Anyone can suffer from acne, but for people with darker skins, there is a more significant chance that there will be post-acne dark spots.
Experts usually urge people with darker skin tones to never leave acne untreated as they are more likely to end up with scars and dark spots. And even go as far as suggesting that they speak to a dermatologist who will be able to assist with finding the best solution to treat the acne and the scarring and dark patches at the same time.
As many experts will tell you, prevention is better than cure – anticipate the outbreak and have a course of action worked out before the time. Although anyone is prone to acne, there is a major difference in how acne affects darker skin tones, says the Journal of Clinical and Aesthetic Dermatology.
With darker skin, inflammation occurs in lesions which are usually considered non-inflammatory. And when blemishes with inflammation clear, dark spots or patches known as post-inflammatory hyperpigmentation (PIH) remain. This occurs because inflammation triggers skin cells to produce more melanin which is the substance that determines skin colour.
Treating the acne and the dark spots
People seek help from dermatologists early for acne and dark spot treatment. The dark spots take longer to clear up. By clearing the acne speedily, half the battle is won in eliminating the cause of the dark spots.
The best time to treat the acne is when it is just starting before it worsens and goes from untreated moderate to severe acne with a higher risk profile for developing patches of darker skin and keloids, which are raised scars. To this end, don’t pop or squeeze pimples, as this will definitely cause scars.
The American Academy of Dermatology (AAD) reported that for darker skin, only use products that contain a retinoid and benzoyl peroxide to treat mild to moderate acne. It may mean buying different products, but it works best for darker skin tones.
The retinoid unclogs pores reduce inflammation, clears pimples, blackheads, whiteheads and prevents new rashes. Benzoyl peroxide removes the bacteria causing acne. It will not bleach the skin but will do damage to your clothing or bedding.
It is best to choose a product that contains 2.5% benzoyl peroxide as anything stronger may cause dryness, flaking and other skin irritation and may actually worsen the condition. Speak to a pharmacist if you are unsure of the chemical content of products.
Topical creams, gels, and lotions for Acne
Topical treatments can really help people who have mild to moderate acne, explain Medical News Today. Below are safe to use products that are available over the counter:
Benzoyl peroxide
Benzoyl peroxide reduces the number of blackheads and whiteheads causing bacteria. People who use benzoyl peroxide usually cite improvement only after six weeks.
The American Academy of Dermatology (AAD) ensures that although benzoyl peroxide can bleach clothing and bed linen, it cannot bleach the skin.
They suggest starting with a 2.5% benzoyl peroxide gel or cream to ensure the skin does not become dry or irritated. Wash the area, apply the product once or twice a day but use sparingly to prevent irritation.
Topical retinoids
Retinoids, such as adapalene 0.1%, remove dead cells from the skin’s surface, unclogging pores and hair follicles.
A survey in 2013 found retinoids to be effective, as well as safe for people of colour. These products can potentially reduce complications from acne, like hyperpigmentation.
But, retinoids are unsafe during pregnancy. Pregnant patients report experiencing irritation and stinging, and increased sensitivity to sunlight, MNT continues.
Antibiotics and other topical acids
Salicylic acid, which is the same class of drugs as aspirin (salicylates) increases the amount of moisture in the skin. It also dissolves the substance that causes the skin cells to clump, making it easier to shed skin cells. It may help unclog pores and prevent new breakouts, as the AAD report.
The British Association of Dermatologists also recommends azelaic acid and nicotinamide, also known as niacinamide. A review of these treatments in 2020 reported minimal evidence of effectiveness over benzoyl peroxide or retinoids.
Topical antibiotics can kill bacteria on the skin. Use them only for 6–8 weeks, to keep the bacteria from developing resistance to the treatment.
Change skin and hair care routines
Rule number one when it comes to skincare is; Don’t Touch Your Face after you’ve touched your hair. Haircare products are usually the cause of acne that appears on your forehead and temples, and this is known as pomade acne.
Hair oil may be the cause, and AAD suggests that you use hair oil only at the ends of your hair and the middle of your scalp. And to change your hair care products from oil-based to those that contain water or glycerine. At the same time, hats or caps need to be washed or dry-cleaned frequently to prevent a flare-up caused by oil, sweat or dirt.
When it comes to skincare products, avoid using heavy oil-based products that contain cocoa or shea butter on your face, neck and chest area as these may clog your pores which inevitably leads to acne. Switch to products that are labelled non-comedogenic” or which states that they won’t clog pores.
It is also better to use a “non-comedogenic mineral make-up rather than heavy, oily make-up to cover blemishes.
When it comes to cleansing your skin, gentle care with a mild non-pore clogging or non-comedogenic cleanser is preferred over the use of strong soaps and abrasive scrubbing. Use only the fingertips to wash and rinse the face and use a clean towel to pat dry the skin.
Further treatment for Acne
When it comes to all other skin therapy treatments, it is best to consult a dermatologist first. In expert hands, the alternative treatments can be successfully applied to treat darker skins. A dermatologist is also best suited to create a treatment plan tailored for your specific skin condition.
The Medical Society has trained medical professionals who can evaluate your condition and advise the best medical treatment that is right for YOU.
