Posted August 07, 2025 in laser treatments face
Post-inflammatory hyperpigmentation (PIH) is one of the most common skin concerns we treat at Mountcastle Medical Spa & Laser Center. Whether it’s triggered by acne, laser treatments, or minor injuries, PIH can leave stubborn dark spots—especially on deeper skin tones.
The good news? With a medically backed and personalized plan, PIH is highly treatable.
Here’s our step-by-step approach to achieving clearer, more even-toned skin.
Step 1: Comprehensive Skin Assessment
Every treatment begins with a one-on-one consultation at our Ashburn med spa with one of our licensed providers—such as our award-winning aesthetic injectors or expert aestheticians.
We evaluate:
- Fitzpatrick skin type
- The source and depth of pigmentation
- Recent skincare products or treatments
- Whether inflammation is still present (active acne, eczema, etc.)
Book a complimentary skin analysis here.
Step 2: Prep the Skin with Medical-Grade Skincare
Before in-office treatments, we prime your skin using a customized skincare regimen. This allows the skin barrier to heal and prepares it to respond better to pigment correction.
Products we may recommend include:
- Brightening agents: hydroquinone, kojic acid, arbutin, and azelaic acid
- Retinoids: to promote cell turnover
- Antioxidants: like iS Clinical Pro-Heal Serum
- Broad-spectrum sunscreen: like Colorescience Face Shield SPF 50
Need guidance? Explore our curated skincare shop.
Step 3: In-Office Treatments to Fade PIH
We tailor your treatment plan based on your skin’s tone, sensitivity, and lifestyle. Some of the best options for PIH include:
Chemical Peels
We offer several options, including:
- The Perfect Derma™ Peel: A medium-depth peel safe for all skin types
- Mandelic or lactic acid peels for sensitive or darker skin tones
These peels work by gently exfoliating the top layers of skin and targeting melanocytes (the pigment-producing cells).
Microneedling with PRF or Brightening Serums
Microneedling triggers collagen production and allows for deeper penetration of targeted serums. At Mountcastle, we often enhance this with:
- PRF (Platelet-Rich Fibrin) to naturally speed up healing
- Brightening serums rich in tranexamic acid or vitamin C
Laser Treatments (For Select Skin Types)
- Clear + Brilliant®: A gentle resurfacing laser for mild hyperpigmentation
- BroadBand Light (BBL) (external link): Targets pigment safely and effectively
Laser treatments are selected with extreme care, especially for skin of color. Safety always comes first.
Step 4: Post-Treatment Aftercare & Sun Protection
After any in-office treatment, your skin will be more sensitive to UV exposure. Proper aftercare is essential to prevent rebound pigmentation.
We recommend:
- Daily use of mineral-based SPF 50, like Colorescience Total Protection
- No exfoliating or retinoids for at least 5–7 days
- Avoiding direct sun, including through car windows or overcast days
Pro tip: Wearing a wide-brimmed hat and using a tinted mineral sunscreen (external link) offers added protection for melanated skin.
Step 5: Maintenance & Results
Results begin to appear after 4–6 weeks of treatment and continue to improve with consistent skincare and maintenance. For long-term results, we may recommend:
- Quarterly chemical peels
- Monthly facials or gentle microneedling sessions
- Prescription pigment inhibitors when needed
Most patients see significant improvement in tone, clarity, and confidence.
Ready to Treat Your PIH?
If you’re struggling with dark spots or uneven skin tone, you’re not alone—and there is a solution.
The licensed professionals at Mountcastle Medical Spa & Laser Center in Ashburn, VA are here to help you achieve glowing, even skin in a safe and medically supervised environment.
Mountcastle Medical Spa & Laser Center
44095 Pipeline Plaza, Suite 270
Ashburn, VA 20147
Call/Text: 571-266-1776
Email: info@mountcastlemedspa.com
Book Online: Request Appointment