How to Treat Blood Spots from Acne: Effective Solutions - Dermatology

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Is there bruising inside the acne, and has it healed now?


Hello Doctor,
I have a question I would like to ask you.
Previously, I had acne, and because I squeezed it improperly and didn't clean it out completely, it resulted in some bruising underneath.
It has now healed, but it looks like a black mole.
How can I resolve this issue? It is quite troubling for me.
What treatment options do you recommend? I would greatly appreciate your response.
Thank you very much.

Xiao Xuan, 20~29 year old female. Ask Date: 2007/02/28

Dr. Hong Zhengsheng reply Dermatology


Hello, Xiao Xuan: The best advice is to find a dermatologist you trust and consult with them.
I apologize, but based on your written description, I cannot determine your specific condition.
Answers found online can only speculate based on the description and experience provided, and cannot offer the precise diagnosis and treatment that an in-person consultation can.
I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your county or city and consult with a dermatology specialist.
All the physicians here are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2007/02/28

More Info


When it comes to treating blood spots or dark marks left behind from acne, particularly those caused by improper extraction or squeezing, there are several effective solutions to consider. These spots, often referred to as post-inflammatory hyperpigmentation (PIH), can be frustrating and may take time to fade. Here’s a comprehensive approach to addressing this issue:

1. Understanding Post-Inflammatory Hyperpigmentation (PIH)
PIH occurs when the skin produces excess melanin in response to inflammation, such as that caused by acne. This can result in dark spots that may resemble bruises or black moles. The severity and duration of PIH can vary based on skin type, the depth of the inflammation, and individual healing processes.


2. Topical Treatments
Several topical treatments can help reduce the appearance of these dark spots:
- Hydroquinone: This is a skin-lightening agent that can help fade dark spots. It’s available over-the-counter in lower concentrations or by prescription in higher concentrations. However, it should be used with caution and under the guidance of a dermatologist, as prolonged use can lead to further pigmentation issues.

- Retinoids: Topical retinoids (like tretinoin) promote cell turnover and can help fade dark spots over time. They also improve overall skin texture and prevent future acne breakouts.

- Vitamin C: This antioxidant helps brighten the skin and can reduce the appearance of dark spots. Look for serums with stable forms of Vitamin C for the best results.

- Alpha Hydroxy Acids (AHAs): Ingredients like glycolic acid help exfoliate the skin and can improve the appearance of dark spots by promoting new skin cell growth.

- Beta Hydroxy Acids (BHAs): Salicylic acid is particularly effective for acne-prone skin and can help with both acne and post-acne marks.


3. Professional Treatments
If topical treatments do not yield satisfactory results, consider professional options:
- Chemical Peels: These treatments involve applying a chemical solution to exfoliate the skin and promote new skin growth. They can effectively reduce the appearance of dark spots.

- Laser Therapy: Various laser treatments can target pigmentation and promote collagen production, helping to fade dark spots and improve skin texture.

- Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, promoting healing and collagen production, which can help reduce the appearance of scars and dark spots.


4. Sun Protection
Regardless of the treatment you choose, protecting your skin from the sun is crucial. UV exposure can worsen hyperpigmentation. Use a broad-spectrum sunscreen with at least SPF 30 daily, even on cloudy days, and reapply every two hours if you are outdoors.


5. Patience and Consistency
Treating PIH takes time. It can take several weeks to months to see significant improvement, depending on the treatment method and the individual’s skin type. Consistency is key, so stick to your skincare routine and be patient.


6. Consult a Dermatologist
If you’re unsure about which treatment to pursue or if the dark spots persist despite home treatments, it’s advisable to consult a dermatologist. They can assess your skin condition, recommend appropriate treatments, and ensure that you’re using products that are suitable for your skin type.


Conclusion
In summary, while blood spots from acne can be a source of concern, there are effective treatments available. From topical agents to professional procedures, a combination of approaches can help you achieve clearer skin. Remember to prioritize sun protection and consult with a dermatologist for personalized advice tailored to your skin’s needs.

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