How to treat ACNE PIGMENTATION | PIH
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- เผยแพร่เมื่อ 14 มิ.ย. 2020
- / drdavinlim
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How to treat ACNE PIGMENTATION | PIH
PIH also known as post inflammatory hyperpigmentation is most commonly associated with past - present acne lesions. PIH is also known as ‘acne marks’ or grade 1 #acnescars
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PIH can refer to brown or red acne marks. I prefer to separate red acne marks in the category of macular erythema, or PIE - post inflammatory erythema.
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Facts - PIH is more common in darker skinned patients. In 50% of cases PIH can last up to one year. In 25% of cases PIH can last up to 5 years. 80% of PIH cases are seen in MILD to MODERATE acne. PIH is more common in patients who pick, additionally pigment is related to UV exposure
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How to treat? Prevention is the key. Treat acne early AND effectively. Sunscreen helps. Pigment faders such as #hydroquinone #kojicacid #meladerm #arbutin #licorice #AHAs & #ascorbicacid can be effective. Low strength peels such as AHAs or BHA salicylic acid - TCA can fade pigment. Lasers including nano-pico-fractional lasers can be useful as adjunctive treatment, as can vascular modulators.
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Dr Davin Lim, Dermatologist
Brisbane, Australia
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#dermatologistbrisbane #skinbrisbane #brisbaneskin #skincareexpert #dermatologybrisbane #skincaretips #healthyskin - แนวปฏิบัติและการใช้ชีวิต
Wowww it takes us darker skin tones longer to age but yet so many skin disadvantages at the same time . Perfect example of nothing is perfect on earth ..
Your skin looks perfect.
JoAnna Jensen awwwwww I kindly thank you 🙏 ❤️
Yup, we don't absorb much vitamin D from the sun either. At least we have a low risk of getting skin cancer.
Talk about being white and looking like a whole Dalmatian .
@@nicholaslee3355 I- 💀
TLDR;
Prevention:
1- Sun protection.
2- Don't pick.
3- Good, non-irritating treatments. Don't layer too much. Gentle cleanser.
Treatment:
1- Retinol.
2- Ascorbic acid.
3- Niacinamide.
4- Gentle exfoliants and antioxidants.
5- Kojic acid, hydroquinone.
Thank you I can't hear with he is saying I don't think his microphone is on.
@@blessedfavoured3965 Really? I don't have an issue with the sound
Pls don’t use hydroquinone it basically beaches your skin, over time can burn. Wouldn’t recommend for anyone with sensitive skin actually. I’d recommend azaelic acid & alpha arbutin
Jasmine Rangel for short term is not harmful if you follow with sunscreen! At most a month.
Jasmine Rangel do you need rest breaks with arbutin as it’s a derivative of hydroquinone and with hydroquinone you need rest breaks or can you use arbutin long term everyday indefinitely if it works ?
Thank you for including black skin, most dermatologists don't talk about black skin while I am sure black skin has got different issues compared to white skin.
Dedera Payne if you want amazing advice for skin of colour seeDr Vanita Rattan The hyperpigmentation clinic on TH-cam . She specialises in skin of colour
And Dr Alexis Stephens, check her out. She is a board certified dermatologist and woman of color.
@@mssumerloving OMG thankyou 🤩
Thankyou 🤩
Dr alexis is for black skin not skin of color
Dr Davin: "PIH could last for years"
Me: 👁👄👁
I have a acne scars on my cheeks for three years now. Some products burned it more like glycolic acid toner.
@@carinaelizabethpaul9785 that must have hurt sometimes. I hope your skin heals and gets healthier very, very soon 🤍🤍
Best video on PIH by far!!. I've had PIH since I was 15...going to be 30 next year and I'm so over the acne and scarring 😫. Somedays I don't want to look at myself but I'm hopefully it'll go away with the right care.
As someone who has a hard time following videos, but also learns best by watching videos, I appreciate you putting such a detailed summary in your descriptions. More helpful than you could ever know!
It broke my heart when he said years 😭
How is it now?
Mine still not faded a bit even after 5 years☹️
And u knw. Someone told me. This pigmentation will remain till grave. 😔😔
I have real problem with picking. It’s such a struggle 😭 I see it red, I pick it, I see brown, I pick it and the cycle continues. I need to stock up these hydrocolloid dressings.
Me too. I don't know how to stop.
@@Catpow91 use pimple patch
Thank you so much for this!!! Your content is a god send. Please continue doing them.
I speak Spanish and I am learning to take care of my skin listening to you and also learning English I love your videos
Thank you for all this info. Dark spots on my face are ruining my life!
