Treating Post-Inflammatory Hyperpigmentation After a Burn Injury – Katy & Houston, Texas
Village Dermatology recently evaluated a 41-year-old female patient who presented with a persistent rash and discoloration on her left leg. The area had been affected for several months following a burn injury from hot water. The patient sought care for both the cosmetic appearance and long-term skin health.
Clinical Presentation
On examination, the affected area displayed post-inflammatory hyperpigmentation (PIH) — darkened pigmentation caused by increased melanin production in response to skin injury. This type of pigmentation can be stubborn, often lasting months to years without treatment.
The patient’s medical history was otherwise unremarkable, and she had no prior dermatologic treatment for the condition. A dermatoscope was used during the evaluation to assess skin texture, pigmentation depth, and vascular involvement.
Diagnosis
Post-Inflammatory Hyperpigmentation (L81.0) – localized to the left leg, secondary to thermal burn injury.
Treatment Plan
The primary goals were to reduce pigment visibility, prevent further darkening, and promote even skin tone. The patient was counseled extensively on:
Sun Protection – Daily use of broad-spectrum SPF 30+ sunscreen and protective clothing to prevent UV-induced worsening of pigmentation.
Topical Tretinoin 0.05% Cream – Applied nightly to accelerate skin cell turnover, fade pigmentation, and improve overall skin texture.
Consideration for VBEAM Laser Therapy – As a potential future option to target both vascular and pigment components for faster clearance.
General Skin Care – Avoiding trauma or irritation to the affected area to prevent further pigmentation changes.
Prognosis & Patient Education
The patient was informed that while PIH often improves with time, consistent treatment and sun protection can significantly speed up results. Resolution may take several months, and some cases require combined topical and procedural approaches.
The patient elected to start topical tretinoin immediately and will return for reassessment and possible VBEAM laser consultation.
Key Takeaways for Patients in Katy & Houston, Texas
Post-inflammatory hyperpigmentation is common after skin injury and can occur in any skin type.
Early intervention matters — topical treatments, sun protection, and advanced lasers like VBEAM can speed improvement.
Dermatologist evaluation is important to rule out other causes of pigmentation and to personalize treatment.
If you’re experiencing persistent dark spots or discoloration after an injury or rash, Village Dermatology in Katy and Houston, Texas can provide tailored treatment options to restore an even skin tone.
