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Post Inflammatory Hyperpigmentation vs. Post Inflammatory Erythema

Writer: Hayli WellsHayli Wells

Understanding PIH vs. PIE: What’s the Difference and How We Treat Them at Aeri Aesthetics

Skin discoloration can be a frustrating issue, especially when it lingers long after acne or other skin conditions have healed. Two common types of discoloration are Post-Inflammatory Hyperpigmentation (PIH) and Post-Inflammatory Erythema (PIE). While they may look similar, they’re different in cause, appearance, and treatment. At Aeri Aesthetics, I tailor treatments specifically to your skin's needs. Here’s what you need to know about PIH and PIE and how we address them.


What Is Post-Inflammatory Hyperpigmentation (PIH)?



PIH appears as dark brown, gray, or black spots on the skin and results from excess melanin production. It’s often triggered by inflammation, such as acne, cuts, or burns, and is more common in individuals with medium to deep skin tones.




Key Characteristics:

  • Appears as flat, dark spots.

  • Caused by overproduction of melanin.

  • Can be exacerbated by sun exposure.



What Is Post-Inflammatory Erythema (PIE)?



PIE presents as pink, red, or purple marks caused by damaged capillaries. It’s most common in lighter skin tones and is associated with inflammation that affects blood vessels rather than melanin production.




Key Characteristics:

  • Appears as reddish or purplish marks.

  • Results from damaged or dilated capillaries.

  • Can worsen with increased blood flow, such as during exercise or temperature changes.



How We Treat PIH at Aeri Aesthetics

The goal with PIH is to lighten the discoloration by targeting excess melanin and preventing further pigmentation.


Our Approach:


  1. Chemical Peels: Gentle exfoliation with treatments like the Lira Clinical Clarifying Treatment promotes cell turnover and fades dark spots.

  2. Jet Plasma Therapy: This advanced treatment reduces inflammation and encourages deeper healing to improve pigmentation issues.

  3. Skincare Products: We recommend brightening agents like Vitamin C, niacinamide, and alpha arbutin, alongside SPF to protect against further discoloration.

  4. Consistency: Regular treatments and a customized at-home routine ensure long-term results.


How We Treat PIE at Aeri Aesthetics

For PIE, the focus is on calming inflammation and strengthening capillaries to reduce redness.


Our Approach:


  1. Jet Plasma Therapy: This treatment reduces inflammation and stimulates collagen production, helping repair damaged blood vessels.

  2. Soothing Masks and Serums: Products containing ingredients like Centella Asiatica and licorice root extract work to calm redness and repair the skin barrier.

  3. LED Light Therapy: Red and amber light help heal damaged capillaries and minimize redness over time.

  4. Barrier Repair: Strengthening the skin’s barrier with hydrating and anti-inflammatory products prevents further irritation.


Why Professional Guidance Matters

Misinformation about skin discoloration is rampant. It’s easy to mistake PIH for PIE or vice versa, leading to ineffective treatments and frustration. At Aeri Aesthetics, I’ll assess your skin’s unique needs and design a treatment plan that targets the root cause of your discoloration.


Prevention Tips for PIH and PIE

  • Always wear sunscreen to prevent pigmentation from darkening.

  • Avoid picking at your skin to reduce inflammation and scarring.

  • Follow a personalized skincare routine to maintain results and prevent recurrence.


Let’s Restore Your Confidence

Whether you’re dealing with PIH or PIE, Aeri Aesthetics is here to help. With advanced treatments and personalized care, we can restore even-toned, radiant skin. Schedule a consultation today to start your journey to clearer, healthier skin!


 
 
 

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