By: Danielle LeBlond LE, CLT
Skin concerns like dark spots and red marks can be frustrating, but understanding the differences between Post-Inflammatory Hyperpigmentation (PIH) and Post-Inflammatory Erythema (PIE) can help you choose the right treatments. Let’s dive into what these conditions are and how you can address them.

Post-Inflammatory Hyperpigmentation (PIH):
PIH occurs when the skin responds to inflammation or injury by producing excess melanin, leading to darker spots or patches. This often happens after acne breakouts, cuts, burns, or aggressive skincare treatments.
Treatment Options for PIH:
- Topical Treatments: Mikel Kristi Vital A and Vital C serums and Skin Medica Even and Correct serum and dark spot corrector. These products can help fade pigmented spots by reducing melanin production and promoting cell turnover.
- Chemical Peels: Such as our Cosmelan peel, Vi peel or Skin Medica peel are exfoliating treatments can help improve the appearance of PIH by removing the top layer of skin and encouraging new, even-toned skin to emerge.
- Laser Treatments: Certain laser treatments like our most popular Halo Laser can target melanin, breaking down dark pigments and encouraging their removal.
- Microneedling: This treatment involves the use of tiny needles creating controlled micro- injuries in the skin, stimulating collagen production and aiding in the fading of spots.
- Sun Protection: Wearing sunscreen daily is essential to prevent further darkening of existing spots and to protect your skin from UV damage.
Post-Inflammatory Erythema (PIE):
PIE manifests as red or purplish marks caused by damaged blood vessels due to inflammation. These marks often result from acne, injuries, or inflammatory skin conditions.
- Laser or Light-Based Treatments like ( BBL) BroadBandLight treats blood vessels, reducing redness and promotes healing.
- Topical Treatments: Some serums which included our Mikel Kristi Bio Peptide Serum promote healing and creams with anti-inflammatory ingredients like Mikel Kristi’s Calendula Moisturizer can help calm the skin and reduce redness.
- Camouflaging Makeup: Using makeup to conceal red marks temporarily can help improve your appearance while waiting for them to heal.


Both Post-Inflammatory Hyperpigmentation (PIH) and Post-Inflammatory Erythema (PIE) are common skin concerns, but they have different underlying causes and require distinct treatment approaches. Whether you’re dealing with dark spots or red marks, consulting a skincare professional is always a good idea. We can help you determine the best treatment plan tailored to your specific skin type and condition, helping you achieve the clear and radiant complexion you deserve. Remember, consistency and patience are key when it comes to improving these conditions.
Come in for a complementary consultation to learn more!