Great video as always. I ended up trying most of the OTC products you mentioned for hyperpigmentation, not necessarily acne scars, all within a two month period and am now still trying to get my skin to recover, lol. I think it was the 23% Vit C that threw it in a tailspin. Now over a month later, even though I stopped all actives, everything still irritates my skin. Lesson learned, i think we tend to be too impatient wanting to see results with actives!!
Love this video, I've been struggling with this for a long time and I've been a bit lost as to what to try next..there are so many mixed messages ! This really helped give me some direction, hopefully something you mentioned will do the trick :)
Thank you!!!! 👍
thank you for your content! i have very light skin and get PIH nearly every-time I get a pimple - so ridiculous... and it hangs out for years... even though I wear SPF daily, use skin brighteners regularly and tretinoin nightly etc.
You need to get it lasered
Me too! Also light skin, if i pick my skin or not still brown spots after pimples:( and they stay for ages yes i also have used aha, bha, vitamin c, spf, retinol, microneedling(worked the best for me cause you are creating new skin but is a bit painful) it is a long journey and the first step is to control that acne cause otherwise it's just a circle 😅
Thank you for realistic treatment for pickers. .! So over people saying don’t pick when often that isn’t a realistic solution for us who do :)
Thank you so much for this complete video. I really appreciate that you included some advice for darker skin tone people!
JClara Sed For the best advice on skin of colour go to Dr Vanita Rattan hyperpigmentation clinic on TH-cam
Best video on PIH ive seen. Thank you!!!
Such great info! I’m currently an esthetician and I hood to become an acne specialist some day!
Really good hyperpigmentation video Dr. Lim.
I've been following your channel since 2014
I appreciate your videos so much! You are so intelligent and honest!
Thank you
Thank you Dr. Lim! Do you mind ranking the tyrosinase inhibitors by strength? I know HQ is the gold standard but would be nice how the others compare in regards to strength. Thanks!
Honestly, I don't think your microphone is on. 🤔
😂 same here
Yah can't barely hear
It is on lol
I can hear
Turn on your volume.
Wow such thorough and helpful info! Thank you Dr. Lim!
Hello Dr. Lim.
Some of these lecture videos (the ones where you use a headphone) have low volumes hence some difficulty for us the audience to hear the content :)But overall, still great lecture Dr Lim. Learning a lot as always. More power!
Thank you. This is a great video. It reminds me that I need to make an appointment with my dermatologist.
A wealth of information! Thank you!
Can you do a video “how to treat scar hyperpigmentation”?
You’re the best doc!!
Always a great content Doc. Hello from Ph 🇵🇭
My PIH started fading super quickly once I started using Tretinoin 0.05% for 2 months and then added in Azelaic acid in month 3! :)
which brand of azelaic acid you use ?
How dark was your PIH and what was it caused by ?
Samia Khan Aziderm 15%
Dynamite Dynamite Acne!
What’s brand of tretinol you use?
Thank you for this great video! Is BBL the same as IPL? Also, what do you think about Halo laser?
Hi dr. Davin, I was wondering whether i could combine a La roche posay 2% salicylic acid medicated gel cleanser for morning step and using Paula’s Choice 2% BHA liquid Exfoliant for the night routine as i am trying the Paulas’ Choice for the first time. Could it be over-exfoliate my skin and btw I have a prone-combination skin and also have been suffering with hyperpigmentation over a year. Thank you and your videos have been really really helpful!
Hey Davin. Really want to know your thoughts on the O Cosmedics brand. Most of the skin therapists here in Australia use that brand
I love all your videos I follow you for years and I always learn with you , thank you so much for sharing you knowledge and educate us about ingredients and formulas so we can do smarter decisions and not follow trends.
Sandra Mendes For the best advice on skin of colour go to Dr Vanita Rattan hyperpigmentation clinic on TH-cam
I love how Dr. Lim says "Yeah?" at the end of every sentence. It's so Australian!
Hey Davin, What do you recommend for PIH on back and trunk? I'm using Stieva-a 0.05 on my face with great success but need help for the rest of my Type 3 SEA skin. Hi from Perth.
Thank you for this! I was wondering if you could do a video on what to look for when looking for an aesthetician or dermatologist for the first time. I recently went for a consultation but I just dont know if I asked all the right questions.
Just Kundai For the best advice on skin of colour go to Dr Vanita Rattan hyperpigmentation clinic on TH-cam
What do you recommend for Folliculitis? I have that on my back and let’s say during the years it’s caused this peg and scarring, I was told laser hair removal which I’m in the process of but that doesn’t remove old scarring and dark marks, do you recommend the micro needling for the dark marks?
