Dear Doctor
Which chemical peel is best for acne scar on Indian skin?
Dear Patient
Your picture is not very clear and it seems that the main problem may be post-inflammatory hyperpigmentation (PIH) which are the dark marks which develop after acne heals rather than acne scars.
It is generally recommended when using chemical peels for PIH, acne scars and other conditions at home to begin with the mildest concentration.
For example you can use an AHAs (alpha hydroxy acids) peels like 30% glycolic acid. These are usually applied at home for around 8 months for the full benefits to be seen.
BHAs (beta hydroxy acids) peels like salicylic acid are especially good for acne-prone skin. You can begin with a 10% salicylic acid.
However, I do not recommend doing chemical peels at home before your skin is evaluated by a professional because you can develop more post-inflammatory hyperpigmentation and be left with darker marks on your face than the ones you are trying to clear.
Other side effects of chemical peels include redness, dryness and scaling of the skin.
Therefore before you venture and have your “acne scar chemical peel” at home, consult your nearest skin doctor and let them evaluate your skin lesions and possibly do the first ones for you.
In addition to this, ensure that you use a broad-spectrum sunscreen that protects your skin from UVA and UVB rays and that has a sun protection factor (SPF) of atleast 15 each day.
Another important point to remember is that you must keep your acne under control to avoid developing new breakouts that can lead to both acne scars and post inflammatory hyperpigmentation.
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