How to Treat Darkened Skin After Using A Acid and Sun Exposure - Dermatology

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A acid issues skin problems


I previously used tretinoin and accidentally got sun exposure, resulting in some areas of my face becoming darker.
It hasn't improved since then.
Will this get better, and how can I improve it?

Huang, 10~19 year old female. Ask Date: 2022/03/03

Dr. Wu Yuxin reply Dermatology


It will get better, but it will take some time.
It is recommended to practice good sun protection.

Reply Date: 2022/03/03

More Info


When using A acids (like tretinoin or other retinoids), the skin can become more sensitive to sunlight, leading to potential sunburn and hyperpigmentation if exposed to UV rays. If you've experienced darkened skin after sun exposure while using A acids, it is indeed a common concern, but the good news is that with proper care, your skin can improve over time.


Understanding the Issue
A acids work by promoting cell turnover, which can help with acne, fine lines, and overall skin texture. However, this increased cell turnover can also make the skin more vulnerable to UV damage. When the skin is exposed to the sun without adequate protection, it can lead to sunburn and post-inflammatory hyperpigmentation (PIH), which is the darkening of certain areas of the skin.


Will It Get Better?
Yes, the darkened areas of your skin can improve, but it may take time. The healing process can vary depending on several factors, including your skin type, the severity of the pigmentation, and how well you care for your skin during the recovery period. Typically, it may take several weeks to months for the skin to return to its normal tone, especially if the hyperpigmentation is significant.


Steps to Improve Darkened Skin
1. Sun Protection: This is crucial. Use a broad-spectrum sunscreen with an SPF of at least 30 every day, even on cloudy days. Reapply every two hours, especially if you are outdoors. This will help prevent further darkening and protect your skin as it heals.

2. Gentle Cleansing: Use a mild, non-irritating cleanser to avoid further aggravating your skin. Avoid harsh scrubs or exfoliants that can cause more irritation.

3. Moisturization: Keep your skin well-hydrated with a gentle, non-comedogenic moisturizer. This can help soothe the skin and support its healing process.

4. Topical Treatments: Consider using products that contain ingredients known to help with hyperpigmentation. These may include:
- Vitamin C: An antioxidant that can brighten the skin and reduce pigmentation.

- Niacinamide: Known for its anti-inflammatory properties and ability to lighten dark spots.

- Hydroquinone: A skin-lightening agent, but should be used under the guidance of a dermatologist due to potential side effects.

- Azelaic Acid: Effective for treating both acne and hyperpigmentation.

5. Avoid Further Irritation: While your skin is healing, avoid using other strong active ingredients (like A acids, retinoids, or exfoliating acids) until your skin has stabilized. This will help prevent further irritation and allow your skin to recover.

6. Consult a Dermatologist: If the pigmentation does not improve or if you have concerns about your skin, it is advisable to see a dermatologist. They can provide treatments such as chemical peels, laser therapy, or prescription-strength topical agents that can help expedite the healing process.


Conclusion
In summary, while darkened skin after using A acids and sun exposure can be concerning, it is treatable. Focus on sun protection, gentle skincare, and consider incorporating specific ingredients that target hyperpigmentation. Be patient with your skin, as healing can take time, and don’t hesitate to seek professional advice if needed. With the right approach, your skin can return to its natural tone and health.

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