Question
Post-inflammatory hyperpigmentation (PIH) regardless of site is best managed by controlling any ongoing skin inflammation causing the pigmentation.
The actual PIH should be best left to resolve spontaneously over the next 6-18 months. PIH on the face tends to clear faster compared to those on the extremities.
Lightening creams containing hydroquinone and laser treatment may help to hasten the clearance process, albeit unpredictably and variably.
There are a few ways you can lighten post-inflammatory hyperpigmentation (PIH) on the buttocks. I could suggest the following.
I would first suggest using topical hyperpigmentation products that have lightening effects. These include products that contain vitamin c, hydroquinone-based or various combinations of active ingredients.
Apart from that, I also use a modified TCA peel. This TCA peel may help to lighten and brighten the skin without leaving any downtime.
Lastly, you may choose to use light-based devices such as IPL and Lasers. However, light-based devices are generally more costly as compared to the other 2 suggestions.
It is important to consult your doctor first. That way, he/she will be able to correctly recommend you the suitable treatment to treat your PIH.
You’ve likely got chronic urticaria, and will need to take a doctor-prescribed course of anti-histamines to get rid of the itchy rash. No cause or trigger is found in 80% of people with chronic urticaria, in case you were wondering. It’s just one of those things that happen, unfortunately. Good news? It’s self-limiting, and responds very well to treatment (oral anti-histamines). The dents in your nails sounds like nails pitting (shown in picture below). There are several causes for nail pitting, of which psoriasis is an important cause to rule out.
I agree with Dr Justin that there are several issues you have to combat and as such a combination of modalities needed. Q switch is not going to be the key answer. 1) You still have some acne which should be controlled with good mix of topical and oral medications. I always firmly believe that chasing after scars is pointless IF the outbreaks are not adequately dealt it. 2) You have post acne erythema which can be dealt with using Yellow lasers or in some clinics, even the use of IPL.
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