Post-Inflammatory Hyperpigmentation

Post-Inflammatory Hyperpigmentation — flat areas of darkened skin that develop after inflammation or injury, such as acne, a rash, or a wound. It occurs when the healing process triggers excess melanin production, leaving spots that range from pink and brown to deep gray depending on skin tone.

Key points

  • PIH is a response to inflammation and is distinct from the raised texture of a scar.
  • It is more common and often more persistent in medium to deep skin tones.
  • Sun exposure can darken existing marks and prolong how long they take to fade.
  • Ingredients such as vitamin C, niacinamide, and retinoids may help support a more even tone over time.

Frequently asked

How long does post-inflammatory hyperpigmentation take to fade?

PIH can take anywhere from several months to a year or more to fade, and consistent sun protection helps prevent the marks from darkening or lasting longer.

Is post-inflammatory hyperpigmentation the same as scarring?

No, PIH is a flat change in skin color from excess melanin, while a scar involves a change in skin texture; the two can occur together but are different concerns.

Related topics

This is a foundational entry in the SYNC Skin Encyclopedia and is expanded over time. Educational information only — not medical advice.

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