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.
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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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@ibrahimkhalf3185
3 ай бұрын
I have post inflammatory erythema since 2 year and i do 4 session pdl The redness decrease but i see my colour of face dont same I fell i hade hayperbegmentation I nedd product to help me but my skin very very sensetive
I really appreciate you going into the features. There are so many different types. Oven burns are so stubborn!
@ziintle
11 ай бұрын
What have you used that worked for you?
Thanks for mentioning violin hickey. Never seen a doctor talk about it
Thanks for all the good videos great information 👍👍👍💜
@ArsalanAspires
Жыл бұрын
Thanks for your feedback!
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,
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.
@ArsalanAspires
Жыл бұрын
Thanks for your feedback! I’m glad the chemical peels helped you! That is so interesting that it was from a gluten allergy. Food does play a role contrary to some beliefs. Did stopping dairy help at all too? PC has always been my go to recommendation. I like the products they have. Feel free to share a future update if you like. 😃
@hellosunshine3647
Жыл бұрын
@@ArsalanAspires Yes stopping dairy helped tremendously. I thought I had a sugar allergy too!! Lol 😂 I asked the doctor am I allergic to sugar lollll
Would the Q-Switched laser be effective on African American skin?
Can you please make a video on inner thigh pigmentation?
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.
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
@Dan24.
Ай бұрын
Any update ? Did the hyperpigmentation get less over time ?
What about TCA chemical peel that caused PIH all over my arm and hypopigmention. I am currently on HQ
Did you not mention HQ because it can be misused?
Got a Moxi laser treatment and it caused PIH hyperpigmentation all over my face- very disappointing, I wish I would have found you sooner.
@atakantufekci
Жыл бұрын
how are you now
@Dan24.
Ай бұрын
Any update ? Did the hyperpigmentation go away over time ?
@ZahraZahra-vd4gz
Ай бұрын
Do u still have please tell me?
Does IPL photofacial treat this condition too?
Hydroquinone helps in pih please tell me?
I have pih after eczema. Most are childhood, some are 3 years old. Plz suggest some treatments
Wound healed. but result is black colour? Why? How to remove?
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
what type of vitamins or product should we ingest for a healthier gut ? healthier skin? healthier kidneys? please
@Temperancethehealer
Ай бұрын
Vitamin A, vitamin d3, vitamin c, omega 3, zinc and magnesium ❤
I think the only thing that helps is HQ or retinol+cortisol
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)
Sir I'm lighter skin tone but my face active acne with hyperpigmentation with sensitive
What are your exact credentials, as they’re not listed in your About Me portion. Are your credentials Verified by an ACCREDITED institution???? Please advise.
Due to mezzo threpy dr destroy my face now pih on my face.is it permanent?
Is the dermapen4 a bad idea for this?
@amytskinlandmedispa1938
9 ай бұрын
Yes , will course more pih
@amytskinlandmedispa1938
9 ай бұрын
Cause
So is it hard to get rid of it from irritant dermatitis?? On face?
@Dan24.
Ай бұрын
I had strong redness after a bad reaction to a product. Now it looks like hyperpigmentation. Did yours get better ? I’m extremely worried that this might not go away 😢
❤nice
My pih became acne scar
Sir I had PIH since I was 5 years and now im 15 still it hasn't fade away can it be cure ?
@Temperancethehealer
Ай бұрын
You are young, your skin will heal quicker over time. Look up tca peels, glycolic, asyilic acid. To lightly peel the top layers off over months. Just don't use too high a percentage to start with. Platinum skincare allows you to buy online and do yourself, for cheaper.
approx how much time it will take to fade chicken pox scar
@sweetiepie4328
Ай бұрын
It's a scar it won't go away usually
There is not even single video on mole and fickles. Why?
@sweetiepie4328
Ай бұрын
There are so many videos on this on KZread
Said a whole lotta nothing