Aesthetic treatments like lasers, chemical peels, and RF microneedling can rejuvenate the skin beautifully, but for some, they may leave behind a frustrating side effect called post-inflammatory hyperpigmentation (PIH). PIH occurs when inflammation triggers pigment production, resulting in darkened spots or patches on the skin. While these spots typically fade over time, proper prevention and treatment can speed up the process and ensure you achieve the radiant results you’re aiming for.
Here’s everything you need to know about PIH after aesthetic treatments—and how to get your glow back.
Why Does PIH Happen After Treatments?
When the skin is injured or irritated, an inflammatory response activates pigment-producing cells called melanocytes. This can happen after laser resurfacing, chemical peels, or RF microneedling, especially in individuals with darker skin tones (Fitzpatrick skin types III-VI). The result is excess melanin, leading to darkened areas on the skin where treatment occurred.
Factors that increase the risk of PIH include aggressive treatment settings, lack of proper aftercare, and high levels of sun exposure post-treatment. But don’t worry—there are ways to manage it effectively!
Preventing PIH Before It Starts
1.Prepare Your Skin Pre-Treatment
If you’re prone to PIH, using melanin-suppressing topicals like hydroquinone or retinoids before your procedure can help. These ingredients even out skin tone by reducing melanocyte activity, setting you up for more even results.
2.Work with Experienced Providers
Choose a provider who understands how to tailor treatments to your skin type. This expertise ensures that laser and RF microneedling settings are carefully calibrated to minimize inflammation.
3.Stay Out of the Sun
Sun exposure can darken PIH, so avoiding it for at least two weeks before and after your procedure is key. Wear a broad-spectrum SPF 30+ sunscreen daily to protect and heal your skin.
How to Treat PIH After Treatment
If PIH appears, don’t panic—there are ways to fade it effectively and safely.
1.Topical Treatments to Lighten Pigmentation
- Hydroquinone: Often considered the gold standard for hyperpigmentation, hydroquinone works by inhibiting melanin production. Apply it as directed by your provider for safe and effective results.
- Vitamin C: Vitamin C serums offer antioxidant protection and help brighten dark spots. Applied daily, it can reduce PIH without irritation.
- Retinoids: These promote skin cell turnover, helping pigmented cells shed more quickly. Use retinoids only after your skin has fully healed.
- Tranexamic Acid: Known for its gentle melanin-suppressing properties, tranexamic acid can be a great option for sensitive skin prone to
- In-Office Treatments for Stubborn PIH
- Mild Chemical Peels: If your skin can handle it, gentle peels with glycolic or lactic acid can promote cell turnover, lightening dark spots faster.
- Microneedling Without RF: Unlike RF microneedling, traditional microneedling stimulates collagen without as much risk of PIH.
- PICO Lasers: Certain lasers, like PICO lasers, Nd or Q-switched, can target pigmentation safely to help clear up dark spots faster.
- Build a Healing At-Home Routine
- Moisturize Regularly: Hydration is key for skin healing, so use a gentle moisturizer post-treatment to protect your skin barrier.
- Reapply SPF: Sun protection is non-negotiable! Reapply SPF throughout the day to protect your skin from further pigment darkening.
- Be Patient and Consistent
PIH can take time to fade, but with a dedicated skincare routine and patience, it will eventually disappear. Consistency is key—stick with your regimen and follow up with your provider for support.
When to See Your Provider
If your PIH hasn’t improved after three to six months or seems to worsen, schedule a follow-up. A professional assessment can help you explore stronger treatments or prescription options if necessary.
Final Thoughts
Post-inflammatory hyperpigmentation is a common and temporary response to aesthetic treatments. By taking proactive steps before your treatment, following an effective post-care routine, and consulting with your provider, you can minimize the risk and duration of PIH and enjoy the vibrant, even-toned skin you’re aiming for.
Ready for your skin rejuvenation?
If you’re considering a laser, chemical peel, or RF microneedling treatment and are concerned about PIH, contact Aesthetics and Medical Lasers of Colorado at 720-818-0533 for a consultation. Dr. Roland Kafuuma, an experienced physician in aesthetic treatments, will work with you to create a safe, results-focused plan tailored to your skin’s needs.
