Fade Acne Marks: How To Treat Post-Inflammatory Hyperpigmentation

Fade Acne Marks: How To Treat Post-Inflammatory Hyperpigmentation | Dr Sam Bunting

Рет қаралды 46,877

Күн бұрын

The BEST tips on how to fade acne marks and post-inflammatory hyperpigmentation.
Hands up if you’ve ever been left with dark marks after a breakout? When battling blemishes, over two-thirds of you will suffer from pesky pigmentation that can linger for months.
Frustrating and stubborn, post-acne marks are a common form of post-inflammatory hyperpigmentation, which can take time to resolve.
In this week’s video, I share my acne hyperpigmentation protocol so you can get on the path to an even skin tone, with a targeted skincare strategy to take back control of your skin.
As always, thank you so much for watching and for all your support!
Shop my BEST-SELLING Flawless Nightly Serum which is powered by Niacinamide, Granactive Retinoid, Azelaic Acid, and Bakuchiol to improve dark marks and hyperpigmentation.
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Disclaimer: The content seen in this video is provided only for educational purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek professional help individually if you suffer from any dermatological condition. Due to the volume of patients seen in the clinic, and to the unique nature of skin, Dr Bunting is unable to respond to every query on these videos.

Пікірлер: 108

@aprilj.9174 2 жыл бұрын

I appreciate so much that you included the extra care needed for Skin of Color, that is so important and it isn't included in a lot of skin care videos. Thank you

@thikumpornprasertsom9106 2 жыл бұрын

Amazingggg!!! I’m a 6th year medstudent and I LOVEEEE your vidssss kaaaaa!!! I really want a vids on how to treat post inflammatory ERYTHEMA!!! It’s not been a lot video and information on PIE and I would love a vid from you on it!!!

@aixacruz8213 2 жыл бұрын

You are the best, I truly appreciate you ❤️ You have helped me so much!

@aprajita629 2 жыл бұрын

I m addicted to ur skincare education vedio. Ur way of teaching is very nice & in very few minutes u explain all things very clearly. Thanks . Plz keep it up 🙏

@AngiePerezTV 2 жыл бұрын

Awesome video! Thank you so much 😊 I just found your channel last night and I’m fascinated 🤩 I’m a licensed esthetician, passionate for all things skin care. Thank you for sharing such a wealth of knowledge 🥰 Many blessings 🙏🏻

@pawan2348 2 жыл бұрын

Thank you sam this channel is so underrated

@DrSamBunting 2 жыл бұрын

Thank you Pawan 😃

@ikshasubba553 2 жыл бұрын

I have always had combination acne prone skin.on Jan this year I had severe breakout which made me start tretinoin which almost took 4-5 months to subside the purging and finally i am now left with PIH with on and off one or two breakouts which lasts for shorter duration than before. During the purging time I also started with azeliac acid in serum formulation after niacinamide in the morning routine and still continuing with tretinoin every third night and in between I also use salicylic acid 2%from paula’s choice and alpha arbutin along with aha bha pha chemical peel once weekly. I am already started to feel confident again and the best advice is to be patient, follow skincare routine with discipline and let the drugs do it’s wonders. Happy Skin to everyone 😊

@galato4234 2 жыл бұрын

Thank you for this video. Please tell us how to use these products in a routine. Thank you.

@mandyfernandez 2 жыл бұрын

Thank You so much Dr!! ✨✨✨✨

@nadiah1987 2 жыл бұрын

Thank you so so so much for bringing in the difference with skin of colour. It is such a key difference that we can often make the situation worse if we go in too strong with our actives compared to Caucasian skin. Great advice and thanks for sharing as always! 💕

@ariffazahar 2 жыл бұрын

Such a comprehensive and extensive video. Exactly what i need to hear right now. Thank your very much Dr. ❤

@DrSamBunting 2 жыл бұрын

Glad it was helpful!❤

@ilseitzayana4828 2 жыл бұрын

Awesome my Dr Sam🌷🌷🌷🌷🌷

@jessrigby7032 2 жыл бұрын

Thank you dr sam 🙏 can I ask what you think about microdermabrasion treatments for even complexion?

