Think You Have Acne Scars? It May Be PIH Instead

Not all marks left behind after a breakout are true scars. In fact, many of the lingering spots people call "acne scars" are actually something else entirely: post-inflammatory hyperpigmentation, or PIH. At Radiance Skin Therapy, we’re here to help you understand what’s really happening and find the most effective treatments for PIH and scars at our Madison, WI practice.

Let’s start with a little skin science. True acne scars form when there’s damage deep in the skin that causes the body to replace normal tissue with collagen-rich scar tissue or when there is inflammation that leads to a hollow, indented impression. These are the indented (atrophic), raised (hypertrophic), or keloid scars that may require advanced treatments to improve.

PIH, on the other hand, is all about pigment. It's your skin's way of reacting to inflammation after a breakout, producing excess melanin that leaves behind flat, discolored spots ranging from pink to red, brown, or even purple. These aren't scars in the traditional sense—which is why experts often call them "pseudo scars."

Why does this matter? Because the best treatment path depends entirely on whether you’re dealing with a scar or pigment. PIH responds well to retinoid creams, chemical peels, microdermabrasion, and laser treatments designed to even out tone. Scars often require more targeted therapies to remodel the skin's texture and structure.

Here’s another reason to care: PIH fades over time, while scars tend to stick around without intervention. But that doesn’t mean you should wait it out. With the right treatments and expert guidance (that’s where we come in), you can fast-track your way to clearer, more even skin.

Don’t forget—everyone’s skin type is unique, and what works wonders for one person may not be right for another. That’s why we take a personalized approach at Radiance Skin Therapy. We evaluate your skin type, history, and goals before recommending a treatment plan.

Still not sure which you have? Come see us! Whether it’s a stubborn red mark or a sunken spot, our team at Radiance Skin Therapy can help decode what’s going on—and build a plan to get you glowing again with our treatments for hyperpigmentation and scars in Madison, WI. Call 608.240.0088 or message us to request a consultation.