How effective is Fucidin H cream for PIH?

Doctor's Answers 1

Aesthetic

Post-inflammatory hyperpigmentation (PIH) regardless of site is best managed by controlling any ongoing skin inflammation causing the pigmentation.

Fucidin H, a combination of a topical antibiotic (Fucidic acid) and a mild topical steroid (hydrocortisone) may be useful in situations when there is mild ongoing skin inflammation that is associated with minor secondary bacterial infection.

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.

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Is the laser treatment for PIH the same as for mole removal?

Hello Maine Thank you for your question. Post inflammatory hyperpigmentation (PIH) or post inflammatory erythema (PIE) from acne is usually treated with q-switched laser or long-pulsed laser. You can expect gradual lightening of the marks with repeated treatments. You can also combine laser treatment with topical retinoids and chemical peels for better results. There shouldn't be any scabbing from treating PIH or PIE. Moles are usually removed with an ablative laser such as the CO2 or erbium laser. Hope this helps!

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How effective is differin cream for PIH and acne?

Differin (a. k. a. Adapalene) is generally the most well-tolerated retinoid and hence it is widely used for acne. It is alright to use a thin layer over the affected areas only but it has benefits for the skin over the whole face so I like to recommend it for full face use. Important notes: Moisturise your face after using Differin.

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