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frances

FAQ - Post Inflammatory Hyperpigmentation

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I have a prescription for Triluma too. Yes, it is very expensive!!! Mine was 100.00 for a 30g tube. It was considered cosmetic for me, so it wasn't covered by ins. Maybe if yours isn't considered cosmetic it won't be so much? You're supposed to work up to a pea sized bit, and that's for your enitre face. I filled my first script about a year ago and the 1st tube lasted about 2.5 months or so. I can't remember how long I waited until I filled the script again, but I wasn't really seeing any difference in my discoloration so I stopped using it and went back in for a "nurse visit". I was told you're not supposed to use Triluma for more than a couple of months at a time then break for a month or so anyway. She told me to wait until Winter when I wouldn't be in the sun so much, then give it another try. Results take longer than the time I had used it, so that's probably why I didn't really notice a difference. The biggest thing I notice was how drying it was. You'll need to moisturize extra well. It can also sting and give you a bit of reddness depending on how sensitive your skin is to begin with.

I haven't refilled it again yet. But if I do I'll be sure to note my progress here!

Good luck!

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Wow! I can't believe so many people are going through the same PIH problem as me. I am currently using Tri-Luma to get rid of my dark spots left by acne. It's definitely, but slowly working. However it was extremely expensive. It's a very slow process. I'll keep you guys updated, as I started using it two-three weeks now.

jan19th - it's a bit lighter, not so much. i used a little bit too much one night and i didn't know tri-luma was very concentrated so now it's a bit red. waiting for the redness to subside before using it again.


Morning:

1. Wash face with Basic Calming Soap

2. Duac Topical Gel

3. Aveeno Daily Moisturizing Lotion (noncomedogenic)

Night:

1. Wash face with Basic Calming Soap

2. Retin-A Micro Pump


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Hoping someone can answer this for me.

Ive been on roaccutane for a month now and during this month it has made 97% of my pimples go down, so i have all these small red spots ALL over my cheeks and chin. I'm not seeing the derm for a while so im wondering if i should take it apon myself to find a good redspot treatment whilst still on roacc. Is this a bad idea? I want to start treating the spots asap but im not sure if i should let roacc do all the work (i still dont know if tane helps with red spots). What do you guys think???

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Hoping someone can answer this for me.

Ive been on roaccutane for a month now and during this month it has made 97% of my pimples go down, so i have all these small red spots ALL over my cheeks and chin. I'm not seeing the derm for a while so im wondering if i should take it apon myself to find a good redspot treatment whilst still on roacc. Is this a bad idea? I want to start treating the spots asap but im not sure if i should let roacc do all the work (i still dont know if tane helps with red spots). What do you guys think???

heyy Lexia I also havve tha same problem and want to treat my my pigmentation red mark thingys man are they pissing me off yerr i was on roaccutane for 3-4 monthz then got taken off it coz of depression and im not seeing my derm 4 a whiile either I also want a spot treatment I heard 100% aloe vera gell is supposed to be good havnt tried it myself yett .. any suggestions any one ??

` ªмуу ьαььίί_.˚

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Firstly, thank you frances - well laid out FAQ about PIH.

Another good read -

http://www.brownskin.net/hyperpigmentation.html

However I'm still not sure of the differences between Macules and PIH.

A couple months ago a large pimple didn't surface up properly, broke up inside the skin (I didn't feel it though) causing trauma and left a dark mark which is really slowly healing. (it looks like it will take a few more months).

Is this PIH or Macule ?

I'm currently doing light treatments which improve the mark quicker, but am wondering if I should approach it as PIH and see my doctor about perscribing 4% Hydroquinone.

Scar_face : Depends on the mark, I think we are usually talking in months.

Even if you're using treatments to speed it up, it will still take more than a month to completly heal.

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What if you have brown scars? Will they disappear as well?

I still have the brown mark after 2 month, about a chunk of 20% of it has healed, it's a bit lighter but still dark enough not to look like a scar.

It becomes clearer to me what's this scar is about, I had acne which didn't surface up and that damaged the sorrounding skin tissue.

It's not like getting cut from a blade, or even getting burned - the damage is more severe and there are thousand of layers that need to regenerate.

my beauty therapist told me it takes around a year for the whole thing to heal, unfortunately there is no magic pill/cream that makes your skin heal faster, the scar is too deep.

