{"id":4629,"date":"2023-05-05T07:00:24","date_gmt":"2023-05-05T06:00:24","guid":{"rendered":"https:\/\/www.skinandme.com\/the-dose\/?p=4629"},"modified":"2024-01-22T12:35:29","modified_gmt":"2024-01-22T12:35:29","slug":"ask-a-dermatologist-what-is-post-inflammatory-erythema","status":"publish","type":"post","link":"https:\/\/www.skinandme.com\/the-dose\/ask-a-dermatologist-what-is-post-inflammatory-erythema\/","title":{"rendered":"Ask A Dermatologist: What Is Post-Inflammatory Erythema?"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/www.skinandme.com\/the-dose\/wp-content\/uploads\/2023\/05\/PIE-resized-1-1024x682.jpg\" alt=\"\" class=\"wp-image-4641\"\/><\/figure>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p>Link to share article here:<\/p>\n\n\n\n<ul class=\"wp-block-social-links 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class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M21.8,8.001c0,0-0.195-1.378-0.795-1.985c-0.76-0.797-1.613-0.801-2.004-0.847c-2.799-0.202-6.997-0.202-6.997-0.202 h-0.009c0,0-4.198,0-6.997,0.202C4.608,5.216,3.756,5.22,2.995,6.016C2.395,6.623,2.2,8.001,2.2,8.001S2,9.62,2,11.238v1.517 c0,1.618,0.2,3.237,0.2,3.237s0.195,1.378,0.795,1.985c0.761,0.797,1.76,0.771,2.205,0.855c1.6,0.153,6.8,0.201,6.8,0.201 s4.203-0.006,7.001-0.209c0.391-0.047,1.243-0.051,2.004-0.847c0.6-0.607,0.795-1.985,0.795-1.985s0.2-1.618,0.2-3.237v-1.517 C22,9.62,21.8,8.001,21.8,8.001z M9.935,14.594l-0.001-5.62l5.404,2.82L9.935,14.594z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">YouTube<\/span><\/a><\/li><\/ul>\n<\/div><\/div>\n\n\n\n<h1 class=\"has-medium-font-size wp-block-heading\"><strong>Ask A Dermatologist:<strong> What Is Post-Inflammatory Erythema?<\/strong><\/strong><\/h1>\n\n\n\n<p>As if waiting for <a href=\"https:\/\/www.skinandme.com\/the-dose\/the-skin-and-me-guide-to-acne\/\" data-type=\"post\" data-id=\"467\">spots<\/a> to heal isn\u2019t bad enough, sometimes you\u2019re left with marks long after the pimples have left the building.<\/p>\n\n\n\n<p>But did you know that there\u2019s actually a medical term for the irritated (and irritating) patches that linger in the aftermath of <a href=\"https:\/\/www.skinandme.com\/the-dose\/the-skin-and-me-guide-to-acne\/\" data-type=\"post\" data-id=\"467\">acne<\/a>? It\u2019s known in dermatology circles as post-inflammatory erythema \u2013 or PIE for short.&nbsp;<\/p>\n\n\n\n<p>Despite its sweet name, this frustrating condition can be stubborn \u2013 but luckily there are several treatment options out there. Depending on the severity of your PIE, you can either choose to tackle it at home, using a dermatologist-approved skincare routine, or visit a clinic for a cosmetic treatment. Read on for our deep dive into all things PIE.&nbsp;<\/p>\n\n\n\n<h2 class=\"has-medium-font-size wp-block-heading\"><strong>What Is Post-Inflammatory Erythema?<\/strong><\/h2>\n\n\n\n<p>Post-inflammatory erythema (PIE) is the name for the pink or red marks left on the skin by acne. PIE is not a type of <a href=\"https:\/\/www.skinandme.com\/the-dose\/ask-a-dermatologist-how-to-heal-acne-scars\/\" data-type=\"post\" data-id=\"1163\">scarring<\/a> or <a href=\"https:\/\/www.skinandme.com\/the-dose\/hyperpigmentation-101\/\" data-type=\"post\" data-id=\"4467\">hyperpigmentation<\/a> \u2013 rather, it is left over by the irritation in a particular area of unhappy skin.&nbsp;<\/p>\n\n\n\n<p>PIE is more common in people with fairer skin types, while darker skin is more likely to experience post-inflammatory <a href=\"https:\/\/www.skinandme.com\/the-dose\/hyperpigmentation-101\/\" data-type=\"post\" data-id=\"4467\">hyperpigmentation<\/a>. This is when dark brown or grey spots occur due to an increase in melanin production.