Never heard of kojic acid..will look this up 👍🏻
Will you please address folliculitis on buttocks? How to stop the breakouts, and how to fade the scarring? Thank you.
I waxed my face about a month ago and I’m 16, I knew I had a pimple or two on my cheeks but after waxing a bunch popped up everywhere. The lady told me it’s normal and they go down within a week and told me to put on some aloe Vera gel for the inflammation. But it didn’t go down at all, I got little marks everywhere on my face. They’re slightly bumpy in some places and they don’t hurt anymore but most of them are just acne scars. I’m trying so hard to get rid of them before school starts at the end of October.
I’ve found your website‼️👏🏽👏🏽👏🏽
Please make a video on serums for morning and night use. ❤❤
Dr. Davin, what are your thoughts about the French A313 pommade versus Retin A?
What is your opinion on the DERMAFLASH derma planing device? A certified dermatologist recommended it but she was compensated for her "ad". Would love to hear your thoughts if you think it's a good device for at home use! Thank you!
what about hypopigmentation due to acne scarring, laser or chemical peels
Can you please talk about eczema 😭😭😭. My eczema started to grow on my feet. Whenever my dermatologist removes one, one grows again. The only solution she's been telling me is to avoid some foods.
I wish you were my dermatologist.
I find THD ascorbate more effective than L-ascorbic acid and I have severe PIH dark spots. The Peter Thomas Roth Poten-C is very effective.
Thank you Dr. Lim for uploading another very informative video. I wish there were more😊
5 years??? I do always have pimples everyday so i guess fading these marks will take a lifetime lol
me to bro :'(
Have you tried giving up dairy? That did it for me. Took me 5 years of trial and error to find out. Not one Dr. would tell me that. If you heal yourself you don't need to give them money anymore. That's why they aren't interested in actually curing your acne.
@@TheKat111 yes most of the doctors have a very casual attitude they dont understand that how this disease is affecting the quality of someone's life
@@TheKat111 I used to but dairy cant be fully avoided at all. I just totally free myself from junk foods, flavored juice and softdrinks so I can have a clean gut. However, I think my acne is in a hormonal level so its really hard to control.
Try Differn. Watch Dr Dray’s video all about acne. It helped me SOOOOOO much
Hi would you say that the old Lightsheer Duet which was FDA approved in 2006 is just as good as the Lightsheer Desire which was FDA approved in 2017? Or would you say that the Desire is much better than the Duet? Please reply thank you!
Thank you!😊 This is great info.
We need a Video 'bout PIE 🤞🏻🤞🏻🤞🏻🤞🏻🤞🏻
@Dr. Lim, my dermatologist prescribed me Aklief. Is it a retinoid? Also, do I apply before or after niacinamide?
Azelaic acid, of course.
🌴🌺Thank you! All of your information was great! What do you think about the use of glycolic on skin of color? As a professional I have found other acids that work stay away from it. I go with Mandelic, Lactic and Salicylic. 🙏❤️
Please please talk about ECZEMA and also post eczema hyperpigmentation
YES PLS
Yess even i have this
Love this video! Please consider doing a video on postinflammatory erythema next.
Sincerely,
a PIE face 🥧🥧😣
😔❤️
Hi Dr. Davin. I have dark acne scars but never flattens. It has been in my face for 2 months now. what is the best remedy to this. This dark marks still has lump in it but it has already dried. I dont know what is it.
How do you feel about Kojic Acid in soap foam? I use Kojie San on my body in the shower after cleaning with regular body was. I also use AHA body lotion some days. It seems to be working
Good work you doing here , keep it up
Please could you recommend a good dr/clinic in the UK for me , I’ve got bad facial skin and I’m black : acne and pigmentation
I like your explanation doctor :D
Almost everyone these days are giving treatment ideas Acne Pigmentation or hyperPigmentation but I have never seen them actually using these treatments on a patient to show the viewer how it actually works.
What are your thoughts on Epiduo gel? Will this speed up my results to get rid of acne scarring. I currently have it on prescription to get rid of my acne which is has done, but I have red pigmentation now on my cheeks, Thanks
What u think about of THE YELLOW CREAM by Dermaceutic? Dies it help for PIE (red Mark's after acne) or only PIH?
As u have told I tried so many expensive products but there’s no changes.i went to dermatologist she put me on benzoine peroxide cream for 3 months and azealic acid cream but azealic acid cream irritate my skin a lot and stopped using it. She recommended me to go for IPL Treatment as well. Finally on Roaccutane for 4 months, still my PIH scars is left out. I don’t know what to do please suggest me? Thanks
I have acne popping up on the same spots over and over and over again. So I guess I can't get rid of these marks like forever😂😞😞
Same..pffff
If it's hormonal decrease dairy.