If it was just hyperpigmentation, you basically use something that destroy the skin layers that are darkened, and then your body regenerate new and healthy skin layers.

I don't know how severe your scar is, but if you monitor it every week (take photos), you can compare the rate of improvement to give you an idea.

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Thanks for this information


"I like to see people reunited, I like to see people run to each other, I like the kissing and the crying, I like the impatience, the stories that the mouth can't tell fast enough, the ears that aren't big enough, the eyes that can't take in all of the change, I like the hugging, the bringing together, the end of missing someone."


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If you pick at a lesion and the scab comes off leaving a pinkish spot, what is the best way to make this spot heal to normal skin color and not brown? Is there anything I can put on it?


Regimen-Face

Wash with CeraVe AM and PM

Neutrogena 3-in-1 Hydrating Stress Control AM

Ziana PM

Regimen-Back

Acne.org BP

Acne.org AHA

(used in conjunction nightly)


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I have one smale spot on my cheek, and I pretty sure it was coursed by CP

since it came shortly after using it.

thanks for all the good info ;)


you can save $5 at iHerb,com by using coupon KIX143 ore any other code for that matter, they all work the same .


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I have this redish brown spot on my cheek from when I tried to pop a pimple. The pimple was deep so I could not get it and I think the trauma caused by the pressure I put on my skin caused the change in color. Since then (2 months ago) I have had a hard time looking at my face. It annoys me so much to see that the spot will not go away. I have repetedly tried to scratch the spot away and have made it scab a couple of times because I have gotten so angry. It usually scabs and then goes back to the same color or worse. I know it is not good to pick but I do not know what else to do. I tried proactive, I tried oxy pads, and also mederma.

Can someone help me out? Will my redish/brown mark go away? and what will speed up the process?

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I've read before that vaseline (applied to the spot only) speeds up the healing process. I think it causes the skin cells to increase under it. Have you tried this? Maybe just massage it in on that spot only every night for a few nights. I use it for my 'healing' scabs and it works great.

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yeah i too am looking for healing creams for deep marks from cystic acne.

so retin-a or hydroquinone the best option? are they OTC?


1995 - 2002: Acne all over face

Jun 2003 - April 2007: Cleared face - water only. [Melbourne]

April 2007 - Now: New City [sydney]. Itchy skin - red marks. Developed Cysts mainly on the right hand side of the face.


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Ive been on Dans regimen for about 3 months and my acne is clearing but i still have ALOT of red marks left behind. I went to see a doctor about it and he said it was irritation under the skin. I was wondering is the BP is making it stay around and if i should use less.

You know, I quit using BP and my skin is looking and feeling a little better for some reason.

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I started roaccutane 3 weeks ago, since then I have developed a scab on my face. I am extremely concerned about scarring and this was the reason I took so long to go on this drug, Im 28 and terrified of more scars.

Please help me and tell me what the hell to do so my face doesnt scar with this medication, I feel I just want to die and its not coz Im depressed its because If I have scars on my face after this treatment then I cant live with that fact.

Also I have post Inflammatory hyperpigmentation from acne usually purply marks that hang round for up to 16 months or so, please tell me there is a way to prevent these marks on this medication as this is an added concern. Im almost at the point where I am wondering if its worth being on this drug as Im pretty sure I see PIH forming from a few pimples that have come up.

I cant speak to my dermatologist for another 2 days, I need someone to reply to this who can tell me if there are medications for my concerns ie topical or if there is any hope for me at all or if I should abandon this drug.

As an update I spoke to my derm who said i can get fraxel and what not after roaccutane, he didnt seem to care at all that I think my face will be a mess after this drug. i asked about spirolactone as an alternative he said he doesnt prescribe it and to get it prescribed Id have to get a hormonal profile to see if I should go on it by a gp.........I have no idea what to do no one can help me and I just want to die I hate this. Help me please tell me what I can do.

