Serenity Rejuvenation Center

Post-Inflammatory Hyperpigmentation (PIH) Treatment in Seattle

Fade Dark Marks from Acne and Inflammation Safely with PicoSure® Laser at Serenity Rejuvenation Center

Even after acne clears, many Seattle patients are left with stubborn dark spots that linger for months or even years. These marks, known as Post-Inflammatory Hyperpigmentation (PIH), can be just as frustrating as breakouts themselves.

At Serenity Rejuvenation Center, Dr. Stephen O’Connell offers a powerful yet gentle solution: PicoSure® laser treatment. Unlike harsh peels or heat-based lasers, PicoSure uses rapid light energy pulses to break up pigment particles without damaging the skin making it safe and effective for all skin types, including darker complexions.

Book your free consultation today to learn how PicoSure laser treatment in Seattle can help you achieve clearer, more even-toned skin with confidence.

Dual What Is Post-Inflammatory Hyperpigmentation (PIH)?

Post-Inflammatory Hyperpigmentation (PIH) occurs when the skin overproduces melanin, the pigment responsible for skin color after inflammation or injury.

When acne, cuts, rashes, or burns heal, the body’s inflammatory response sometimes triggers melanocytes to release excess pigment, leaving behind dark spots that can persist long after the wound disappears.

PIH vs. Acne Scars

It’s easy to confuse PIH with acne scars, but they’re different:

PIH

Dark brown, red, or grayish spots left after inflammation. The skin texture remains smooth.

Acne Scars

Indentations or raised areas where tissue has been lost or thickened.
post inflammatory hyperpigmentation treatment in seattle
Because PIH affects pigment rather than structure, it responds extremely well to laser treatments especially with PicoSure, which targets pigment molecules directly.

Dual Common Causes of PIH

PIH can result from any type of skin trauma or inflammation. The most common causes include:
common causes of pih

Acne Breakouts

The leading cause of PIH, particularly for teens and adults with oily or combination skin.

Skin Injuries

Cuts, burns, or scratches can trigger pigmentation as the skin heals.

Eczema or Psoriasis

Chronic inflammation can leave residual dark patches.

Improper Extractions

Popping pimples or picking at scabs increases the risk of PIH.

Cosmetic Procedures

Aggressive peels, waxing, or laser treatments can trigger PIH if not properly managed.

At Serenity Rejuvenation Center, we specialize in identifying the underlying cause of your pigmentation and tailoring a safe, effective plan for long-term results.

Dual PicoSure®: The Ultimate Solution for PIH

Traditional pigmentation treatments often rely on heat-based lasers or chemical exfoliation, which can worsen inflammation and lead to rebound hyperpigmentation especially in medium to deep skin tones.

The PicoSure laser is different. It uses ultra-short picosecond pulses of energy to shatter pigment particles beneath the skin without generating heat. This photoacoustic effect breaks down pigment into microscopic fragments that the body naturally eliminates, leaving skin brighter and more even-toned.

picosure the ultimate solution for pih

Why PicoSure is Ideal for PIH

Safe for All Skin Types (I–VI)

including darker tones prone to pigmentation.

No Heat Damage

reduces risk of rebound hyperpigmentation.

Minimal Downtime

most patients return to normal activities the same day.

Collagen Boosting

stimulates renewal for smoother, healthier skin.

Clinically Proven Results

FDA-cleared for benign pigmented lesions and rejuvenation.

Dr. Stephen O’Connell uses customized PicoSure settings to gently target pigment while preserving your skin barrier, a critical advantage over older lasers or IPL.

Dual PicoSure for Darker Skin: Safe and Effective

beautiful young woman with cityscape in background
Many laser treatments can cause burns or post-treatment darkening in deeper skin tones (Fitzpatrick IV–VI), but PicoSure’s non-thermal mechanism avoids this risk.

At Serenity Rejuvenation Center, Dr. O’Connell carefully adjusts treatment parameters to ensure pigment removal without triggering new melanin production. That’s why patients from Seattle, Bellevue, Redmond, and Edmonds with all complexions trust PicoSure for their PIH treatment.

