Acne Treatment Tips for African American Skin

Choose Treatments Carefully

It may seem that brown or black skin would be less sensitive than lighter skin but this isn't the case at all. Dark skin is just as prone to irritation from acne medications, such as excessive dryness. Retinoids, including Retin-A (tretinoin topical), Differin (adapalene), and Tazorac (tazarotene) are considered good choices for darker skin tones because they treat pigmentation problems while clearing breakouts.

Watch for Changes in Skin Color

A pimple that would heal completely in someone with light skin often will leave behind a dark blemish on someone with a darker complexion. Some acne treatments and procedures also can lead to darkening or lighting (hypopigmentation) of the skin, such as chemical peels, laser treatments, and microdermabrasion. If you're thinking about going to a salon for a facial treatment, clear it with your dermatologist first. And then make sure the esthetician or skin therapist has experience treating skin of color; don't be afraid to ask.

Don't Delay Dealing with Breakouts

Make an appointment to see a dermatologist even if you have a mild acne breakout (or any sort of skin problem, such as rosacea). This is the best way to prevent pigmentation problems. In fact, states the AAD, studies support the importance of treating acne when it's just beginning. If a breakout is allowed to become moderate to severe, someone with dark skin is at an increased risk of winding up not only with dark spots or patches, but also a type of raised scar called a keloid.

Be Proactive

As with most health problems, doing all you can to prevent a bout of acne is preferable than waiting for a breakout and then trying to treat it. Here are some tips from the AAD for keeping breakouts at bay geared toward people with dark skin:

• If you tend to get pimples on your forehead or temples and you use a hair care product that contains oil, apply it only to the middle of your scalp and the ends of your hair, or try switching to one that's made with glycerin or water. If you regularly wear a cap or hat, clean it often to prevent sweat, dirt, and oil from building up on your skin.
• Don't use skincare products that can clog your skin. Steer clear of oil-based ones containing cocoa butter or shea butter, for example, and instead opt for those labeled "non-comedogenic" or "won't clog pores." 
• Use a mineral-based or non-comedogenic makeup to cover up blemishes.
• Show your face some TLC when you wash it. Use a mild cleanser, apply it gently with your fingertips, and after you rinse, pat—don't rub—your skin dry with a clean towel.