@kellyc3897 2 жыл бұрын

Thanks Dr. Sam 💕 Your recommendations are always much appreciated.

@rasnashrestha8852 Жыл бұрын

You are the best ❤️

@cl871 2 жыл бұрын

Do you suggest using Azelaic acid in the morning alongside my prescription benzoyl peroxide with clyndomicyn in the evening? I’ve also been using the Topicals Faded cream twice a week but really want to try azelaic acid

@tamaramarie968 2 жыл бұрын

Hi Dr Sam. When using my hydraquinon after tretinoin, can I use it on say, a whole cheek that has more than 3 marks? Or should I only "spot treat" (u may have answered this in ur vid but think u we're reffering to AA?) I've heard so many conflicting answers fm other derm channels, but u seem to specialize in this area! Love your channel btw!! Ps I'm using differin"s hydraquinon, not a prescription😏

@MrMark28 2 жыл бұрын

🥰 Love you Dr Sam! Thanks! Great things to know!

@beckyc.5743 2 жыл бұрын

I know that my fussy skin barrier wouldn’t have tolerated anything but the slow and steady course. Tretinoin and azelaic acid (with some niacinamide) has worked for me! Thanks Dr. Sam!

@galato4234 2 жыл бұрын

Please share your routine and products. thank you.

@victoriakunetsky 2 жыл бұрын

Which product with Azelaic acid do you use ? Is it some prescription based or something from the drugstore? Would be happy to know ❤️🙏

@huh9672 2 жыл бұрын

What azalic acid you used

@nadinelubs 2 жыл бұрын

This video is just what i needed to continue on my journey to clear skin after horrendous acne last yr. Dr Sam your videos got me through 2021… i always go back to your extensive library of teaching & it helps me every time i’m stuck. Today’s video just reminded me that slow & steady is better.. i will incorporate 2 more products to improve my hyperpigmentation. Thank DR Sam. I really bless the day i stumbled onto your youtube channel. Great video as always.👍👍♥️

@DrSamBunting 2 жыл бұрын

Thank you! Glad it was helpful! ❤

@foltz-art Жыл бұрын

God bless you always 🙏 ❤

@carmenhunter4380 2 жыл бұрын

Thanks Dr Sam! What about tranexemic acid? A number of sources I looked at recommended it for post inflammatory erathema.

@r.nawelle2619 Жыл бұрын

Such a useful vidéo thank you for all thé vidéos you make they are so precious for me to control my hormonal acne. I have one question do you think it IS possible to apply epiduo at night and azelaique acid in thé morning every other day ( 1 day on 2)

@mertsecen1136 2 жыл бұрын

so i have a question: My skin looks wet when I apply SPF. Is it still protecting me? I use two serums ( niacinamide serum from the inkey list and neoglucosamine serum from neutrogena) and Cerave Cream. I put a lot of the inkey list serum and wait 10 mins before applying the next serum. and after that, I apply my cerave cream and wait 30 minutes before putting on my spf, which is bioderma photoderm spot spf50, which is a water resistant sunscreen and is very moisturizing. my skin looks very dewy and wet and i don't care about it as soon as i'm getting the protection.

@carlsbergFAN 2 жыл бұрын

Hi Dr Sam, is the treatment for PIH and PIE the same?

@courtneyknutson2654 2 жыл бұрын

Love all your products!! Can't live without. I currently use epiduo at night and brightly in the AM. Should I consider transitioning to tretinoin or should I just stay steady with what's working?!

@melonmelon7427 2 жыл бұрын

Why would you consider Tretinoin? I've actually been on it then switched to Epiduo and I much prefer the result of Epiduo. Just a word of advice, if you do decide to go on Tret, start at the lowest strength and if you are oily definitely avoid the cream Tretinoin and get the gel. But be aware, Tret is much much harsher than Epiduo. If you get results from Epiduo I would keep going. No point reinventing the wheel. What strength are you on?There are 2 strengths with Epiduo.

@humanBeast-rr3fk 9 ай бұрын

Does it matter whether I use BPO in the evening with adapalene & gentle cleanser in the morning instead of the BPO in the morning as you suggested ?

