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Skin & Hair Concerns
Question #18142
163 days ago
259

black scar on face - #18142

Kiaan

I am really freaking out right now because I've noticed this weird black scar on my face. Like, it kinda appeared outta nowhere a few weeks ago, and honestly, it wasn't there before or at least I didn't notice it! It’s right on my cheek, and I've been trying to hide it with makeup, but that’s only made it worse. I thought maybe it was just a strange pimple or something, but this black scar on my face doesn’t seem to go away. At first, I thought it was just a mark from me picking at my skin (bad habit, I know), but now I’m not sure if I should be worried. I went to the dermatologist, and they said it could be post-inflammatory hyperpigmentation, but it’s freaking me out. Is this normal? Has anyone else had a black scar on face that just wouldn’t budge? I've tried all these creams but nothing seems to work. Like, what are the actual treatments? Do I need more powerful stuff? What if it’s something serious? I’m diving into forums because I just need opinions from people who get it. I feel really self-conscious about it and just want to know if this will go away or how to handle this black scar on face situation! Help!

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Doctors' responses

A black scar on the face can be concerning, especially when it seems to appear suddenly. Based on what you’ve described, post-inflammatory hyperpigmentation (PIH) is a common skin response after an injury or inflammation, where the skin overproduces melanin, causing darker spots or scars. It typically occurs after acne or other trauma to the skin, like picking at pimples. If it helps, many individuals experience this and have successfully managed it. First, be patient. PIH can take time to fade, even several months, especially on the face where the skin is more sensitive. Consistent skincare can make a difference. Over-the-counter topical treatments with ingredients like niacinamide, vitamin C, or hydroquinone can help lighten the pigmentation. Additionally, products containing retinoids can speed up cell turnover to help fade the marks. Since you mentioned makeup made it worse, be sure to use non-comedogenic products to avoid clogging pores further. Make sure you protect your skin from the sun’s rays by using a broad-spectrum sunscreen daily, as UV exposure can exacerbate pigmentation. If over-the-counter options aren’t effective, consult a dermatologist about prescription-strength creams or treatments like chemical peels or laser therapy, which can be more potent and may suit severe cases. Keep in mind that while PIH is often harmless, if you notice the spot growing, changing in color, or developing irregular borders, make an immediate appointment for an in-depth examination. Your dermatologist can provide a more targeted treatment plan tailored to your specific skin needs, ensuring both effectiveness and safety. Remember, while it can be frustrating to have a noticeable scar, proper assessment and treatment with care can lead to discernible improvement.

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