Post Inflammatory Hyperpigmentation | Treat PIH and Fade Acne Scars 🏆

How to treat post inflammatory hyperpigmentation. PIH Treatment. How to fade acne scars. Tips for Dark Spots, Hyperpigmentation, and Melasma.

Azelaic Acid for PIH Paulas Choice

Alpha Arbutin for PIH The Ordinary

Tranexamic Acid for PIH Paulas Choice

Sunscreen for PIH

La Roche Posay Toleriane

✅ Biotin 8 mg Thorne

✅ Collagen Peptides 13 g Thorne

📌 My Thorne Online Dispensary ⬇️

Melasma Mistakes
Resveratrol for Dark Spots
Retin A Retinization
Purging vs Irriation:
Retinol Mistakes
Differin Adapalene
Benzoyl Peroxide

Timeline | Chapters

00:00 - Intro
1:13 - What is PIH?
1:45 - Who is More Prone?
2:31 - What Causes PIH?
3:30 - Types of PIH
4:13 - How to Treat PIH?

What is PIH

Post-inflammatory hyperpigmentation starts to occur after some type of skin injury or inflammation when the skin is left darkened and discolored after a wound has healed. This can be from your good ol typical acne, or sometimes even triggered by dermabrasion or a chemical peel. PIH is a type of hyperpigmentation of the skin that is mainly triggered by the way skin regenerates post inflammation.

PIH vs PIE

Its different than post inflammatory erythema which leads to pink and red marks after acne and is seen more in lighter skin tones. And is different than melasma, which you often find in hormonal changes in the body.

How does PIH happen? What causes post inflammatory hyperpigmentation?

Post-inflammatory hyperpigmentation can occur in anyone but youll see it more in darker-skinned individuals. Fitzpatrick skin types III–VI to be exact since we got more melanin and produce more melanin.

What Causes PIH?

In terms of what causes post inflammatory hyperpigmentation. Most people will fall under 3 of the biggest reasons.
1: Acne vulgaris
2: Atopic Dermatitis
3: Impetigo

There are of course other reasons as well. Contact and atopic dermatitis, insect bite reactions, psoriasis, burns, chemical peels. If youre thinking why on earth is there an overproduction of melanin that comes with all this, you have to take a look at the pathophysiology: basal keratinocytes, which are your skin cells, when they get damaged, they release large amounts of melanin, more than they should, they then get phagocytosed and deposited, either in the epidermis, which is easier to treat and can go away on its own or the dermis, causing a blue-gray discoloration of the skin.

Will PIH go away? What does PIH look like? Types of Post-Inflammatory Hyperpigmentation

1.) lichen planus actinicus, which a lot of times happens on sun exposed areas of the skin where you dont think to put sunscreen, like the back of the neck.
2.) Violin playing friction, which is also known as a violin hickey, that happens to violin players who have to rest there instrument on the neck. 3.) Irritant dermatitis, which you can see happening to the knuckles
4.) Inflamed cyst, which can sometimes leave you a long scar that takes a lot of time to heal.
5.) Oven burn.
6.) Photodynamic therapy.

How to Treat PIH. PIH how to get rid. When does pih go away?

The first thing you want to do is protect against offending agents, so your daily protection against ultraviolet radiation is a good start. Spf 50 or more, wearing a wide brimmed hat, sunglasses that dont have metal, since they absorb heat and disperse it back on the face, and seeking shade especially between the hours of 10 am to 4 pm.

What to do PIH?

1.) Tyrosinase inhibitors, which prevent melanin production.
2.) Sometimes though, depending on the severity, you may need a slightly heavier lifter, like tranexamic acid, which has been seen to diminish laser induced melanogenesis.
3.) Topical retinoids like tretinoin, adapalene, and tazarotene, might be the next solutions to look at.
4.) Chemical peels, if youve been consistent with topicals and theyve failed. They basically work by removing the epidermal cells containing the excess melanin. Glycolic and salicylic acid are two big ones there.
5.) Q switched ruby laser that was done on the indian population and found it to be 70% effective, especially in those with PIH from acne.