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Hi,

I had post inflammatory hyperpigmentation from acne scars and it was more than two years before I did anything about it. The red marks within the scars definitely did not go away on it's own. I went to Bellair Laser Clinic in Toronto and had the Fraxel laser treatment for the textural scars and I was pleasantly suprised at how quickly the hyperpigmentation within the scars went away! It took a total of 4 treatments before I was pleased with the texture of the skin, but the post inflammatory hyperpigmentation went away after the first treatment! Although fraxel is typically expensive, I got a really good deal with Bellair for only doing my half face since my forehead does not have any scarring.

I am very Happy with my new Smooth Skin!

Jessica

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I know tanning is terrible for the skin, but I can't seem to stay out of the sun and I have so many red marks on my face. I cry myself to sleep because It is so embarassing.

I find when I am tan, you cant see the red marks so that is why I continue to tan.

Is there any topical treatments that are used to get rid of these embarassing red marks? :doh:


Always,

BlondeWithAcne


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Alpha hydroxy acids and alpha arbutin combinations work well and fast. Just make sure you buy pharmaceutical grade combinations and not cosmetic grade arbutin/aha. Pharmagrade aha and arbutin come in serum forms. While cosmetic grade come in cream. :surprised:


My Regimen Arsenal and Personal Log

"All is vanity, and a chase after the wind."

Status: 90% Clear! 10% treating post inflammatory pigmentation alterations

My Current Regimen

Step 1 CLEANSING

AM - Cetaphil Antibacterial Gentle Cleansing Bar by Galderma

PM - Aveeno Naturals Positively Radiant Cleanser with Soy and Niacinamide by Johnson and Johnson's

Step 2 TREAT AND PREVENT

AM/PM - PanOxyl 2.5% Benzoyl Peroxide AcneGel 40g by Stiefel (Application: DKR)-(On acne prone areas)

PM - Tri-Luma by Galderma (on post inflammatory pigmentation alterations.)

Step 3 MOISTURIZE

AM - Olay Complete for Sensitive Skin All Day Moisturizer SPF 15

PM - I dont moisturize at night.

Supplements:

Kirkland Signature (Vitamin C) 1,000mg two times a day with meals.

Kirkland Signature (B-50 Hi-Energy Complex) 1 tablet once a day with meals. AM

B-50 Contents that Help Acne: Vitamin B6 50mg Zinc 15mg Selenium 25 mcg and Copper 2mg AM

Afaxin (Vitamin A) Retinol Palmitate 50,000 I.U. before retiring. PM

Oral Antibiotic Currently on:

Tetralysal (Lymecycline) 300mg every other day. Currently on Week 7


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Hey Katy More, try putting pure vitamin e (natural, not synthetic), on that scab. You can get it at a health food store. It should keep it from scarring. I had a cyst removed off my face years ago by a plastic surgeon, and he told me that as soon as it scabbed if I would use the Vitamin E, I wouldn't have a scar. It worked!

As for the meds from the dermitologist, we went thru this too with a different script from the doctor. Three weeks later my skin was much worse than when I started. Plus, I had new red marks from all the new pimples that were developing. I dropped the prescription and started using aspirin masks every other night. Vitamin E to moisturize and sea salt water to clean. In 2 weeks, all the pimples are gone, and now I'm trying to get rid of the scarring that was left behind and much worse thanks to the meds from the doctor. I also used Tea Tree oil on the spot pimples, but I've been reading that it is also good for the scarring so I think I'll go back to using it too on the red marks. Good Luck!

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Hi, Really good to know dat im not the only one dat suffer with red marks really they are annoying im 14 btw..and sincerely i got this huge breakouts on August in my mid 13s now the area of my cheeks are full with red marks i take vitamins eat fruit and changed the way i eat and i must say it had really improved a lot i dont touch my face i used to do it a lot.....its been 7 months since....what type of sunscreen its good? any type cuz i dont use sunscreen

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Hey there..hmmm one of my family members is using retinol with 100,000UI Vitamin A its natural...i heard it helps red marks....could i also use it? im taking antibiotics...and using benzoyl peroxide 5% and im clear atm although i still get some pimples here and there...

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since im a guy do u think that shaving the vellus hairs that are high up on my cheek bones would help exfoliate (since shaving takes off a layer of skin) the hyperpigmentation/redness that was left from acne and gradually make it go away or would it do the opposite and make the redness more pronounced? also would the vellus hairs grow in thicker on my cheek bones??

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