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POSTED: 22 Feb 2024

Hyperpigmentation or Scars From Acne, Here’s How to Tell The Difference & Why it Matters

Despite how common acne itself is, there is a lot of confusion around the marks that linger after a . These are what we often call hyperpigmentation scars from acne. This is understandable, given that and scars often coexist with acne and can sometimes be hard to tell apart. There are also times when acne scars themselves may be hyperpigmented. Although these terms are often used interchangeably, hyperpigmentation and scars are, in fact, very different. This because the treatment for these post-acne marks also sometimes differs. In this article we explore the differences between hyperpigmentation and scars from acne and the best treatment options for them.

The Difference Between Hyperpigmentation and Acne Scars

At first glance, hyperpigmentation and acne scars may seem similar, but they are very different. is a skin where of skin become darker than the nearby area due to excess . In acne, this due to inflammation and is what we call (PIH). These dark marks are usually flat, small and in the same location as the original acne lesion. They are more common in people with , though they can affect anyone. PIH often goes away by itself. However, in people with it may for months or years. on your skin tone, these marks can range from pink-red to . To add to the confusion, they are also not the same as , which shows up as red marks rather than brown.

On the other hand, occur as a result of skin damage following a breakout. This the skin’s collagen and often as indents or raised tissue on the surface. vary in size, and over time, if they accumulate, they can give the skin a rough texture. They are more common after such as nodules and cysts. Unfortunately, acne scars don’t usually go away by . However, they may flatten and become less over time if the acne clears .

Treatments for Hyperpigmentation & Scars from Acne

Put simply, whilst affects the skin’s colour, acne scars alter its texture. In addition, whilst many types of lesion can cause hyperpigmentation, more severe types of acne usually cause scars. However, both acne scars and . Some people may also develop scars that are darker than the surrounding skin.

Whilst there is some crossover in the two, the best depends on a number of . This includes there is acne, whether you have hyperpigmentation or scars or both, the severity, and your skin. You can split treatments into simple skincare, and professional skin treatments. Below we dive into these options.

Over-the-Counter Treatments

There are a number of over-the-counter skincare that can help with mild hyperpigmentation and acne scars. For hyperpigmentation, brightening ingredients like , , , and can be . Antioxidants like , and are also useful. These ingredients help lighten dark spots and even out skin tone. and can also help, but if you are prone to hyperpigmentation, these with care. Lastly, with red light can help even out skin tone over time, though they are most effective alongside a good skincare .

For scars, and can help smooth the skin texture over time. , and can also soften the skin and its moisture. Whilst this doesn’t treat the scars, it enhances the skin’s overall quality and appearance.

Prescription Treatments

For moderate to severe or acne scars, may help. prescription retinoids such as and , and oral options such as , work by speeding up turnover and collagen . For this reason they can treat both and acne scars.

For severe alone, or acne scars, can be used . targets hyperpigmentation by inhibiting the enzyme responsible for production. This leads to a noticeable fading of dark spots.

For raised scars or keloids, like steroid injections, special dressings and 5-FU might be to them.

Professional Skin Treatments

For more hyperpigmentation or scarring that hasn’t responded to topical treatments or medication, treatments may be worth . and can reduce hyperpigmentation and treat scars. For or deep scars, like can stimulate collagen . This improves the of scars and overall . In the most stubborn scars, or for keloids, surgery may be a last resort.

Prevention & Maintenance

Preventive measures are crucial in both hyperpigmentation and . In fact, before treating these, the most important thing is to clear the acne first, so that you are not stuck in a vicious cycle of . Start with basics like your with a and using to protect the skin. To keep acne under control, use a routine with ingredients like retinoids, and . If your acne is severe, consider seeing your doctor for to prevent extensive scarring.

Once your acne is under control, you can the hyperpigmentation and OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines TreatmentCrow’s Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis TreatmentChronic Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentBlepharospasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough FillersNasolabial Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling mentioned above. Ultimately, maintenance is key, and you will likely need an ongoing routine using exfoliating acids, and to prolong and build on your .

Understanding the differences between and acne scars is the first step to treating them . It is also vital to accept that everyone is different, and the best treatment for you will depend on your skin type, concerns and goals. Whether you opt for skincare, medication or treatments, a few things stay the same. No treatment works away, and you will need a lot of and consistency. It is also crucial to control the acne before post-acne marks, so that you are not in a cycle. Finally, what works for one person may not work for another, so it is vital to seek professional help if your acne, or scars are severe, so that you can start the treatment most likely to suit you.

At City Skin Clinic, we are super about personalised . Through our online skin clinic, we offer safe and effective and with prescription-strength ingredients like and where appropriate. To start your plan, book a or use . The towards great skin .

This article is for general informational only and is not a for advice, diagnosis or . Always consult a medical professional with any concerns about your skin or treatment options.

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