According to the American Academy of Dermatology (AAD), acne is the most common skin condition among children and adults in the United States. Show Acne presents as various types of blemishes, or “pimples,” that break out on the skin. These lesions can range from mild to severely inflamed. Anyone can get scarring and hyperpigmentation from acne, regardless of their skin color. However, for Black people, scarring and hyperpigmentation may be more pronounced. In this article, we will discuss how acne affects Black people, treatment options, and the importance of finding acne care catered to dark skin. Acne is a skin condition characterized by inflammatory and noninflammatory skin lesions. Blackheads, whiteheads, papules, pustules, nodules, and cysts are all different types of acne lesions. There are many causes of acne, including hormones, hygiene, diet, and more. While acne affects any skin color, Black people are more susceptible to a condition called post-inflammatory hyperpigmentation. Hyperpigmentation happens when certain areas of the skin appear darker than others. Post-inflammatory hyperpigmentation occurs as a side effect of inflammatory skin conditions, such as acne. According to a 2018 study, there are significant differences in how acne affects skin of color. In this study, researchers found that people with dark skin were more likely to experience post-inflammatory hyperpigmentation after an acne breakout. Treatment for acne begins by visiting a healthcare professional who can review your symptoms and medical history to determine what kind of treatment you need. This can be your primary care doctor or a skin specialist called a dermatologist. For more severe acne cases, your primary doctor will likely refer you to a dermatologist. According to the AAD, seeking early treatment for acne is especially important for Black people and can help prevent complications from acne, like scarring and dark spots. Acne treatment is generally the same for all skin types. It typically includes topical, oral, or combination therapy, depending on the severity of the acne. However, some of these treatment options are also beneficial for fading acne scars on dark skin. Treatment options for acne in Black people include: Salicylic acidSalicylic acid is a popular acne treatment option because it chemically exfoliates the skin to keep the pores clear. Chemical exfoliation is an important treatment for acne in dark skin because it reduces the chance of acne lesions developing in the first place. Benzoyl peroxideBenzoyl peroxide is another common treatment for acne, especially when used in combination with other treatments for inflammatory acne. In addition to exfoliating the skin, benzoyl peroxide also kills the bacteria that can contribute to inflammatory acne and hyperpigmentation. Many people with dark skin wonder whether benzoyl peroxide will bleach or change the color of their skin. According to the AAD, this is a myth. Benzoyl peroxide will not cause light patches or change the color of skin. Retinol and retinoidsRetinoids are vitamin A derivatives that can be used as a treatment option for acne. They improve the overall health of the skin, thus reducing the appearance of scars and blemishes. Topical retinoids have been shown to reduce hyperpigmentation in people with skin of color who have acne. When combined with other acne treatment options, retinoids may be more effective at improving post-inflammatory hyperpigmentation. Retinol is commonly found in over-the-counter (OTC) products. Prescription-strength retinoids may be prescribed by a primary care doctor or dermatologist for more severe acne and scarring. Oral medicationsOral medications are often prescribed if topical treatments are not effective. These medications may be prescribed with other treatment options and include:
Other treatment optionsThere are other treatments that may also help reduce acne scarring, especially for Black people, including:
No matter what treatment options you choose, they should aim to treat the acne while also reducing the development of hyperpigmentation. Researchers have found potential disparities in care and treatment for Black people with acne. One 2020 study found that non-Hispanic Black people with acne are less likely to receive prescriptions for oral treatment for acne than non-Hispanic white people. A 2017 study found that Black people who have acne are less likely to visit a dermatologist for acne treatment. But researchers found that when Black people with acne were treated by a dermatologist, they were more likely to receive a variety of treatment options, including topical and oral antibiotics and isotretinoin. This study illustrates the importance of seeing a dermatologist for treatment of acne, especially for people with dark skin. The Skin of Color Society can be one resource for help finding a dermatologist with experience treating People of Color. How to find a healthcare professional with experience treating Black people with acne While chronic acne generally benefits from professional treatment, there are some things you can do at home to help reduce the risk or severity of a breakout:
Acne develops when the pores of the skin become clogged with oil, bacteria, or shed skin cells. Acne can also develop during periods of hormonal change or even because of ingrown hairs. According to the AAD, common causes of acne include:
From changing your skin care products to visiting with a dermatologist, here are some of the ways you can prevent acne breakouts:
Sometimes changes like maintaining a good skin care routine, limiting your exposure to oils, and other interventions aren’t enough to prevent acne breakouts. If these efforts don’t prevent an acne flare-up, visit a dermatologist as soon as possible to discuss your long-term treatment options. When acne causes post-inflammatory hyperpigmentation in dark skin, it can take anywhere from 6 to 12 months for the pigmentation to fade without treatment. Hyperpigmentation that runs deeper may take longer to heal. However, with treatment, post-inflammatory hyperpigmentation can be successfully treated. Treatment of the underlying acne is crucial in reducing the severity of hyperpigmentation. Generally, this type of treatment requires a visit to a dermatologist for prescription medications and other treatment options. The cost of a dermatologist visit varies depending on your location, the professional’s level of expertise, and whether you have insurance. The same applies to your treatment costs. As mentioned above, it can help to find a dermatologist who has experience with treating acne in people with dark skin. Choosing a specialist with experience in treating Black people can help assure you that you are receiving the best treatment options for your skin type. With the right treatment, you should notice relief from hyperpigmentation and other acne scarring within a matter of months. Acne can affect anyone of any skin type or color, but people with dark skin are at a higher risk of developing hyperpigmentation from acne. Generally, the best course of action to prevent acne scars on dark skin is to treat acne early. Wear sunscreen, keep the skin clean, and use OTC products when necessary. If at-home treatment isn’t enough, just be sure to seek out a dermatologist who has experience treating acne in Black people. How do African Americans get rid of acne scars?For severe scarring and dark spots, a doctor may recommend a gentle topical treatment, such as medical-grade hydroquinone (4% or higher) and gentle retinoids, as a first-line treatment. A doctor will advise a person on how long they can use hydroquinone, which is only safe to apply for short periods.
Do acne scars go away on black skin?At-Home Acne Scar Treatment for Black Skin
In most cases, dark spots will go away on their own with time, but you can speed up the process and improve the appearance of your skin.
How do you get rid of scars on African American skin?Seven ways to treat scarring on black skin. Chemical Peels. ... . Microneedling. ... . Platelet Rich Therapy. ... . Wrinkle Reducing Injection's & Dermal Fillers. ... . Light -based Therapy. ... . Silicone Gel and Sheets. ... . Topical.. How do you get rid of acne scars on dark skin naturally?Natural remedies. black seed oil, which may help even out skin pigmentation.. rosehip oil, which has helped reduce discoloration in postsurgical scars.. honey, which may help wound healing and reduce future scarring.. aloe vera, which, combined with manuka honey, may promote scar-free healing of wounds.. |