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19 Feb 2025

Post-inflammatory hyperpigmentation

Postural hyperpigmentation (PIH) is a skin condition that occurs as a result of inflammation or damage to the skin, resulting in a darker, more colored mark on the skin. These are usually dark spots or blemishes that occur in response to skin healing after acne, burns, cuts, or other forms of inflammation.

Causes of procedural hyperpigmentation

  • Acne

    One of the most common causes of PIH, as the inflammation that occurs due to acne can leave dark spots after the pimples heal.

  • Burns

    Any type of burn (sunburn, thermal burns, etc.) can cause inflammation that leaves dark marks on the skin.

  • Cuts or wounds

    If there is an injury to the skin, the healing process can cause inflammation, resulting in the formation of hyperpigmentation.

  • Dermatitis

    Skin diseases such as eczema, psoriasis, and other forms of inflammatory diseases can cause hyperpigmentation.

  • Infectious lesions

    Skin infections such as bacterial or fungal can cause inflammation and eventually leave dark spots.

  • Hormonal changes

    Hormonal fluctuations, such as those that occur during pregnancy (melasma), can increase the risk of procedural hyperpigmentation, although this condition is not usually directly caused by inflammation.

Symptoms of procedural hyperpigmentation

  • Dark spots or blemishes

    The most common symptom is the appearance of dark areas of skin that are darker than the surrounding skin. These spots can be brown, red, purple or black, depending on the skin color and the severity of the inflammation.

  • Uneven skin color

    PIH often manifests as uneven skin tone, with varying intensities of color in the affected area.

  • Localized pigmentation

    The spots are usually concentrated in an area that has undergone inflammation or damage (such as areas after acne, cuts, burns, or dermatitis).

  • Increased pigmentation over time

    The spots usually appear within a few weeks after skin damage occurs and may become darker over time before they begin to fade.

Treatment of procedural hyperpigmentation

  • Sun protection

    UV radiation can worsen post-traumatic hyperpigmentation, making the spots darker and longer lasting. Therefore, daily use of sunscreen is essential.

  • Topical treatments for skin whitening

    There are several ingredients used to reduce hyperpigmentation such as vitamin C, retinoids, niacinamide and azelaic acid.

  • Chemical peeling

    Chemical peels with fruit acids (AHA, BHA) can help remove damaged layers of skin and encourage faster regeneration. Peels can reduce dark spots, but it is important to consult a dermatologist before deciding on this option.

  • Treatments with hydrating and soothing ingredients

    Hyaluronic Acid – Helps the skin stay hydrated, which is important for faster healing.

    Aloe vera – A natural ingredient that soothes inflammation and helps regenerate the skin.