What treatments are the most effective to quickly get rid of acne and hyperpigmentation?

Doctor's Answers 2

You are most likely having post-inflammatory hyperpigmentation of the acne that has recovered.

You also have active acne breakouts, therefore, for a treatment that targets both issues, I would highly recommend chemical peels.

Salicyclic acid peels can calm down and stop acne, while Jessner’s peels can reduce hyperpigmentation.

Subsequently you will need topical creams (e.g. Arbutin) for further pigment reduction, and acne products (e.g. salicyclic acid wash, retinA creams) for maintenance.

I agree that the most likely diagnosis is post inflammatory hyperpigmentation (PIH). This usually occurs when the initial acne is red and inflamed and the acne settles leaving the unsightly marks. Squeezing acne is best avoided as it tends to leave more PIH.

PIH will usually fade with time but it may take weeks or months for it to gradually lighten. Some creams like tretinoin cream and hydroquinone may help it to lighten faster. Chemical peels may speed up the lightening too. From your description, it does seem like your skin is a bit sensitive. Some of the above treatments may irritate sensitive skin so it is best for you to be evaluated before using them.

It is important though to make sure that your acne is under control so that as the old marks fade, you will not be left with new marks.

Similar Questions

When is Q switch laser the best treatment for acne scars, and can it be combined with other treatments?

Q-switched Laser is the best treatment for acne scars that are Brown Spots called Post-Inflammatory Hyperpigmentation. Other types of Acne scars such as depressed scars (rolling scars is a type of depressed scar) and hypertrophic scars are better treated with subcision, fractional ablative/non-ablative lasers, fractional RF. Yes, Q-switched Laser can be combined with other treatments if you have multiple types of acne scars. In fact, Acne scar treatments should be specific and customised for each type of acne scar.

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How long does Accutane take to work for acne?

Hi, Accutane can cause initial flares but this is usually related to the starting dose ie. a higher starting dose tend to have a higher risks of flares initially. Personally, I start my patients on a lower dose for the 1st month and adjust accordingly subsequently. As what Dr Colin has mentioned, I will definitely advise to cease any topicals that can cause additional irritation such as Benzoyl peroxide, astringents, acid based products etc.

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