Dr Ian Webster
Dr Ian Webster

Adult Acne with Post-Inflammatory Hyperpigmentation (PIH)

Most teenagers develop acne and usually grow out of their acne by about the ages of 19 or 20.

However, in some people, especially the more severe cases, the acne may persist into adulthood or sometimes it may only even start in adulthood.  In this form of acne, the pimples often form along the jawline and chin. It is more common in women and can be very frustrating when you are having to deal with pimples as well as wrinkles.

As with teenage acne, adult acne is also hormone-dependent and in the older woman, it can occur at the time of peri-menopause and menopause. Stress can increase the male hormones which stimulate the sebaceous glands, which in turn can lead to acne. Use of rich or greasy skin products and/or sunscreens can clog the pores and trigger acne. Therefore all skin products and make-up should be oil-free and non-comedogenic.

People with a darker skin type are more likely to be left with what we call post-inflammatory hyperpigmentation i.e. wherever there was a pimple, it leaves a small brown mark. This can be extremely frustrating and debilitating for the person affected by these marks. Even mild forms of acne, especially in patients who tend to fiddle with or pick their acne, it can leave post-inflammatory hyperpigmentation.  Therefore people with darker skin should be treated more aggressively to prevent this complication.

I regard adult acne with post-inflammatory hyperpigmentation as a special sub-type of acne. Like all forms of acne, it is imminently treatable with topical treatment, systemic antibiotics, hormonal treatment, and finally Isotretinoin if necessary.

As mentioned above, for people with adult acne and post-inflammatory hyperpigmentation it is very important to use the correct topical (on your skin) treatment.  I would recommend the following treatment:

Effective Topical Treatment for Mild to Moderate Acne with Brown Marks:

CLEANSER

La Roche-Posay Pigmentclar Foaming Gel – use twice a day to the affected areas in the morning & evening.

DAY TREATMENT

Neoretin GelCream SPF50 – use in the morning after cleansing. This gel-cream contains Retinol in Glycospheres which is formulated to reduce irritation to the skin, as well as Kojic Acid which helps both acne and brown marks. The SPF 50 sunscreen is a good quality broad-spectrum sunscreen that will also help to reduce brown marks left by the acne and to also protect the skin from further pigmentation.

NIGHT TREATMENT

La Roche-Posay Effaclar Duo (+) – use night after cleansing. Apply to the skin and allow to absorb before applying the Neoretin Serum Booster Fluid – the keratolytic agents in the Effaclar Duo (+) will help the Retinol and other active ingredients in the serum to penetrate better into the deeper layers of the skin.

Neoretin Serum Booster Fluid use at night after the Effaclar Duo (+).  It contains Retinol in Glycospheres, Kojic Acid as well as Niacinamide which also helps for acne.

We’ve put together a convenient pack that includes all of the above-mentioned products. You can purchase that here.

If there are active pimples it is important to get these under control as every new pimple will produce a new brown mark or scar in darker skins. If there are multiple, active pimples, I recommend that they consult their dermatologist.

Posted in LEARN / ACNE on May 29th, 2015.

Products for Pigmentation caused by Acne

SkinCeuticals Blemish + Age Defense Serum

SkinCeuticals
Blemish + Age Defense Serum

R1,470.00
Active ingredient

SkinCeuticals
Blemish + Age Defense Serum

Correct

Targets Acne & Ageing

R1,470.00
Add View
La Roche-Posay Effaclar Duo +

La Roche-Posay
Effaclar Duo +

R280.00

La Roche-Posay
Effaclar Duo +

Corrective Treatment

For Oily, Blemish-prone Skin types

R280.00
Add View
Neoretin Gelcream SPF 50

Neoretin
Gelcream SPF 50

R960.00
Active ingredient

Neoretin
Gelcream SPF 50

Daily skin lightening gel cream

Hyperpigmentation

R960.00
Add View

New to Active Ingredients?

We’d like to understand your Skin Type better!

If this is your first time buying Dermastore Active Ingredient products, we’ll need you to complete Dr Webster’s Facial Skin Assessment for Anti-Ageing, it’s free and takes just 45 seconds!

Get Started Now

Alternatively, if you’ve filled in our Assessment before, please login to continue.

X
Logout