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Pih? Acne? Scars?

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Hi! I've been following this site for awhile and I'm at the point where I need to jump in for some help.

Are these spots consistent with post-inflammatory hyperigmentation? They formed after a bad breakout of acne about a year and a half ago and haven't faded at all. My dermatologist said it was acne, and while her suggested cleansing routine has controlled my acne breakouts, the spots show no sign of fading. Has anyone experienced spots like these? They're present on the other side of my face but are much lighter. I've been considering fade creams, laser or dermabrasion treatment, salicylic peels, or perhaps a trip back to the dermatologist. ANY hint of diagnosis or treatment suggestion is greatly appreciated.



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