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How to Treat Acne for Black Skin
Acne treatment for black skin is the same as that for white
skin, with some exceptions. Some treatments for acne scars may
cause temporary lightening of dark skin. Very dark or black skin
may be less well-moisturized than lighter skin, so topicals like
benzoyl peroxide that have a drying effect on the skin should be
used under the supervision of a dermatologist.
Darker skin has a tendency to develop excessive skin darkening
at places where the skin was inflamed. Severe inflammatory acne
(cysts and nodules) may result in dark spots. The spots disappear
over time; a dermatologist may be able to recommend cosmetic
measures to make the spots less apparent until they resolve. Some
acne treatments, such as topical retinoids and azelaic acid, may
also help fade the discoloration.
Alterations of melanin (dark pigments that give the skin its
color) pigmentation such as vitiligo and melasma are not related to
acne, but they may be present simultaneously with acne. The
diagnosis and treatment of melanin pigmentation disorders such as
vitiligo requires a dermatologist with knowledge and experience in
treating these conditions.
Many doctors feel that laser resurfacing isn't meant for dark
skin because it alters the color of skin too dramatically and
unpredictably. Others believe that in the hands of a very
experienced surgeon, people with darker skin tones can benefit.
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