@@amandag.5044 I don't consume dairy, but yeah probably it's hormonal
It's Doofen try taking a multivitamin high in vitamin A and zinc as studies show that people with acne have deficiencies in zinc and other vitamins! I tried taking zinc and it’s helped so much with my acne and I’m starting to take a multi vitamin that has a at least 100% of my daily intake in vitamin A to help with it! Hope that helps!
Vitamin b5
Tranexamic acid deserves mentioning too
I have tried ascorbic acids, Hydroquinone with > 50 SPF sunscreen (made my PIH a lot worse) the only thing that works for me is AHA - BHA with azelaic acid. Azelaic acid I believe works very well for my skin.
Thank you😊Your skin looks smooth & vibrant, Davin! What brand of AHA/BHA do u recommend? Thank you
He mentioned Drunk Elephant, but it is expensive.
millerglvr What does his clinic sell? Thought a dermatologist clinic would sell one
I place my 1st order of the ordinary HA, niacinamide, ascorbic acid8%with arbutin and the AHA toner. I wanted you suggestion on which facial wash I can use before apply these products. I have 8% benzoyl peroxide and Cerave normal to oily cleanser. Also can I use a cerave BHA cleanser or the La roche posay BHa cleanser with any of these products? I read that sometime benzoyl peroxide facial wash cannot be use with retinol or glycolic acid toner, HA or any product that I mention IS THIS TRUE?
hes the reason im happy i live in brisbane but too bad i'm too broke to actually go see him :(
Very informational video👌👌
Can we use skin care that has retinoid acid such as granactive retinoid 2% in squalane, or azelaic acid, alpha Arbutin, lactic acid 10%+HA during doing VPL laser for reducing acne scar? Or rather we should take it away for while until we quit VPL laser
next video how to treat hypertrophic and keloid scar?
Please make a video on pigmentary demarcation lines. This topic is not very much discussed. Thanks
Sir any advice about wich size dermaroler i should try for sculp dermsroling??? To help about hairloos? Is it safe 1m or 0,5? There is still hair on sculp. Thank you for helping us...!
My PIH faded TREMENDOUSLY within 3 years, sad part is I started getting breakouts again recently AND I’ve been picking them (I suffer from OCD and lately it’s been HARD for me NOT to PICK my skin...) so now I’m back at square one. I don’t remember what helped me fade them so nicely 😭 I’m trying to find a routine that works again but it’s TOUGH.
Did your skin got any better?
Hi Dr. Lim, great video! I have east asian III-IV skin type with deep PIH marks from cystic pimples 9 month ago. About 3 spots/patches on my chin that haven't seemed to fade at all over 9 month. I feel this might be permanent. Is laser an option for me? ie. benefit outweigh the risk? Thanks!
Did you get laser?
Do topical retinol creams, vitamin C serums, and vitamin E lotions also help with eye health?
So should I schedule a dermatologist visit or go to a medical spa? Med spas seem to have the patient pick the procedure without diagnosing the problem and having a professional select treatment options beforehand, and telling patients what those options are
I'm having trouble choosing.between all the damn lasers. Theres seemingly hundreds! Fraxel co2 nano Erbium Pico dual repair.. list goes on. When you have acne scarring (I got mine at age 10 and suffered well into my late 20s with recurrences for the next 20 years after that) reddish skin on the face brown spots keloid prone skin small capillary bursts large pores ageing sagging skin small lines prone to bruising.... And a zero tolerance for pain, I mean I tried that dot laser pen thingy? And after 3 dots I'd broken a nail on the wall next to the bed because I slammed my hand on it from the pain shock, the therapist was forced to do some dots on the other side to even it out but I was crying.cancelled the rest of my face needless to say. Then my eyes swelled shut by the next day. I had 2 Green peels in my 20s, that was as painful as the dot laser and it took 3 weeks of hibernation both times. I tried a lip filler once, I ripped the stress ball to shreds and cried in the chair. Why does no one give you full blown anesthesia or tons of lidocaine injections, just that stupid numbing cream that does nothing. Anyone who says some discomfort or sun burning heat or elastic band sensation is straight up lying their asses off. Eat 6 panadol and take an entrip or 2 temazepam and drink 4 shots of tequila. Then pray you pass out from that and not the pain. Or, maybe someone can invent a laser treatment that doesn't require death and rebirth by fire.
