How to Get Rid of Post-Inflammatory Erythema (PIE)

Post-inflammatory erythema (PIE) is a common skin condition that occurs after an inflammatory event, such as acne, rosacea, or a skin injury. PIE is characterized by red or pink marks on the skin that can last for weeks or even months after the initial inflammation has resolved. In this blog post, we will discuss what causes PIE, how to prevent it, and the various treatment options available. 

Causes of Post-Inflammatory Erythema 

PIE occurs when inflammation causes blood vessels in the skin to dilate, resulting in red or pink marks on the skin. It can be triggered by a variety of inflammatory events, including acne, rosacea, eczema, psoriasis, and skin injuries. PIE is more common in people with fair skin and those with a history of sun damage. 

Prevention of Post-Inflammatory Erythema 

The best way to prevent PIE is to prevent the underlying inflammatory event that causes it. This may involve taking steps to prevent acne, such as keeping the skin clean, avoiding oily or greasy products, and using non-comedogenic skincare products. For those with rosacea, avoiding triggers such as hot drinks, spicy foods, and alcohol can help prevent flare-ups. 

It's also important to protect the skin from the sun, as sun exposure can exacerbate PIE. This can be done by wearing a broad-spectrum sunscreen with an SPF of at least 30 and avoiding sun exposure during peak hours. 

Treatment Options for Post-Inflammatory Erythema 

Topical treatments are often the first line of defense against PIE. These include topical steroids, azelaic acid, niacinamide, and vitamin C. Topical steroids can reduce inflammation and redness, while azelaic acid, niacinamide, and vitamin C can help even out skin tone and reduce redness. 

Laser treatments can be effective in treating PIE by targeting blood vessels in the skin and reducing redness. One popular laser treatment for PIE is the pulsed dye laser (PDL), which can selectively target blood vessels in the skin without damaging surrounding tissue. 

Chemical peels can also be effective in treating PIE by exfoliating the skin and reducing redness. Chemical peels work by removing the top layer of skin, revealing fresher, smoother skin underneath. They can be done in-office or at home, but it's important to consult with a dermatologist before trying any at-home treatments. 

Microneedling involves using a device with small, sterile needles to puncture the skin and stimulate collagen production. This can help reduce redness and improve the overall texture and appearance of the skin. 

Post-inflammatory erythema can be a frustrating condition to deal with, but there are a variety of treatment options available. The best way to prevent PIE is to prevent the underlying inflammatory event that causes it, such as acne or rosacea. Topical treatments, laser treatments, chemical peels, and microneedling can all be effective in treating PIE, but it's important to consult with a dermatologist to determine the best course of treatment for your individual needs. 

Sources

Postinflammatory hyperpigmentation and erythema, Dermatology Times, https://www.dermatologytimes.com/view/postinflammatory-hyperpigmentation-and-erythema 

Postinflammatory erythema: How to treat the after effects of acne, Dermatology News, https://www.mdedge.com/dermatology/article/152015/acne/postinflammatory-erythema-how-treat-after-effects-acne 

Postinflammatory erythema, American Academy of Dermatology

 

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Skin Type: Normal
Comments: Any ideas on how to get rid of brown skin damage
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Marks of sun damage are still there they haven't faded much after using twice a day for 60 days. . I will continue until product is finished. I'm a bit disappointed

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Lighten Up Redness Rescue Cream
Veronica Ilenya Ranieri
Skin Type: Sensitive / Dry
Perfect

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Carmelinda Di Manno
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Fresh Feeling

My skin feels so clean and still hydrated when I use this cleanser. It’s balancing and refreshing. My skin has responded really well to it and at times my skin can be sensitive. I highly recommend this product to anyone with relatively oily t-zone area

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Comments: The only thing I now need to use to keep my skin clear.
The holy grail for clearing hormonal acne.

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Clearly Basics is the only product that has helped my Adult Acne

I have always struggled with dehydrated acne prone skin. Every month like clockwork I would get a new breakout on my chin or cheek area. These included large cystic acne that by the time they came to a head would take me months to clear. With new breakouts each month this created more & more spots before the first could heal leaving more hyper pigmentation spots that never have time to clear. Clearly basics changed all that for me. It gave my skin a chance to heal and reduced the number of breakouts each month. When I do get a new breakout it resolves itself quickly with less scarring and redness. Now that the acne is under control the products are helping to eliminate the remaining hyper pigmentation spots left from years of acne. I have not been using the product for long but I will continuing relying on this product and look forward to the day I can happily look in the mirror at a smooth clear & even complexion some day soon.

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Comments: Product consistency in terms of smoothness/coarseness/stickiness/ is sometimes a miss, don't believe it affects the result provided.
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