DISCLAIMER:
This video is for information only and should not be used for the diagnosis or treatment of medical conditions. Dr. Arsalan Aspires has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions.

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[ArsalanAspires]

📌Products Mentioned: ⬇

Azelaic Acid for PIH Paulas Choice

Alpha Arbutin for PIH The Ordinary

Tranexamic Acid for PIH Paulas Choice

Sunscreen for PIH

La Roche Posay Toleriane

[heros]

I really appreciate you going into the features. There are so many different types. Oven burns are so stubborn!

[LeonardoLion]

Thanks for mentioning violin hickey. Never seen a doctor talk about it

[hellosunshine]

Love this video! I have PCOS and a gluten intolerance. I used to have HORRIBLE cystic acne. I started getting chemical peels and it helped with that tremendously. The esthe there told me to go to an allergy specialist.. from there I found out about the gluten allergy. So the foods I used to eat causes me to have bad acne. So I stopped… dairy, too much sugar etc

Now I don’t get the cystic acne anymore, but I do have pih and work with my dermatologist/esthetician to rid it. Now I just get mild pimples… Paulas choice is my fave to clear my acne. I use cetaphil, and dermalogica also. I have the purple bottle you showed from PC, I’ve used their salicylic acid, and niacinimide by the ordinary faithfully. Derm prescribed azelic acid and tretnoid. I need to try the others by Paulas choice.

[shahniemadi]

Thanks for all the good videos great information 👍👍👍💜

[MalikIqraa]

what type of vitamins or product should we ingest for a healthier gut ? healthier skin? healthier kidneys? please

[flolou]

I tried Paula's Boost with 10% Azelaic Acid, but it didn't work for me, I'm thinking of doubling down and going into a stronger azelaic version of 15% as a base, and
than apply something over it if necessary, maybe Niacinamide or AHA, or Kojic Acid for a 2nd layer of treatment,

[lydiadarla]

Can you please make a video on inner thigh pigmentation?

[veronicasmallwood]

Got a Moxi laser treatment and it caused PIH hyperpigmentation all over my face- very disappointing, I wish I would have found you sooner.

[nithi]

Wound healed. but result is black colour? Why? How to remove?

[carrieburch]

Would the Q-Switched laser be effective on African American skin?

[AarronS]

Can you make a video on MRSA and how to treat it. I have been trying to get rid of it for ten years now.

[Gamergirl]

Thanks for the information! I did a touch up cosmelan 1 over a week ago and it made my skin horrible with PIH. There is discoloration and hyperpigmentation where the mask was applied but no peeling . I’m so disappointed. The first round was ok and I used cosmelan 2 home care. My esthetician didn’t give me cosmelan 2 for the second round and said it would peel on its own . It did not but caused acne and discoloration . Not sure how to correct

[noreenrifat]

I had a carbon laser peel and mesotherapy after that my pigmentation became severe and I have burning sensation I even cannot watch my face because the condition is worst, please help me what should I do now, I contact with my dermatologist he said don't go out even for his visit stay at home and use bentagenic ointment on face, but I am so anxious and worried now please help me

[Zahratlaige]

What about TCA chemical peel that caused PIH all over my arm and hypopigmention. I am currently on HQ

[AzharRehza-hcdt]

Sir I'm lighter skin tone but my face active acne with hyperpigmentation with sensitive

[sonisaini]

I have pih after eczema. Most are childhood, some are 3 years old. Plz suggest some treatments

[lilibethbaguio]

I have a bad pigmentation and frecles..i noticed after i have taken my mentainance medicine for my thyroid gland ..thyrax 100mcg..its started this problem...any cream i used for pigment ..is not work...i dont no what to do

[Buncheey]

I got some darkspots after 4 days of completely peeling 😞. Is that normal ? I have too many pigmentation but i never exposed to the sun. Now it is almost 9 days and still persist ( I got superficial chemicalpeeling)

[starfantasy_zptniss]

So is it hard to get rid of it from irritant dermatitis?? On face?