How to Get Rid of Post-Inflammatory Hyperpigmentation (PIH)

Post-inflammatory hyperpigmentation (PIH) is a common skin condition that occurs as a result of an injury or inflammation to the skin. PIH is characterized by the formation of dark spots or patches on the skin, which can be a source of embarrassment or discomfort for many people. Fortunately, there are several ways to treat PIH and restore your skin to its natural glow. 

Post-Inflammatory Hyperpigmentation (PIH)

What Causes PIH? 

PIH is caused by an overproduction of melanin, the pigment that gives our skin its color. When the skin is injured or inflamed, it produces more melanin in an attempt to protect itself. This excess melanin can create dark spots or patches on the skin that can last for several months or even years. 

Some common causes of PIH include acne, insect bites, cuts, burns, and certain skin conditions such as eczema and psoriasis. PIH can also be caused by exposure to the sun or the use of certain medications, such as chemotherapy drugs. 

How Can You Get Rid of PIH? 

  1. Use topical treatments 

There are several topical treatments available that can help reduce the appearance of PIH. These include: 

  1. Hydroquinone - Hydroquinone is a skin-bleaching agent that can reduce the production of melanin in the skin. It is available over-the-counter in low concentrations and can be prescribed by a dermatologist in higher concentrations.
  2. Retinoids - Retinoids are derivatives of vitamin A that can improve the texture and tone of the skin. They work by increasing the turnover of skin cells, which can help reduce the appearance of PIH.
  3. Azelaic acid - Azelaic acid is a naturally occurring acid that can reduce the production of melanin in the skin. It is available over-the-counter and can be prescribed by a dermatologist.
  4. Vitamin C - Vitamin C is a powerful antioxidant that can help reduce inflammation and promote collagen production in the skin. It can also help reduce the appearance of PIH.

Chemical Peels

Chemical peels are a popular treatment for PIH. They work by removing the top layer of skin, which can help reduce the appearance of dark spots or patches. Chemical peels can be performed by a dermatologist or esthetician and can vary in intensity depending on the severity of the PIH. 

Laser treatments 

Laser treatments are another option for treating PIH. They work by targeting the excess melanin in the skin and breaking it down. Laser treatments can be performed by a dermatologist or cosmetic surgeon and can be customized to the specific needs of the patient. 


Microdermabrasion is a non-invasive treatment that uses a special device to exfoliate the top layer of skin. This can help reduce the appearance of PIH and improve the texture and tone of the skin. 

Sun protection 

One of the most important things you can do to prevent PIH is to protect your skin from the sun. Sun exposure can trigger the production of melanin in the skin, which can worsen existing PIH. Make sure to wear sunscreen with an SPF of 30 or higher and reapply it every two hours when outdoors. 

PIH can be a frustrating and embarrassing skin condition, but it is treatable. There are several options available, including topical treatments, chemical peels, laser treatments, microdermabrasion, and sun protection. It's important to work with a dermatologist or skincare professional to determine the best course of treatment for your specific needs. With patience and persistence, you can restore your skin to its natural beauty and regain your confidence. 


Post-inflammatory hyperpigmentation: a comprehensive overview, Journal of Dermatological Treatment, https://www.ncbi.nlm 


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