Hi,
Thanks for posting your query. I am happy to address your questions, those dark spots left on the skin after acne lesions heal are known as postinflammatory hyperpigmentation (PIH). When dead skin and excess oil clog the pores, the follicular walls bulge and inflammation sets in along the surrounding skin, causing papules, pustules or cysts. As the lesion heals, most of the inflammation subsides. If left untreated, PIH eventually resolves itself. However, treatments are available to encourage faster recovery. Apply topical hydroquinone directly onto the dark spots to break up the melanin and fade postinflammatory hyperpigmentation, Massage topical retinoids into the dark spots to lessen residual inflammation and promote cellular turnover to fade PIH. As inflammation subsides, excess melanin production slows, while the cellular turnover helps remove discolored skin cells. Cover the dark spots with a topical corticosteroid. Much like retinoids, cortisone lessens the residual swelling, which slows the excess production of melanin and causes PIH to gradually fade. Corticosteroids are often combined to hydroquinone, retinoids or both (with dermatological observations). There are other topical skin lightening agents like azelaic acid, kojic acid, ascorbic acid, glycolic acid, mequinol and arbutin that have all shown promise in lightening skin. Schedule skin rejuvenation such as microdermabrasion, dermabrasion or chemical peels. Any one of these treatments removes the surface layer of the skin, which lessens residual swelling and excess melanin in the affected area. This is done in your dermatologist's office as an outpatient procedure. Break up the excess melanin causing the dark spots with laser therapy. This type of procedure is usually reserved for more stubborn dark spots. Hope I have answered your query. If you have any further questions, I will be happy to help. Thanks

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Thanks for your kind response, mentioned are few combinations like Melacare Forte, Depig -TM, Eveglo, HQN plus etc., but would reiterate to kindly apply these under observations of your dermatologists to assess the applications, as there are associated side-effects. If you have no further clarifications, will request you to kindly close the query and rate it. Thanks

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Hi XXXXXXX
Thanks for your kind response, as mentioned you could use the above medications twice daily which will lighten the spots as well as perform the various outpatient procedures which will further be useful to improve remission. Also you could apply sunscreens in the daytime to further prevent pigmentation. If you have no further clarifications, will request you to kindly close the query and rate it. Thanks

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Hi XXXXXXX,
Sunscreens are those creams which have Sun Protection Factors to protect skin from ultraviolet rays of the sun. If you have no further clarifications, will request you to kindly close the query and rate it. Thanks

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