@smiah7898 2 жыл бұрын

how would you say alpha arbutin acts in terms of efficacy in comparison to azelaic acid and hydroquinone?

@heatheromalley1590 2 жыл бұрын

With low dose isotretinoin of 5 mg a day, is it safe to continue using topical Retrieve .05% daily ? Of course using SPF 50 daily.

@kendallstark4302 2 жыл бұрын

Fantastic information! I didn't realize that benzoyl peroxide was an anti-inflammatory. I've been using it twice a week for about two months now, and think I have noticed a reduction in my PIH. Good to know 💖

@DrSamBunting 2 жыл бұрын

Glad this helped! 😃

@Jessca.451 2 жыл бұрын

2 week before doctor suggested me benzoyl peroxide and I have got more itchiness the whole day so I have stopped after 5 days... It's normal or what should I do?

@kendallstark4302 2 жыл бұрын

@@Jessca.451 Hello! Did you use it for five days straight? Maybe you went in too quickly. My acne isn't severe, and my derm said to apply it twice a week, in the morning. After your itchiness has stopped, perhaps do it that way. As Dr Sam says in the video, slow and steady is best. I hope that helps!

@melonmelon7427 2 жыл бұрын

Jasmine Jas BP is very very drying hence the itching... I've been an acne suffer for 2 decades and used 90% of what's on the market, including heavy duty Accutane twice but whenever I put anything with BP in it I start to flake like a snake. The only way for me is to use it every other day and keep off any other active ingredient. Otherwise I'll be scratching like mad!

@KiLLaBushWooKiE 2 жыл бұрын

Would like to know what to use durin and post a course of oral isotrenoin? Defo helps with active cystic acne but lord u see all the damage ur skin has from blemishes & uneven skin from all the flare ups you've had.?

@jennypie1903 2 жыл бұрын

Should you use BP daily to get the best results?

@Jessca.451 2 жыл бұрын

Sunscreen reapply 2 hours once inside home? Then washing oily face every 2 hours may lead to more oily skin? Without washing sunscreen or improper washing can leads to acne prone skin to more Pimples right? Then how should I reapply?

@caitlinwhittle8113 Жыл бұрын

Would you recommend retinol/hydroquinone treating for PIH on the body? I’m suffering with bug bites from a previous house with a flea infestation and the marks are really getting to me

@Santiago-vr5md 2 жыл бұрын

Hi Dr. Sam! I'm currently struggling with PIH and I'm using Azelaic acid + niacinamide + hydroquinone 2% morning and night, in that order. It's that okay? Or should I just use the Hydroquinone alone Thank you so much for your videos ❤️

@Corinthians-tc3zm 2 жыл бұрын

That’s a good combination! I’d recommend using a retinoid at night as well

@ellay4514 2 жыл бұрын

This is so helpful and I now have a plan. My rosacea has so much improved (since using all of your range for two years) but there are are a couple of browny red areas left and I had pretty much accepted these but I will now target these areas. I spent two years, every weekend, on a narrow boat with very little spf a few years ago before I really thought about what I put on my skin and I think the result are these marks.. such an idiot woman... you live and learn. Thank you. 💞

@DrSamBunting 2 жыл бұрын

I'm glad this helped! Best of luck with your skin journey ❤

@tutivs 2 жыл бұрын

What can I do if I'm allergic to niancinamide?

@lakt2136 2 жыл бұрын

After my wound healed on my cheek - it turned brown after 14 days. Now that it's over 2 months it has faded. I was told by my dermatologist it take time to fade. I just started using hydroquinone and I can see a bit of improvement.

@nithi178 4 ай бұрын

Same here. What do.? Finally Your result?

@lakt2136 4 ай бұрын

@nithi178 it turned out well & isn't noticeable. In addition that everytime I went outdoors I used sunglasses or hat to cover it so the sun won't shine on it

@temoyas 2 жыл бұрын

This was a very informative one and im very thankful. As a woman of colour dealing with my acne and hyperpigmentation is a daily struggle for me. Two questions though, you mentioned that tazarotene is more effective than adapalene at aiding with hyperpigmentation; would you say that it is also more effective than tretinoin? Additionally would adapalene help with hyperpigmentation at all?

