black spots due to pimples - #19857
I am super worried about these black spots due to pimples that have appeared on my face. It all started about three months ago when I had a really bad breakout. I usually get the occasional pimple, but this time it was like my skin decided to go haywire. I popped a couple, I know, I shouldn’t have, but they were so annoying. Anyway, I thought it would clear up, but instead I've got these dark marks left behind. I've tried a couple of over-the-counter treatments, like creams and scrubs, but honestly, I don't see any difference! The black spots due to pimples just seem to linger like they wanna ruin my summer plans. I feel like I’ve tried everything, and sometimes I wonder if I’m making it worse by trying too much at once. Is this normal? Like, do they usually fade over time or should I be looking for a dermatologist? I mean, what really helps with black spots due to pimples? I've heard about laser treatments and chemical peels but also read that they might make things worse if done too soon. Just feeling kinda lost here, you know? Anyone else had this issue? What worked for you?
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Doctors' responses
When you’ve had a breakout like that and it’s left you with black spots, what you’re most likely dealing with is post-inflammatory hyperpigmentation (PIH). This happens when your skin overproduces melanin—often after inflammation or injury, like with pimples. Popping pimples can indeed exacerbate the situation by causing more inflammation, leading to darker spots. It’s normal for PIH to take some time to fade, sometimes from months to even a couple of years, depending on various factors like your skin tone, the depth of pigmentation, and your skincare regimen. Over-the-counter treatments can sometimes be hit or miss. Ingredients like glycolic acid, salicylic acid, and retinoids are often helpful in speeding up cell turnover, reducing pigmentation over time. It’s essential, though, not to mix too many active ingredients at once, as this can irritate the skin more. Sunscreen is crucial because UV exposure can worsen pigmentation. For stronger interventions, a dermatologist might recommend treatments like chemical peels or laser therapy, but these should be approached with caution. They’re usually more effective when supervised by professionals who can tailor the approach to your skin type and needs. Avoid rushing into treatments like lasers or peels too early to prevent possible adverse effects. If over-the-counter options don’t show results after a couple of months, or if you notice new changes, seeing a dermatologist would be wise. This helps ensure you’re on the right path to healing without causing further harm.
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