients like alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs), which aid in shedding the upper layer of dead skin cells and promote skin renewal. However, be cautious not to over-exfoliate, as this can irritate your skin and even worsen pigmentation in some cases. Applying a product a few times a week is usually a good starting point. In addition, vitamin C serums can indeed be effective for brightening pigmentation and improving skin tone. These standalone products can be applied daily, though starting off with a lower concentration and gradually increasing can help your skin adapt. As vitamin C is sensitive to sunlight, applying it in conjunction with a broad-spectrum sunscreen during the day is a good move, especially since UV exposure can darken marks. Another option worth considering is using a topical retinoid, which speeds up cell turnover and can gradually improve hyperpigmentation. Since retinoids can be irritating, start using them a couple of times a week and adjust as needed based on how your skin reacts. If topical treatments from the pharmacy shelf aren’t cutting it or if you’re looking to potentially accelerate results, a dermatologist might suggest alternative options like chemical peels, microdermabrasion, or laser treatment. These procedures do require professional supervision but can be quite effective at targeting stubborn pigmentation. Improvement in acne marks can often take several months, sometimes 3-6 months, so patience and consistent application are key. Lastly, consider lifestyle factors that could contribute to breakouts and further pigmentation, like high stress levels or diet, ensuring you have a balanced approach beyond just skincare products. Keep an eye on any changes, and if issues persist or worsen, making an appointment with a healthcare professional would be advisable for personalized treatment recommendations.