Is Pigmanorm the best cream for PIH? What creams are recommended for PIH?

Doctor's Answer

Yes the brown spots left after acne are indeed PIH.

  1. Pigmanorm’s active ingredients are retinoic acid and hydroquinone. The latter is a skin bleaching agent used for brown marks, including melasma and occasionally, brown PIH. I wouldn’t use hydroquinone as my first choice for PIH. Unsupervised, an overuse of hydroquinone can result in a permanent grayish discolouration of the skin called ochronosis.
  2. The two best creams for PIH are retinoic acid and azelaic acid. You need a prescription to buy both in Singapore. Good sunscreen is also important to prevent PIH from worsening in appearance.
  3. If both creams don’t work, other effective treatments are chemical peels and pulsed dye lasers etc (normally offered by dermatologists and aesthetic doctors in Singapore).

Do note that there’s a fine balance with using topical creams to improve PIH, and causing increased irritation/redness of the skin – which can lead to further pigmentation. I’d caution against using any of these topical products to the point of irritation/redness.

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