<\/p>\n\n\n\n<h2 class=\"has-medium-font-size wp-block-heading\"><strong>What Causes Post-Inflammatory Erythema?<\/strong><\/h2>\n\n\n\n<p>Post-inflammatory erythema is brought on by the swelling and trauma to the skin caused by spots. It usually occurs after a bout of moderate or severe acne.&nbsp; If your skin is on the oilier side, you\u2019re more likely to experience PIE.<\/p>\n\n\n\n<p>Blackheads and whiteheads, also known as comedonal acne, are less likely to cause PIE than papules and pustules, which are small red bumps that can feel tender. It can also be triggered by an excess of dead skin cells which linger in the skin follicles and cause irritation.<\/p>\n\n\n\n<h2 class=\"has-medium-font-size wp-block-heading\"><strong>How Can You Avoid Post-Inflammatory Erythema?<\/strong><\/h2>\n\n\n\n<p>Targeting the root cause of PIE should be your first port of call \u2013 this means treating your acne and getting it under control. Your GP or dermatology clinician should be able to advise the best course of action to treat spots.&nbsp;<\/p>\n\n\n\n<p>It\u2019s important that you avoid picking or squeezing your spots. As tempting as it can be, this can make&nbsp; PIE worse and prolong the healing process. Instead, take a deep breath and find something to distract you \u2013 we promise the damage is not worth the momentary feeling of satisfaction.&nbsp;Or, try using a spot patch to provide a physical barrier. <\/p>\n\n\n\n<p><a href=\"https:\/\/www.skinandme.com\/the-dose\/should-i-be-wearing-spf-every-day\/\" data-type=\"post\" data-id=\"656\">Sunscreen<\/a> is also non-negotiable. A high SPF like <a href=\"https:\/\/www.skinandme.com\/the-dose\/meet-skin-and-me-daily-defence-sunscreen-spf-50\/\" data-type=\"post\" data-id=\"4587\">Skin + Me Daily Defence Oil Free Sunscreen SPF50 <\/a>will protect your skin from sun damage, which can make any marks on your face appear more pronounced. It\u2019s also really important to use sunscreen if you\u2019re using powerful active ingredients, as they can make your skin more photosensitive, meaning it is sensitive to sunlight.&nbsp;<\/p>\n\n\n\n<p>And, make sure you\u2019re gentle with your skin. PIE is a sign that it has been irritated, so the last thing it needs is more stress. Stay away from harsh cleansers, exfoliants or scrubs, pat your face dry with a soft towel rather than rubbing and don\u2019t overload it with products.&nbsp;<\/p>\n\n\n\n<h2 class=\"has-medium-font-size wp-block-heading\"><strong>How Can You Treat Post-Inflammatory Erythema?<\/strong><\/h2>\n\n\n\n<p>There are several ways to treat post-inflammatory erythema, ranging from affordable at-home options to more expensive clinic treatments. How successful your treatment is will depend on the severity of your PIE and your skin type.&nbsp;<\/p>\n\n\n\n<p>When it comes to using active skincare ingredients, it\u2019s important to remember that they will take time to work. At Skin + Me, we tell members that they can expect to see some visible results after 90 days of using their personalised Daily Doser treatment. It\u2019s an ongoing process \u2013 the number one thing you can do is keep your routine consistent.<\/p>\n\n\n\n<p>And, when it comes to <a href=\"https:\/\/www.skinandme.com\/the-dose\/ask-a-dermatologist-combining-cosmetic-and-beauty-treatments-with-tretinoin\/\" data-type=\"post\" data-id=\"3265\">aesthetic treatments<\/a> in the salon, you will likely need multiple sessions and results can vary. Your cosmetic practitioner will advise you on the best plan for your skin\u2019s needs.&nbsp;<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/www.skinandme.com\/the-dose\/tretinoin-101\/\" data-type=\"post\" data-id=\"3530\">Tretinoin<\/a><\/strong><br>Tretinoin is a prescription-only ingredient that can tackle a range of skin concerns, including PIE. \u201cTretinoin belongs to a family of synthetic and naturally occurring compounds called retinoids that are all derived from Vitamin A,\u201d explains Dr Ben Esdaile, Consultant Dermatologist at Skin + Me.