How to treat Acne Pigmentation for darker skin. Avoid Common Mistakes. Learn from Dr Vanita Rattan.

– Hello, I'm Dr. Vanita Rattan from the Hyperpigmentation Clinic. Today we're going to be talking about post-acne hyperpigmentation. Now, typically what we see in
the clinic are young people who come in with acne that they've had for
their whole teenage years and are now left with the pigmentation. We're also seeing more and
more adult acne pigmentation. The other thing that we tend to see are young men who come in with acne on the upper back, the lower back and the shoulders which again
leads to hyperpigmentation. So let's first discuss why do you get acne and how does it lead to the pigmentation and then how do we treat it. So, four things need to take place for you to have acne. Number one, you need to have
an overproduction of sebum. The second thing needs to happen is that you get a thickening of the lining of the sebaceous gland.

This then creates an
anaerobic environment. I.e. an environment
with very little oxygen. This then invites P. Acnes,
it's a form of bacterium, to come into that space and start to grow. Start to reproduce. What P. Acnes does is it breaks down
triglycerides into glycerol and free fatty acids. It's that free fatty acids
that's very irritating. It bursts through the lining
of the sebaceous gland and it starts to inflame that area. That inflammation triggers the melanocytes and guess what, you get hyperpigmentation.

How do you recognize this
form of pigmentation? You get localized spots that take place exactly
where the spot was. Now, the good news is, it tends to lead to epidermal hyperpigmentation. That's pretty straightforward to treat. At the clinic, we tend to
recommend one to two treatments. You should really need more than that to get you to a place where most of the pigmentation is gone. The other question we get asked is, okay, so once I've cleared the pigmentation and I get another spot, what do I do? What we tend to recommend is
once that spot has healed, once the skin has healed over, pop on your after care
cream on straight away.

What that's gonna do is
stop the pigmentation in its tracks. The quicker you do that, the quicker you put on very
high tyrosinase inhibitors onto that area, the better your chances of not getting pigmentation
developing from that spot. So I hope you've found
this information helpful and if you've got any more
questions, please do email me or DM me and I will do my best to answer..

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