Is acne pigmentation the same as pigmentation from Keratosis Pilaris? I have brown pigmentation all over my arms and I can't get rid of it.
Hi...I have a important question ... Can you please answer me is really important.... can I use lidocaine with epinephrine 2% injectable solution in superficial wounds? using cotton and applying it to any wound? thanks ..
Plz make a video on trreatment plan of old chikenpox scar which is brownish specially in dark skin people..like indian one not so dark not so fair
Hi dr , do you need rest breaks with arbutin products as arbutin is a derivative of hydroquinone and with hydroquinone you need rest breaks? And can you use arbutin every day indefinitely if it works for you ?
I have PIH from past 9 years with indentations which have dark PIH on them. I am dark skinned type 4 .
Dynamite Dynamite how well does arbutin work for you?
I’m using alpha arbutin from the ordinary I’ve been using for a month and they seem to be fading a little and I’ve been wearing sunscreen
Haley Davidson do you plan to continue with arbutin ?
I swear I have been trying to treat mine for the last 2 years and it is not bugging.
Thank you for posting such informative videos!
I think I need to go see my doctor, I think I have hormonal imbalance. I have hormonal acne... and my hair is falling out a lot so I’m thinking my testosterone levels are high, androgen levels. I’ve been on minocycline once before and it cleared my skin but I’ve been off of it for a year and the hormonal acne has returned. Im still using retin a 0.025 cream every night at nighttime. I’m afraid that my hair is falling out more than normal amounts.
The best thing about hormonal imbalance is that a quick blood draw tells you what your levels are.
Dr Davin Lim what are your thoughts on using Alpha Arbutin 2% for treating Post Inflammatory Hyperpigmentation? Has anyone had results with this?
I’ve used alpha arbutin before, it didn’t do anything for my skin and I used an entire bottle from the ordinary. When I looked at more reviews when I realized it wasn’t working, I noticed that many people who said it didn’t work for them had brown skin. So if you’re brown or Black I wouldn’t recommend it
Is retinol can whiten face? Pls.more tips on how to whiten face to treat hyperpigmentation..would you advice a chemical peeling?thanks..
Thank you so much.
Do acids work against red PIH? Or only against brown ones?
Is collagen powder intake good for skin? Does it have any side effects?
Please share about how to treat PIE, thank you
I have white spots all over my forehead. That I think is tinea versicolor it seems to emerge from my hairline and has made its way across my forehead. How do I treat this? I have ONE derm that's an hour away that will take Medicaid. Been going there for 6 months. When I mentioned fungal I got shot down immediately and was ignored about the spots was told I have rosacea and given topical antibiotics which only made my skin worse. My last apt a few weeks ago 6mths in I saw a different derm in the same office who said I don't have rosacea and gave me oral antibiotics for my hormonal acne that I also have. I do not want to take the minocylin for several reasons, it will make my fungal situation worse and every review I've read said it made them extremely depressed which my current face situation has done already. What can I do? I'm so frustrated. Makeup will NOT cover it. I have no life and haven't for over a year bc I'm so ashamed to be seen. Idk where to turn for an answer. Please help me 🙁
People of Color: BHAs are the way to GO. Hydroquinone is a NO.
Which BHAs would you recommend?
For the best advice on skin of colour go to Dr Vanita Rattan hyperpigmentation clinic on TH-cam
@@maxinedopwell1009 no she doesnt give treatment at the end of the day unlike davin lim who literally tel us the name of laser device and energy used..at the end of the day shes just pointing out to her clinic never tells us the method she used
@@kimdahyun2893 yes you are right. she’s not a dermatologist so doesn’t do laser etc . She advises the effects certain treatments and skin care can have on POC and what you should avoid. She does have a clinic that specialises on Hyperpigmentation for POC. Davin Lim is a dermatologist but doesn’t specialises in POC. I don’t think he has as much knowledge on POC as Dr. V. He, like most dermatologist recommended Hydroquinone on POC. Which is a big no.
Would you ever recommend using products containing Goats Milk in skincare?
What about KTP laser for PIE red marks? I am scheduled for KTP laser for red marks from previous acne and I have caucasian skin. Please help, there is hardly any research out there about the KTP laser! Is KTP laser affective for post inflammatory erythema?
Hi ! Do you think I should use azelaic acid or vitamin C for PIE in the morning ?I use tretinoin 0.025 with niacinamide at night. I’m really pale and I have a lot of red marks on the face. Thank you 😊
thats my exact regiment too just got skinceuticals vitamin c hopefully this helps with tret and niancinamide. I dont like azealic acid though
Thank you Dr