&nbsp;<\/p>\n\n\n\n<p>\u201cTretinoin works directly on the retinoic acid receptors found on your skin cells, making it the most powerful retinoid available. Tretinoin was first used in 1962 and has over 50 years of scientific evidence resulting from clinical use to support its efficacy.\u201d Just remember that retinoids are not safe to use during pregnancy.<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/www.skinandme.com\/the-dose\/ingredient-deep-dive-niacinamide\/\" data-type=\"post\" data-id=\"3754\">Niacinamide<\/a><br><\/strong>Niacinamide is another all-round hero ingredient that can be helpful if you\u2019re dealing with PIE. It\u2019s a form of Vitamin B3 that reduces skin discolouration and regulates oil production. Available on the high street, it\u2019s gentler than retinoids, so it\u2019s a good pick for sensitive skin, or if you\u2019re pregnant.&nbsp;<\/p>\n\n\n\n<p>\u201cNiacinamide is great at calming the skin and inflammation and I like using it in combination with the other products,\u201d says Dr Ben. \u201cWhen you start over the counter products make sure you are using them regularly and using them for at least a six to eight week period to establish if they make a difference.\u201d&nbsp;<\/p>\n\n\n\n<p>\u201cThe problem I often see is that people change their products too often and too quickly, but skin takes time to improve and you won\u2019t know if something is beneficial after only a few weeks.\u201d<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/www.skinandme.com\/the-dose\/ingredient-deep-dive-clindamycin\/\" data-type=\"post\" data-id=\"3243\">Clindamycin<\/a><br><\/strong>Your dermatologist might prescribe clindamycin if you\u2019re struggling with acne. This antibiotic stops the growth of acne-causing bacteria and promotes skin recovery, reducing the likelihood of PIE.&nbsp;<\/p>\n\n\n\n<p>\u201cTopical antibiotics such as clindamycin and erythromycin can be very useful for the treatment of the inflammatory component of your acne \u2013 this is the redness and the red spots that you are getting,\u201d says Dr Ben.&nbsp;<\/p>\n\n\n\n<p>Clindamycin should only be used under a doctor\u2019s supervision and for a limited period of time, to prevent antibiotic resistance. It is not recommended that you use clindamycin if you\u2019re pregnant or breastfeeding.<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/www.skinandme.com\/the-dose\/ingredient-deep-dive-metronidazole\/\" data-type=\"post\" data-id=\"1283\">Metronizadole<\/a><br><\/strong>Metronizadole is another antibiotic that targets the bacteria that cause acne. It can help to clear up your skin and reduce the likelihood of scarring. Metronidazole is only available on prescription, and as with clindamycin it shouldn\u2019t be used when pregnant or breastfeeding, or for a prolonged period.<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/www.skinandme.com\/the-dose\/ingredient-deep-dive-azelaic-acid\/\" data-type=\"post\" data-id=\"1236\">Azelaic Acid<br><\/a><\/strong>Azelaic acid is an antioxidant with anti-inflammatory and anti-bacterial properties. \u201cIt is a naturally occurring substance produced by yeast with a long list of benefits to the skin,\u201d says Dr Ben.&nbsp;<\/p>\n\n\n\n<p>\u201cIt is useful for acne-prone skin particularly those with sensitive skin who may struggle to tolerate retinoids. Azelaic acid acts as a chemical exfoliator by unblocking the pores that have become blocked in acne.