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Treating Adult Cystic Acne & Melasma in South Asian Skin Types

Dr. Zainab Tariq, Consultant Dermatologist6 min read630 views
Treating Adult Cystic Acne & Melasma in South Asian Skin Types
Dermatology · Reviewed by Dr. Zainab Tariq, Consultant Dermatologist

Why South Asian skin (Fitzpatrick types III-V) is prone to stubborn post-inflammatory hyperpigmentation, and how clinical dermatological treatments provide permanent relief.

South Asian skin contains abundant melanocytes that react vigorously to inflammation, making acne blemishes leave dark stubborn spots (PIH) that persist for months. ### Effective Clinical Approaches - **Targeted Topical Actives:** Azelaic acid, niacinamide, and prescription retinoids under medical guidance. - **Gentle Chemical Peels:** Low-percentage Mandelic or Glycolic peels tailored to avoid triggering hyperpigmentation. - **Broad-Spectrum Sun Protection:** Daily mineral sunscreen with SPF 50+ is mandatory even when staying indoors near sunny windows. - Avoid harsh over-the-counter bleaching creams containing unchecked mercury or potent steroids that cause irreversible skin thinning.

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