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I read your query and understand your concerns. The appearance of post-inflammatory hyperpigmentation, which is the dark spot that appears once the inflammation of acne calms down, is due to the excessive release of melanin in the affected area post-inflammation. The dark spots can be reduced with a combination of medication and procedures. I suggest
1. Laser treatment: The best method to remove the dark spot is by undergoing laser treatments. Q switch laser or carbon peeling laser can be done from a skin clinic. In this procedure, the doctor radiates the laser onto the affected area which helps in reducing the amount of melanin in that particular area. This is usually done once a month for at least five to six sessions till the spot intensity reduces slowly and subsides.
2. Chemical peel: A more simple and superficial procedure that is done to reduce the intensity of the pigmentation is chemical peel. In this procedure, the doctor applies a solution to the affected area, keeps it for 10 minutes, and cleans it up. It is usually done once every two weeks for at least six to nine sessions. This method may not eliminate the dark spot. However, they may reduce the intensity of the pigmentation, which may be noticed by the second session. Along with this, medication may also be used to help reduce the pigmentation faster.
3. PRP with micro-needling: This procedure is also called vampire facial. In this, the doctor uses pen-like equipment, which consists of small micro-needles that are rolled over the affected area, and PRP (platelet-rich plasma) is applied over the micropores. PRP is platelet-rich plasma, which is a growth factor called platelets. It is extracted by using around 10 to 12 ml of your blood sample and is spun in a machine called the centrifugal machine. They help reduce pigmentation by releasing growth factors in the area. They are done once a month for six sessions. The best and most effective method is laser treatment.
4. Medications are also important- Melaglow-rich cream (kojic acid cream) may be applied on the affected area at night daily for eight to 12 months.
5. Capsule Evion (vitamin E) 400 must be consumed after dinner for two months.
6. Tablet. Limcee (vitamin C) 500 chewable tablets; consume one tablet after breakfast and one after dinner for two months.
7. Sun exposure may be avoided by avoiding direct sun exposure and by using sunscreen. UV doux gold sunscreen gel SPF 55 may be used every day from 9 a.m. to 5 p.m. every two hours.
Acne is caused by multiple reasons, including genetic susceptibility, hormonal fluctuations, stress, using skin care products, climate changes, location, and diet changes. For preventing acne :
1. Diet modifications: Make sure to avoid oily and fried food, sweets, red meat, milk, and dairy products. Consume more fruits, vegetables, fiber, and at least 3 liters of water per day
2. Avoid skin care products. Make sure to use salicylic acid-containing face washes like Ahaglow Advanced gel face wash. Use moisturizer only when the skin is dry.
3. Make sure to use only silicone gel-based sunscreens like UV doux sunscreen gel SPF 55.
4. Clear gel may be used twice daily on pimples whenever they do occur to prevent them from forming pigmented spots.
5. Avoid touching or breaking acne as they may cause dark spots or scars.
6. Chemical peels may be considered for reducing oil secretion on the skin.
I hope I have answered all your queries.
Thank you.