\u201d&nbsp;<\/p>\n\n\n\n<p>\u201cIt penetrates down the blocked pore and helps break up the blockage as well as killing the bacteria that drives acne. Its anti-inflammatory properties make it extremely useful in helping reduce swelling and redness\u201d.<\/p>\n\n\n\n<p><strong>Laser treatment<br><\/strong>It\u2019s an expensive option, but lasers can be effective when topical treatments aren\u2019t enough. Your cosmetologist will use light therapy to target and remove the blood vessels which cause redness, essentially speeding up the healing process. Results from laser can vary, and you might need several sessions before you see an improvement in your PIE.<\/p>\n\n\n\n<p><strong>Microdermabrasion <br><\/strong>Again, microdermabrasion is one of the pricier options for treating PIE. This cosmetic procedure is carried out in-salon, and uses fine crystals and a vacuum to remove dead skin cells. Again, you might need to go back for more than one session for the best results \u2013 speak to your cosmetic specialist for all the information you need.<\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group has-background\" style=\"background-color:#f0f6fb\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group has-background\" style=\"background-color:#edf5f8\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group has-background\" style=\"background-color:#f0f6fb\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p><strong>New to Skin + Me? <\/strong>Get your first month of personalised skincare for \u00a34.99 with promo code DOSE \u2013 <a href=\"https:\/\/www.skinandme.com\/consultation\/sign-up\/create-account\">complete our quick consultation here<\/a>. <\/p>\n\n\n\n<p><strong>Looking for a routine refresh? <\/strong><a href=\"https:\/\/www.skinandme.com\/login?back=%2Faccount-summary%2Fmanage-upcoming-orders\">Add the Dream Routine to your Skin + Me subscription<\/a>. <\/p>\n\n\n\n<p><strong>In need of a restock? <\/strong>Head to <a href=\"https:\/\/www.skinandme.com\/shop\">The Skincare Shop<\/a> for one-off purchases of your Routine Essentials.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>What are those little red patches left behind by spots? We took a deep dive into post-inflammatory erythema &#8211; read on to find out more.<\/p>\n","protected":false},"author":179265348,"featured_media":4641,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1364,1394,1367,1,1366],"tags":[1374,1424,1467,1489,1678,2337,2369,2062,1963,2368,1382,1516,1362,1388,1414,1423],"class_list":["post-4629","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acne","category-ask-a-dermatologist","category-treatments","category-latest-articles","category-routine","tag-acne","tag-active-ingredients","tag-ask-a-dermatologist","tag-azelaic-acid","tag-clindamycin","tag-laser-therapy","tag-metronizadole","tag-microdermabrasion","tag-niacinamide","tag-post-inflammatory-erythema","tag-skin-me","tag-skin-goals","tag-skincare","tag-skincare-routine","tag-spots","tag-tretinoin"],"_links":{"self":[{"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/posts\/4629","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/users\/179265348"}],"replies":[{"embeddable":true,"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/comments?post=4629"}],"version-history":[{"count":9,"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/posts\/4629\/revisions"}],"predecessor-version":[{"id":4644,"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/posts\/4629\/revisions\/4644"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/media\/4641"}],"wp:attachment":[{"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/media?parent=4629"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/categories?post=4629"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.skinandme.com\/the-dose\/wp-json\/wp\/v2\/tags?post=4629"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}