The Kill the Bacterial and Cure the Acne Myth
Acne treatment for black skin is the same as that for white skin, with a few exceptions. Some treatments for acne scars may cause temporary lightening of dark skin. Very black or black face may be less well-moisturized than lighter face, so topicals like benzoyl peroxide that have a drying effect on the skin should be used under the supervision of a dermatologist.
Darker skin has a tendency to develop excessive skin darkening at places where the skin was inflamed. Severe inflammatory acne (cysts and nodules) may result in dark spots. The spots disappear over time; a dermatologist may be able to recommend cosmetic measures to make the spots less apparent until they resolve. Some acne treatments, such as topical retinoids and azelaic acid, may also help fade the discoloration.
Alterations of melanin (dark pigments that give the skin its color) pigmentation such as vitiligo and melasma are not related to acne, but they may be show simultaneously with acne. The diagnosis and treatment of melanin pigmentation disorders such as vitiligo requires a dermatologist with knowledge and experience in treating these conditions.
Many specialists feel that laser resurfacing is not meant for black face because it alters the color of skin too dramatically and unpredictably. Others believe that in the hands of a very experienced surgeon, people with darker skin tones can benefit.
How to Treat Acne for black skin.