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POSTED: 22 Feb 2024

Hyperpigmentation or Scars From Acne, Here’s How to Tell The Difference & Why it Matters

Despite how common acne itself is, there is a lot of confusion around the marks that linger after a breakout. These are what we often call hyperpigmentation scars from acne. This is understandable, given that hyperpigmentation and scars often coexist with acne and can sometimes be hard to tell apart. There are also times when acne scars themselves may be hyperpigmented. Although these terms are often used interchangeably, hyperpigmentation and scars are, in fact, very different. This matters because the treatment for these post-acne marks also sometimes differs. In this article we explore the differences between hyperpigmentation and scars from acne and the best treatment options for them.

The Difference Between Hyperpigmentation and Acne Scars

At first glance, hyperpigmentation and acne scars may seem similar, but they are very different. is a skin condition where patches of skin become darker than the nearby area due to excess melanin . In acne, this happens due to inflammation and is what we call (PIH). These dark marks are usually flat, small and in the same location as the original acne lesion. They are more common in people with , though they can affect anyone. PIH often goes away by itself. However, in people with it may persist for months or years. Depending on your skin tone, these marks can range from pink-red to brown-black. To add to the confusion, they are also not the same as , which shows up as red marks rather than brown.


On the other hand, occur as a result of skin damage following a breakout. This the skin’s collagen and often appears as indents or raised tissue on the surface. vary in size, and over time, if they accumulate, they can give the skin a rough . They are more common after certain such as nodules and cysts. Unfortunately, acne scars don’t usually go away by themselves. However, they may flatten and become less visible over time if the acne clears completely.

Treatments for Hyperpigmentation & Scars from Acne

Put simply, whilst affects the skin’s colour, acne scars alter its texture. In addition, whilst many types of lesion can cause hyperpigmentation, more severe types of acne usually cause scars. However, both acne scars and hyperpigmentation . Some people may also develop scars that are darker than the surrounding skin.


Whilst there is some crossover in treating the two, the best treatment depends on a number of factors. This includes whether there is ongoing acne, whether you have hyperpigmentation or scars or both, the severity, and your skin. You can broadly split treatments into simple skincare, and professional skin treatments. Below we dive into these options.

Over-the-Counter Treatments

There are a number of over-the-counter skincare products that can help with mild and acne scars. For hyperpigmentation, brightening ingredients like , , , and can be effective. Antioxidants like , and are also useful. These ingredients help dark spots and even out skin tone. and can also help, but if you are prone to hyperpigmentation, approach these with care. Lastly, with red light therapy can help even out skin tone over time, though they are most effective alongside a good skincare routine.


For scars, and can help smooth the skin texture over time. , and can also soften the skin and improve its moisture. Whilst this doesn’t treat the scars, it enhances the skin’s quality and appearance.

Prescription Treatments

For to severe hyperpigmentation or acne scars, may help. Topical prescription retinoids such as and , and oral such as , work by speeding up cellular turnover and boosting collagen production. For this reason they can treat both hyperpigmentation and acne scars.


For severe hyperpigmentation alone, or hyperpigmented acne scars, can be used alongside retinoids. targets hyperpigmentation directly by inhibiting the enzyme responsible for melanin production. This leads to a noticeable fading of dark spots.


For raised scars or keloids, treatments like injections, dressings and 5-FU might be considered to flatten them.

Professional Skin Treatments

For more pronounced hyperpigmentation or scarring that hasn’t responded to topical treatments or medication, professional treatments may be worth considering. and can effectively reduce hyperpigmentation and treat scars. For widespread or deep scars, treatments like can stimulate collagen production. This improves the appearance of indented scars and overall texture. In the most stubborn indented scars, or for keloids, surgery may be a last resort.

Prevention & Maintenance

Preventive measures are crucial in managing both and scarring. In fact, before treating these, the most important thing is to clear the acne first, so that you are not stuck in a vicious cycle of whack-a-mole. Start with basics like reinforcing your with a and using to protect the skin. To keep acne under control, use a consistent routine with acne-fighting ingredients like retinoids, and . If your acne is severe, consider seeing your doctor for to extensive .


Once your acne is under control, you can explore the and OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling; https://nextpeptides.co.uk/, treatments mentioned above. Ultimately, maintenance is key, and you will likely need an ongoing routine using exfoliating acids, retinoids and antioxidants to prolong and build on your results.


Understanding the differences between hyperpigmentation and acne scars is the first step to treating them effectively. It is also vital to accept that everyone is different, and the best treatment for you will depend on your skin type, concerns and goals. you opt for skincare, medication or professional treatments, a few things stay the same. No treatment works straight away, and you will need a lot of patience and consistency. It is also to control the acne before treating post-acne marks, so that you are not in a vicious cycle. Finally, what works for one person may not work for another, so it is vital to seek professional help if your acne, hyperpigmentation or scars are severe, so that you can start the treatment most likely to suit you.



At City Skin Clinic, we are super passionate about personalised skincare. Through our online skin clinic, we offer safe and effective individualised and treatments with prescription-strength ingredients like and where appropriate. To start your personalised skincare plan, book a or use . The journey towards great skin .



This article is intended for general informational purposes only and is not a substitute for medical advice, diagnosis or treatment. Always consult a qualified medical professional with any concerns about your skin or treatment options.



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