Hello.....
Based on the image and duration you shared, these localized dark spots on your cheek appear to be Post-Inflammatory Hyperpigmentation (PIH).
PIH occurs when the skin produces excess melanin in response to prior inflammation. Since this has been persistent for 2–3 weeks, it is crucial to protect the skin barrier while we work on clearing the pigment from the epidermal and dermal layers.
Essential Do’s and Don’ts for now:
Strict Sun Protection: UV exposure oxidizes melanin and makes these marks deeper and darker. Apply a broad-spectrum, non-comedogenic sunscreen (SPF 30 or higher) every morning, even when indoors.
Avoid Friction & Picking: Do not rub, scratch, or scrub the spots. Strictly avoid unverified home remedies (such as raw lemon juice, garlic, baking soda, or harsh scrubs), as they can irritate the skin and worsen pigmentation.
Keep It Gentle: Use a mild cleanser and keep the area lightly moisturized.
Next Course of Action:
To completely clear this pigment from the epidermal and dermal layers without causing rebound hyperpigmentation, a customized clinical approach is required. However, before deciding on the appropriate treatment plan, I need a detailed history:
How did these spots start? (Was it an acne bump, an ingrown hair, a cut, or a shaving burn?)
Prior Applications: Have you applied any over-the-counter creams, medicated ointments, or home remedies over the last 2–3 weeks? Please share the names or details.
Clear Photos: Clear, well-lit close-up photos of the affected cheek under natural lighting.
Based on these specific details, I will be able to determine the exact depth of the pigmentation and safely plan your targeted treatment.
Please feel free to book an online consultation and share these details so we can proceed with your case.
Warm regards,
Dr. Hetal Pathak
MD (Naturopathy), PGDCC (Clinical Cosmetology), C. Derm. (UK)
Answered2026-11-09 11:52:55
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