Dual Combining PicoSure with Topical Skincare

While PicoSure delivers dramatic improvements, combining it with medical-grade topical skincare can enhance and maintain your results.
the pih treatment process

Dr. O’Connell may recommend:

Hydroquinone alternatives like tranexamic acid or niacinamide to suppress pigment.

Retinoids to accelerate cell turnover.

Vitamin C serums for antioxidant protection and brightening.

SPF 50+ daily sunscreen to prevent recurrence.

This integrated approach helps achieve a balanced, long-lasting glow without irritation.

Dual The PIH Treatment Process

Your experience at Serenity Rejuvenation Center is designed to be gentle, precise, and personalized.

Consultation

Dr. O’Connell conducts a full skin evaluation, identifies pigment depth, and determines your unique triggers such as acne, hormones, or past inflammation. Together, you’ll create a custom treatment plan.

PicoSure Treatment Session

During the 15–30 minute session, the PicoSure handpiece delivers picosecond pulses to targeted areas. The sensation feels like a series of light snaps well tolerated without anesthesia.

Post-Treatment Care

After the session, you may notice mild redness that fades within hours. You’ll receive personalized aftercare instructions focused on:

  • Hydration
  • Sun avoidance

Use of gentle, non-exfoliating products

Results Timeline

Most patients notice fading of dark marks after just one session, with continued improvement after 3–5 treatments spaced four weeks apart.
Because PicoSure stimulates collagen, your skin continues to improve in texture and tone long after your last visit.

the picosure melasma treatment process

Dual Results You Can See

Seattle Tattoo Removal Work Before After Serenity Rejuvenation Center
Seattle Tattoo Removal Work Before After Serenity Rejuvenation Center
TattooRemoval Dr. OConnell Case x
TattooRemoval Dr. OConnell Case x
TattooRemoval Dr. OConnell Case x
TattooRemoval Dr. OConnell Case x

These results highlight how PicoSure clears post-acne pigmentation safely, even in patients who had no success with peels or IPL.

Dual Why Choose Serenity Rejuvenation Center for PIH Treatment

Seattle patients choose Serenity Rejuvenation Center because of our unmatched experience and safety standards.
Serenity Rejuvenation Front Lobby

Expertise You Can Trust

Dr. Stephen O’Connell has extensive training in aesthetic laser technology and has helped countless patients overcome acne-related discoloration and inflammation-related pigmentation.

Safe for All Skin Tones

Unlike many clinics that limit laser use to lighter skin types, we specialize in treating diverse complexions with PicoSure making it ideal for Seattle’s multiethnic community.

Personalized Care

We develop individualized plans that address both pigment and inflammation triggers, combining laser therapy, skincare, and sun protection.

Proven Results

Patients throughout Seattle, Bellevue, and Redmond consistently report visible improvements after just a few sessions.

Dual FAQs About PIH and PicoSure Treatment

Can PicoSure remove acne dark spots permanently?
Yes. Once treated, the existing pigment fades permanently. However, new PIH can form if future acne or inflammation occurs.
How soon will I see results?
Most patients notice improvement after one treatment, with continued fading over 3–5 sessions.
Is it safe for darker skin tones?
Absolutely. PicoSure is one of the few lasers proven safe for all Fitzpatrick skin types due to its non-thermal mechanism.
Does the treatment hurt?
Most patients describe it as a mild, tingling sensation comfortable without anesthesia.
Can PicoSure be combined with acne treatments?
Yes, PicoSure can complement acne management regimens, helping fade marks while maintaining clear skin.

Your Clear Skin Journey Starts Here

Stop hiding behind concealers and filters and let your natural complexion shine. At Serenity Rejuvenation Center, Dr. Stephen O’Connell provides PicoSure laser PIH treatments designed to safely fade dark spots and restore healthy, glowing skin for patients across Seattle, Bellevue, Redmond, and Edmonds.

📞 Call 425-644-5560 or Book Online today to schedule your free consultation.

book nowSchedule Your Consult Today

Dr. Stephen O’Connell has been practicing medicine since 2004. He founded Serenity Rejuvenation Center in 2010, from a vantage point steeped in academic excellence where the science of medicine, the experience of learning, and the art of caring inspired the creation of a concierge medical practice dedicated to aspiring individuals to strive for the best version of themselves in (form, function, and self-concept).