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Post inflammatory hyperpigmentation

What is Postinflammatory hyperpigmentation?

This is condition is experienced by the skin after some sort of trama effecting the skin has healed. It results in an excess of pigmentation(normally brown marks) in that area of the skin. The trauma experienced can be due to a number of diseases or conditions

e.g,

  • allergic reactions,
  • infections
  • mechanical injuries,
  • reactions to medications,
  • phototoxic eruptions,
  • inflammatory diseases (eg, lupus erythematosus,
  • lichen planus,
  • atopic dermatitis),
  • trauma (eg, burns),

    
What does it look like
The colour of Post inflammatory hyperpigmentation can range from a light brown to a very dark brown colour. that area can become darker still if exposed to the sun.

What is the cause of Post Inflammatory Hyperpigmentation
There are two types PIH

  • epidermal hypermelanosis
  • dermal hypermelanosis

As you can tell from descriptions, epidermal hypermelanosis resides in the epidermis (superficial) layer of the skin, while dermal hypermelanosis is in the dermis layers which is deeper within the skin layers.

Post Inflammatory Hyperpigmentation Treatments/solutions

It can take many months, with minium 6 months upto 1 year maybe more for treatments to take effect. I've had mosquito bite marks that have taken years to gradually fade. There are a variety of Post Inflammatory Hyperpigmentation Treatments/solutions available to try to fade the hyperpigmentated area. They include

Homemade Fading/brightening products

Covering it up
Camouflage make up can be used to conceal the PHI during treatment phases. Mandelic Acid, Lactic Acid are two treatments which are tolerated well by black skins. Always do a patch test before applying any treatments to the face.


Black skins and Post Inflammatory Hyperpigmentation

Black skins may over react to intrusive aggressive procedures resulting in more PIH

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