Acne Skin of Color New York City

The risk of lightening the skin with acne treatments is very small. The pigmentation that is much more common and problematic is darkening of the skin. Racial differences do not affect the causes of acne, which are:

Excess oil production
Blocked or clogged pores
However, people with darker skin tones usually have more inflammation than those with lighter complexions. Even something that seems as minor as a clogged pore may have a lot of inflammation. And whenever there is inflammation in the skin, the pigment cells may become hyperactive, leading to a dark mark that may persist for months after the acne spot has gone away. This is why it is important to treat the acne early, and aggressively.

At the same time, it is important to pay attention to whether the acne treatment itself is causing irritation, because if it is, that may lead to patchy darkening of the skin. The treatments themselves are the same among all racial groups. These include topical medications (creams, lotion) like antibiotics, benzoyl peroxide, and retinoids (Retin-A, Differin), and oral medications ranging from antibiotics, to hormonal treatment, to Accutane. Darker skin types should avoid high concentrations of benzoyl peroxide, which can be quite irritating.

It is very important to remember sunblock. Many people with darker skin tones think they do not need sunblock. These people may have a lower risk of skin cancer, but don’t forget that the sun causes tanning, even in darker skin tones. So sun exposure will make any dark marks even darker.