Overview, Causes, and Treatment of Hyperpigmentation Acne


Acne hyperpigmentation happens when a pimple that has already healed turns into a dark area. Scars from hyperpigmentation are more likely to appear in those with darker skin tones. When skin cells produce too much melanin, dark patches develop.

Acne with hyperpigmentation may eventually diminish, but if the initial lesions were severe, they might remain. The fading process can take from months to years, despite the fact that some topical and surgical procedures can accelerate it.

Acne hyperpigmentation is when a dark area develops on the skin after a zit has cleared up. All skin types may develop these black spots, but those with darker skin tones are more likely to do so. Populations at risk for getting hyperpigmented acne after zits have cleared up include:

  • Black Americans
  • Hispanics
  • Asians
  • American Indians
  • Middle Easterners who are Pacific Islanders

In contrast to other types of acne, hyperpigmentation acne presents as a dark spot or patch on the skin rather than a raised pimple. Other forms of acne manifest as swollen, painful sores, known as comedones.

Acne with hyperpigmentation is treated differently from other forms of acne. While acne treatments for hyperpigmentation concentrate on skin-lightening solutions, acne treatments for acne use comedogenic chemicals that lessen the appearance of zits.


Because the skin produces extra melanin when a pimple is active, dark spots may develop on the skin after it heals. The pigment melanin is what gives skin its colour. Tan, brown, or dark brown skin can develop when melanin is overproduced in one area or patch on the surface of the skin.

The dermis is where some acne lesions with hyperpigmentation can develop. Deeper lesions will have a blue-grey appearance and may become permanent.

What causes varying levels of hyperpigmentation is unknown to medical professionals. Further research is required to ascertain the influences of this factor.

After skin inflammation, melanin overproduction may take place. According to research, several immunological and inflammatory variables can increase melanin synthesis. Although the precise process is still unknown, these elements may include:

  • prostanoids
  • cytokines
  • chemokines
  • reactive oxygen species

When hyperpigmentation acne first appears, exposure to the sun or UV rays or other environmental factors may make it worse.


Finding the root of hyperpigmentation acne is the first piece of advice specialists give to sufferers. People must treat acne if it results in dark spots in order to stop the development of hyperpigmentation areas after pimples have cleared up.

Dermatologists also advise starting early treatment for hyperpigmented acne. Early intervention can hasten the fading process. For older scars, laser treatment for acne scars can be an option.

Treatments for acne hyperpigmentation should be used by people who are conscious that lightening may take time. Without therapy, some spots may lighten, although it may take 6 to 12 months.

Acne that has caused deep dermal hyperpigmentation can be more difficult to treat and may even be permanent.

People should consult a dermatologist for a thorough evaluation of their skin before selecting a skin-lightening product or a laser pigmentation removal option.

When to See a Doctor

Acne-related hyperpigmentation is not hazardous. For cosmetic purposes, some people could seek medical attention for hyperpigmentation acne. Although hyperpigmentation acne has no negative consequences on a person’s physical health, if they don’t like how it looks, they might develop psychosocial issues.

With the help of a dermatologist or physician, patients can explore their treatment options and receive suggestions for effective procedures. Some medications must be prescribed, while others are sold without a prescription (OTC).