@shannonwilkerson5524 2 жыл бұрын

How do you use the Dr. Sam system with Tretinoin? Can you use them both together? Thanks! Love all your content 🥰

@toyosibaby8495 2 жыл бұрын

I’d like to know

@Kim-km2kv 2 жыл бұрын

Hi Dr. Sam, I’m currently using all of your products exclusively and have noticed once I cut out any extra products from different lines that my skin has improved dramatically. The only things I use outside of your line is makeup. The Gossamer Tinted is used as my “Beginner” base but I still need extra coverage. Any thoughts on dipping into a makeup line geared for acne prone sensitive skin? That would be AWESOME!

@DrSamBunting 2 жыл бұрын

So glad you are enjoying the products.❤

@nishatara9103 2 жыл бұрын

How do you use azelaic acid? Full face or on the spots only?

@melonmelon7427 2 жыл бұрын

Nishat Ara all active ingredients should be used on the full face. It is actually contraindicated to spot treat using actives. Acne begins as a micro comedone ( something deep inside the skin that you cant see or feel). It takes 2+ months for the micro comedones to become a spot that you can see or feel coming. This is why is best to apply to the entire face as you simply don't know where the micro comedone (aka the future spot) may be on your face. By the time you see it to spot treat it, is late. You need to 'attack' it in its micro phase.

@nishatara9103 2 жыл бұрын

@@melonmelon7427 Thank you so much 💓 for your advice ❤

@saebi3456 2 жыл бұрын

Thank you doctor for the infirmative channel. I have noticed that your own face has been lifted from your previous years videos. Would you please mention what procedures you have performed on your own skin? 🙏

@CompassBlue 2 жыл бұрын

Hi Dr, what concentration of azelaic acid should we be looking for in our products?

@melonmelon7427 2 жыл бұрын

15-20% is presciption only but if you can get your hands on that it would be the best. Otherwise 10% is widely available but not as effective.

@madgesticm 2 жыл бұрын

I've learnt a lot from this, thank you :) Just wondering how to treat my daughter's acne, she is nearly 10, and has been getting spots on her chin and around her nose. She also has eczema and very sensitive skin. She was recently on antibiotics and antiviral medicines because of a strong breakout. At the moment she has one stubborn red scar on her chin. I use azeleic acid and Niacinamide myself, which work great for me, but I know this is not for my daughter's age. At what age are children fine with these? And could you possibly make a similar video to today's, just orientated towards the young age? Thank you

@melonmelon7427 2 жыл бұрын

I remember another famous dermatologist addressing age and active ingredients and she stated there is really no age limit. If there is a skin condition there, you should aim to treat it. It's more healthy skin vs unhealthy skin rather than young skin vs old skin. You may find the psychological damage can be far greater than the risk of using an active ingredient. I wouldn't go in with a retinoid but using a salicylic acid face wash and a 10% azelaic acid seems reasonable. I'm an adult now but have been using acne products since age 11 when I started to get acne. Initially it was prescribed by dermatologist and eventually just repurchased by my mum for me. Consider a lower concentration and maybe start by using every other day and see what happens.

@madgesticm 2 жыл бұрын

@@melonmelon7427 thank you so much for this. I am glad to hear that it's fine to use some of the actives, with caution of course and lower concentration. I hope Niacinamide is a possibility, too?

@melonmelon7427 2 жыл бұрын

@@madgesticm niacinamide is good but when it comes to acne, products with benzoyl peroxide and salicylic acid are more effective. Niacinamide is good to provide moisture which is important when using active ingredients as these can be drying. The Ordinary Azelaic Acid 10% is used by my friend’s daughter who is around 11-12 and has cleared up her acne very nice. Cerave face wash with salicylic acid is quite good too. Maybe she can use that once a day and apply Azelaic acid 10 % every other day then increase to daily if she tolerates it.

@madgesticm 2 жыл бұрын

@@melonmelon7427 I see. I didn't know this. Thank you so much for the info :)

@ashleegmitchell 2 жыл бұрын

Are Salicylic acid or Benzoyl Peroxide the only products we can use as our anti-inflammatory in the AM?

