What should you know about skincare for post inflammatory hyperpigmentation?

Post-inflammatory hyperpigmentation, often called PIH, is extra colour left after inflammation or injury settles. It can follow Acne, Atopic Dermatitis, a bite, a burn or a cosmetic procedure. The mark may be brown, grey or darker than the surrounding skin, while the original spot is no longer active. Dark Patches On Skin and Uneven Skin Tone can describe what you see, but an examination helps confirm the cause.

Use sunscreen every morning and reduce direct sun exposure with shade, clothing or a hat. Cleanse gently, moisturise and avoid picking, friction and products that sting. Control active acne or dermatitis before pursuing fading treatments; new inflammation can create fresh marks. Depending on skin tone, location and depth, a clinician may discuss Skin Brightening Treatment, Chemical Peel or Picosecond Laser Treatment. Introduce treatment cautiously because irritation can prolong PIH.

Arrange a review if the original rash or acne is still active, painful, spreading or repeatedly returning. Seek assessment for a mark that changes independently of the original inflammation, bleeds, crusts or becomes tender. Prompt advice is sensible after blistering, swelling or a strong reaction to a fading product or procedure.

Is the trigger fully controlled? Is the colour superficial or deeper? Which products are least likely to irritate my skin? Would a peel or laser be suitable for my skin tone?