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    The Daily Skinny Post-Acne Marks

    Post-Inflammatory Erythema: The Red Marks Acne Leaves Behind

    26 May 2026 10 min read 254 views 0
    Portrait of a Black woman with a flower behind her ear
    Photo by Divine Effiong on Unsplash

    PIE is flat vascular redness left after inflammation, distinct from pigment-based PIH, and needs calming, not brightening, treatment.

    Key takeaways

    • PIE is caused by dilated surface blood vessels, not excess pigment like PIH.
    • The blanch test — pressing a mark to see if it pales — helps tell PIE and PIH apart at home.
    • Pigment-fading products do little for PIE; calming, barrier-focused care works better.
    • Stubborn PIE responds best to professional vascular laser treatment like pulsed dye laser.

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