@sjc8616 Жыл бұрын

@lilprince1234 2 жыл бұрын

Can we alternate tretinoin with flawless nightly on different nights to reap the benefits of azelaic acid and niacinamide?

@DrSamBunting 2 жыл бұрын

Yes, you can use them on alternate nights ❤

@fariyagani8109 2 жыл бұрын

Can we use azelaic in the morning and BPO in the evening for managing acne as well as spots

@melonmelon7427 2 жыл бұрын

Of course. I use this at present and it's successful however it can get drying. If you get too dry do it on alternative days

@createdby3685 2 жыл бұрын

Could you add Turkish subtitle, please?

@samriddhisingh2393 2 жыл бұрын

I have an oily skin and I use a salicylic acid cleanser twice a day . Can I use the cleanser at night right before applying adapelene (treating acne) or should I change my cleanser for night ?

@melonmelon7427 2 жыл бұрын

Twice a day is fine. I use the same and works great. Cerave salicylic acid face wash is fantastic. I then apply adapalene and a face moisturiser otherwise it can dry the skin too much.

@mortimer1ish 2 жыл бұрын

When you mean don't touch spots does this includeo squeeze spots? I can't help it if it's inflamed but has left me with a red pigment on my neck:(

@DrSamBunting 2 жыл бұрын

Yes, keep hands off as much as possible!

@TheBurrowByTheCreek 2 жыл бұрын

My acne marks are 24 yrs old. I haven’t had acne since. I use tretanoin, vitamin c, azelaic acid, niacidamide and SPF for the last 3yrs plus 4 months of hydroquinone and they haven’t improved. Are some permanent and cannot be helped?

@melonmelon7427 2 жыл бұрын

The answer is Yes and some may not even be acne marks but sun damage. Some lasers can remove them though

@muoian 2 жыл бұрын

So it’s really ( post) inflammatory hyperpigmentation 🤯🤯 so stay the course with acne treatment

@mjclemente2943 2 жыл бұрын

Will over the counter treatments achieve the same effects as lasers in cases of PIH?

@melonmelon7427 2 жыл бұрын

No, but be aware some laser can majority aggravate PIH. It disappears immediately after treatment and then resurface 10 x worse. Be very careful and choose a laser expert if you are thinking about it. The before and after pictures can be tempting but not all results will be maintained

@cristinecarreon6696 2 жыл бұрын

. banana peels helps me a lot in my acne problem . and it really make my skin glow...

@butterfly__7900 4 ай бұрын

Why azelaic acid stinggggg?

@sarahmunson1778 2 жыл бұрын

My reason for not including azelaic acid is that it stings no matter what I do :( I wish it didn't, but all I notice when I use it, after months, is slightly increased sensitivity and sometimes a stinging sensation on application, even when applied over a moisturizer. I never experience any of the benefits. Idk why :/

@annabelapurva-madhuri4861 2 жыл бұрын

Same heerreee. Despite being able to stick with tretinoin for nearly a year, I gave up using azelaic after a few weeks.

@melonmelon7427 2 жыл бұрын

Same here... I'm on a constant battle with it

@obiwanWasabi 2 жыл бұрын

Is it possible retinol makes your scars even bigger? I have been using retinol 1% of paula's choice a year now, I have the feeling that my scars and pores are much bigger than before. 😭

@radhikasethi7356 2 жыл бұрын

Me too are your pores still bigger?

@smiah7898 2 жыл бұрын

can azelaic acid be used at the same time as vitamin c?

@noneofurbusiness5223 2 жыл бұрын

Yes. Azelaic Acid works well with others.😀

@jwaliaaa 2 жыл бұрын

How to treat acne pit scars 🥺

@melonmelon7427 2 жыл бұрын

Lasers. See a laser dermatologist who does this day in and day out. Check out Dr Lim on YT and Instagram

@skam560 2 жыл бұрын

Guys watch Dr Vanita Rattan for advice on skin of colour. She’s much much more specific and better recommendations by far. As most dermatologist offer generic advice that works mainly for Caucasian skin. There is no one size fits all. Dr Sam is ok but Dr vanita rattan covers all skin tones and detailed videos.

@justsayin397 2 жыл бұрын

Rude