PIH - Post-Inflammatory Hyperpigmentation Treatments
PIH, or post-inflammatory pigmentation, is a common result of acne. PIH is very common in ethnic, Asian, and dark skin types and takes about 5 years to resolve completely. Picoway is the best-suited laser to treat PIH effectively and cut down the recovery period by 90%.

Key Highlights:
- PIH or brown marks resulting from acne are categorised as grade-1 scars
- PIH is more common among dark skin tones
- Untreated pigmentation can take up to 5 years to resolve completely
- Pico lasers can provide faster results, in just about 2 or 3 sessions
- For long-lasting results, PIH prevention is essential
Our results speak for themselves






Acne scars - PIH at a Glance
- Best outcomes: 2-4 sessions
- Procedure time: 5-10 minutes
- Duration of results: Permanent
- Back to work: Immediately
- Recovery: 0-1 days
- Anaesthetic: Not required
- Your specialist: Dermatologist
- Cost: ₹ (Consultation required)
Effective management of PIH centers around eliminating the root cause of the pigmented inflammations. Once resolved, we use Picoway and Picosure pigment-specific lasers to clear out the pigmentation and restore normal skin colour.
Frequently Asked Questions
PIH scars are flat brown scars resulting from acne. The inflammations caused by acne stimulate pigment cells, known as melanocytes, to produce more melanin. As a result, the inflamed area becomes darker than the surrounding area.
Also known as grade one macular acne scars, PIH is very common in Asian, ethnic, and dark skin tones. Insect bites, trauma to the skin, burns, chemical peels, and lasers can also cause PIH.
Deep cysts tend to be multiple and measure 1-2 mm in diameter, becoming more noticeable when the skin is stretched.
Metaderm dermatologists treat PIH in a systematic manner. In our PIH chemical peel treatment, we will:
- Treat the root cause – acne, to reduce inflammation
- Prescribe pigment correctors to reduce the pigment output from the pigment cells
- Use lasers to treat excess pigmentation in the skin
- Ensure skin is protected from the sun
- Cure and place the inflammation’s cause in remission.
PicoWay laser is the best treatment for PIH. It can:
- Reduce the brown pigmentation in both upper and lower levels of the skin, thus resolving the dark spots quickly.
- Stimulate collagen production to correct low-volume loss in atrophic scars.
Consider the following before starting any PIH treatment services:
- Your acne should be fully under control for better outcomes.
- Your skin needs protection from the sun. Use a SPF 50+ sunscreen twice a day.
- You may need more than one treatment to get the best results possible
- You may require more sessions if your skin is on the darker side.
- Lasers are just a tool, and the right setting is essential for the best possible outcomes.
Pico laser treatment for PIH has no downtime. A full recovery may take just about an hour or two. Depending on the device and settings used, fractional laser treatment for PIH can have a downtime ranging from 1 to 3 days.