Post-Inflammatory Hyperpigmentation (PIH)

Description

• Post-inflammatory hyperpigmentation is a darkening of the skin that appears after the skin has healed from an injury, rash, acne breakout, eczema flare, or other irritation. When the skin becomes inflamed, it can trigger melanocytes (pigment-producing cells) to make extra melanin, leaving behind flat brown, black, or gray spots.

  PIH is not harmful or contagious, but it can be bothersome cosmetically. It often fades slowly over time, though in some cases it may persist for months or longer. The discoloration is usually more noticeable in medium to darker skin tones.

  Treatments may include topical lightening creams, chemical peels, or laser therapy, along with consistent sun protection to prevent spots from becoming darker.

When should I come in? 

Schedule a visit if:

• You have dark spots that aren’t fading after several months.

• The pigmentation is spreading or worsening.

• You’re unsure if a spot is PIH or something more serious, like melanoma or another skin condition.

• The discoloration is affecting your confidence or quality of life.

How are they treated?

• Sun Protection: Daily use of broad-spectrum sunscreen (SPF 30+) is essential. Sun exposure can darken spots and make them last longer.

• Topical Treatments:

  • Skin-lightening creams containing hydroquinone, azelaic acid, kojic acid, or niacinamide.

  • Retinoids (tretinoin, adapalene): Help speed up skin cell turnover.

  • Anti-inflammatory topicals may also help if redness or irritation is present.

• Other Procedures (Note: INTEGRITY does not offer these services at this time)

  • Chemical peels

  • Laser treatments (with caution, especially in darker skin types)

  • Microneedling

• Patience: PIH often fades gradually over several months. Consistency with skincare and sun protection is key.

At Integrity Skin & DermCare, we tailor treatment based on your skin type, tone, and underlying cause, while balancing safety and cosmetic results.