Skin health guide · RDG Clinic

Post-inflammatory pigmentation treatment in Riga

Post-inflammatory pigmentation is not a scar, but treatment begins by identifying ongoing inflammation and confirming the mark is pigment. Aggressive procedures can darken it.

Educational illustration of flat post-inflammatory pigment marks and pigment accumulation in the epidermis

Post-inflammatory hyperpigmentation

Pigment remains after inflammation settles

Inflammation stimulates melanin production and transfer. Acne, dermatitis, bites, scratches, burns, or procedures can leave a flat brown or grey mark. It is more common and persistent in darker skin types, and ultraviolet and visible light intensify it.

Post-inflammatory redness, melasma, lentigines, and individual skin lesions may look similar. If acne or dermatitis remains active, new marks continue despite lightening treatment. The active disease is therefore controlled first and further irritation avoided.

Common signs

  • A flat mark at a site of previous inflammation
  • Brown, grey, or darker than surrounding skin
  • No depression or elevation like a scar
  • Becomes more visible after sun exposure

When to see a dermatologist

When to see a dermatologist

  • The mark is new, one-sided, changing, or unrelated to inflammation
  • Active disease continues or skin is very sensitive
  • Non-prescription products cause irritation
  • You want a procedure and need worsening risk assessed

Accurate diagnosis

How assessment works

The dermatologist reviews onset, preceding inflammation, surface, and pigment pattern, using dermoscopy when appropriate. Pigment is distinguished from scarring, vascular redness, melasma, and a suspicious lesion. An atypical mark may need biopsy rather than a cosmetic procedure.

An individual plan

Treatment approach

The safest plan combines inflammation control, daily light protection, and gradual pigment treatment that does not damage the skin barrier.

Control of the underlying condition

Acne, eczema, or other inflammation is treated to prevent new marks.

Light protection

Broad-spectrum SPF and physical protection reduce darkening; tinted SPF may help darker skin types.

Topicals and procedures

Pigment-reducing agents are introduced gradually; peels, laser, or light are reserved for selected cases.

Long-term control

What to expect

Superficial marks may fade over months and deeper pigment takes longer. Irritation, picking, scrubs, and overly intense procedures can create new pigmentation. The goal is even, gradual progress and control of active disease rather than aggressive rapid bleaching.

This information does not replace medical consultation. Seek urgent medical care for sudden, severe, or rapidly progressive symptoms.

Dermatologists

Frequently asked questions

Is it a scar?

No. It is a flat colour change, while a scar also changes skin texture.

How quickly does it fade?

Often over several months, depending on depth, skin type, light exposure, and new inflammation.

Does laser always help?

No. An unsuitable device or settings can worsen pigment, so diagnosis comes first.

Treatment starts with an accurate diagnosis

After assessment, the dermatologist will explain the appropriate plan and costs. There is no single fixed treatment price because it depends on the diagnosis and therapy required.

Book a dermatologist consultation