Post-inflammatory hyperpigmentation (PIH) is a common skin condition that causes dark spots to appear after your skin experiences trauma—whether from acne, an insect bite, or even an over-aggressive skin treatment. It's your body’s way of responding to inflammation: the skin goes into overdrive trying to heal, and you’re left with brown, purple, or greyish spots that stick around long after the original issue is gone.
PIH isn’t the same as melasma or sunspots. It’s not technically a form of scarring either—it’s pigmentation left behind after your skin is injured or inflamed. The good news? With the right treatment, you can absolutely get rid of it.
Who’s More Prone to PIH?
Anyone can develop PIH, but it tends to show up more often—and more noticeably—in those with deeper skin tones (Fitzpatrick Types IV-VI). That’s because darker skin naturally has more active melanocytes (the pigment-producing cells), so when the skin is triggered by trauma, pigment production increases as part of the healing process.
If you’ve ever had a breakout that left a stubborn dark mark or noticed your skin darken after shaving, waxing, or picking—you're probably familiar with PIH already.
Best Treatments for PIH in 2025
At Qazi Cosmetic Center, we treat PIH with customized, safe solutions that work with your unique skin—not against it. The goal is to fade the pigmentation gently, without causing further inflammation or risking rebound pigmentation.
Here are the most effective PIH treatments we offer:
Pico LaserÂ
Pico Laser is one of the most advanced and effective ways to treat PIH. Unlike older laser technologies that use heat to blast pigment, Pico uses rapid, short pulses of energy to break up pigment without overheating your skin. This makes it safer for all skin types, including melanin-rich skin.
Why it works for PIH:
- No heat = minimal risk of rebound pigmentation
- Safe for Fitzpatrick I-VI
- Stimulates collagen while fading pigment
- Minimal to no downtime
Learn more about our Pico Laser treatments for pigmentation.
Topical Treatments
Prescription-strength creams like hydroquinone, retinoids, and azelaic acid can help fade dark spots over time. At Qazi Cosmetic Center, we often compound custom formulas based on your skin's needs.
Ingredients to look for:
- Vitamin C
- Kojic acid
- Tranexamic acid
- Niacinamide
These ingredients reduce melanin production and calm the inflammation that fuels PIH.
Chemical Peels (Only When Appropriate)
Certain light-to-medium depth peels can help exfoliate surface pigment. However, they must be selected and applied with extreme care—especially for darker skin tones—to avoid making the PIH worse.
That’s why every peel at our center is customized and performed by a highly trained professional.
How to Avoid Making PIH Worse
Treating PIH isn’t just about what you do—it’s also about what not to do. Here’s what we always tell our patients:
- Do not pick at your skin – It may feel satisfying in the moment, but it will worsen pigment issues.
- Avoid untrained providers – Overly aggressive peels, lasers, or extractions from the wrong hands can backfire.
- Be careful with at-home products – Not all “brightening” products are safe or effective for PIH. Some can cause irritation or trigger more melanin.
- Protect your skin from the sun daily – UV exposure makes PIH worse and slows the fading process. Always wear a broad-spectrum SPF of 50+.
When to See a Specialist
If your pigmentation hasn’t improved in a few months—or you feel like it’s getting worse—it’s time to book a professional consultation. PIH may seem harmless, but treating it incorrectly or too aggressively can lead to permanent discoloration or even hypopigmentation (light spots).
At Qazi Cosmetic Center in Orange County, we specialize in treating PIH for all skin tones—safely, effectively, and with long-term results in mind.
Traveling to Qazi Cosmetic Center is Easier Than You Think
We work with patients from all over the country—and you don’t even need to call to schedule. Just book online by clicking here.
- Virtual consultations are available for new and returning patients
- Many of our patients fly in, get treated, and fly out the same day
- We’re located just 5 minutes from John Wayne Airport
- The airport staff is familiar with our patients and ensures a smooth travel experience
Payment Options to Fit Any Budget
We believe that access to expert care shouldn’t be limited by cost. That’s why we offer multiple financing options through:
- Cherry
- CareCredit
- Alpheon
- Affirm
You can choose the plan that works for your lifestyle—whether it’s breaking up payments monthly or choosing interest-free options when available.
Have questions? Call us at (949)-336-7293 and our team will walk you through your options.
Key Takeaways
- PIH is common but treatable
- Pico Laser is one of the most effective and safest treatments
- Professional guidance is key to avoid worsening pigmentation
- Always use sun protection daily
- Qazi Cosmetic Center provides virtual consultations and easy travel options
Ready to Finally Treat Your PIH the Right Way?
If you’ve been living with stubborn dark spots, you don’t have to anymore. With the right approach, you can fade them safely and confidently.
Book your consultation with Dr. Qazi here and take the first step toward brighter, more even-toned skin.
