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Home / Hyperpigmentation cream prescription treatment

Request a prescription for PIH or acne scars

Time  Response time: 1-2 working days

  • Care from board-certified dermatologists
  • Service available in all 50 U.S. states
  • Choice of generic or customized formulas
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treatment of hyperpigmentation online

Table of Content:
Tailored skincare options | Online dermatologists | What treatment can you get? | How to get treatment? | What is PIH? | Causes | Prevention | Clinically proven ingredients |FAQ


Dermatologist  Dr. Eric Howell
Medically reviewed by:
Dr. Eric Howell
Dermatologist

Why get PIH or acne scar treatment via Miiskin?

urgency details

Don’t settle. Get care from a board-certified dermatologist you choose.

price details

Consultations are $30 – $59 for returning and new patients.

prescription details

Select your preferred pharmacy without any restrictions.

topicals details

Seamless access to customized Foothills formulas if desired.

*The Miiskin-affiliated dermatologists are independent healthcare providers. Miiskin does not interfer with their practice of medicine.

Tailored skincare options

Every patient’s skin is different. Through Miiskin, board-certified dermatologists can prescribe a personalized Foothills formula with up to 5 active ingredients chosen to meet your individual needs.

Patients may consult their dermatologists about common skincare ingredients, which could be considered as part of their plan. If you are interested in a customized formula, just select Foothills as your preferred pharmacy.

No subscription commitments. You only pay when care and treatment are needed.

Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.

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hyperpigmentation in the skin

Meet your online dermatologist

You’re well cared for. Miiskin’s network of dermatologists has successfully treated more than 50,000 patients through telehealth, combining clinical excellence with convenience.

Dr. Anne Allen

Dr. Anne Allen

Online Dermatologist

Founder of Anne Allen MD

Dr. Allen provides expert virtual care for acne, hair loss, dark spots, anti-aging and pediatrics.

Prescribes custom formulas: Yes
Prescribes to Foothills Pharmacy: Yes

Medical licenses in the US:

Dr. Allen offers consultations to patients in 36 U.S. states.

Check licensed states

Choose dermatologist

Read bio

Dr. Trisha Khanna

Dr. Trisha Khanna

Online Dermatologist

Founder of TKMD Dermatology

Dr. Trisha Khanna treats acne, rosacea, eczema, psoriasis, hair loss, hyperpigmentation.

Prescribes custom formulas: Yes
Prescribes to Foothills pharmacy: Yes

Medical licenses in the US:

Dr. Trisha Khanna offers consultations to patients in 18 U.S. states

Check licensed states

Choose dermatologist

Read bio

Dr. Ryan Trowbridge

Dr. Ryan Trowbridge

Online Dermatologist

Founder of Bridge Dermatology

Dr. Ryan Trowbridge treats acne, hair loss, hyperpigmentation, and aging skin.

Prescribes custom formulas: Yes
Prescribes to Foothills pharmacy: Yes

Medical licenses in the US:

Dr. Ryan Trowbridge offers consultations in CA, CT, NY, TX, NE, IL.

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Read bio

Dr. Sarita Nori

Dr. Sarita Nori

Online Dermatologist

Founder of Nori Dermatology

Dr. Nori treats various skin conditions such as psoriasis, acne, eczema, rashes, and hair loss.

Prescribes custom formulas: Yes
Prescribes to Foothills pharmacy: Yes

Medical licenses in the US:

Dr. Sarita Nori offers consultations to patients in FL, CA, MA, TX, NH, CT, ME

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Read bio

Dr. Amit Om

Dr. Amit Om

Online Dermatologist

Founder of Om Dermatology

Dr. Amit Om specializes in hair loss, acne, cosmetic, and medical dermatology.

Prescribes custom formulas: Yes
Prescribes to Foothills pharmacy: Yes

Medical licenses in the US:

Dr. Amit Om offers consultations in NC, SC, FL, GA, IL, CT, TX, CA

Choose dermatologist

Read bio

Dr. Anna Chacon

Dr. Anna Chacon

Online Dermatologist

Founder of Anna Chacon MD

Dr. Chacon provides expert virtual care for acne, anti-aging, hyperpigmentation, hair loss and many other conditions.

Prescribes custom formulas: Yes
Prescribes to Foothills pharmacy: Yes

Medical licenses in the US:

Dr. Anna Chacon offers consultations in 50 U.S. states.

Choose dermatologist

Read bio

Dr. Eric Howell

Dr. Eric Howell

Online Dermatologist

Partner of Eastern Dermatology and Pathology

Dr. Howell provides expert care for acne, rosacea, anti-aging, and hair loss

Prescribes custom formulas: Yes
Prescribes to Foothills pharmacy: Yes

Medical licenses in the US:

Dr. Eric Howell offers consultations to patients in the state of North Carolina.

Start a consultation

Read bio

What creams can you get for post-inflammatory hyperpigmentation and acne scars?

An experienced dermatologist will work closely with you to offer the best dermatology care. This can include prescribing a topical cream or customized formula that is suitable for your condition.

Tretinoin (Retin-A / Altreno)

cream containing tretinoin
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Hydroquinone (Tri Luma)

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Azelaic acid

azelaic acid drug
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Tazarotene (Tazorac)

tazarotene medicine
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Tranexamic acid

tranexamic acid medicine
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Provider & Prescription Information

Miiskin connects patients with independent dermatologists who provide care through their private practices. Compounded prescriptions can be ordered via Miiskin and are dispensed by Foothills pharmacy. Standard medications can be issued for any local pharmacy.

How to get effective online treatment for hyperpigmentation and PIH?

Why choose Miiskin?
Miiskin works exclusively with board-certified dermatologists, and you can choose the provider you want to continue seeing for personalized hyperpigmentation and PIH treatment.

Where can I buy my PIH treatment cream?
Miiskin’s network dermatologists can prescribe to any pharmacy in the country, including Foothills compounding pharmacy to get a customized formula for PIH or acne scars. Simply select Foothills as your pharmacy to order directly through Miiskin.

How much does the consultation and treatment cost?
Your first consultation is around $59, and refill visits are around $39. Foothills customized formulas are  $48.99 – $58.99.

online hyperpigmentation treatment

What patients say about Miiskin

Very happy with this service. Quick and easy. With someone with not the greatest insurance and super busy. This was perfect. Got my prescription next day and great advice for my condition.

Marcus Liniarski,
Patient Review →

10 of 10stars

I had a great experience with Miiskin – I was able to get my prescription very quickly and their app is easy to use. It was very convenient and their team is very responsive. I highly recommend them and will likely use them in the future for other skin issues.

Susie Tse,
Patient Review →

10 of 10stars

What a technology! I was very impressed by the speed of communication with a doctor using the Miiskin app. Losing my hair has been my biggest concern, but I didn’t have the courage to reveal my bald spot to a doctor in person. Miiskin solved all my issues instantly. I just took a photo in my own room, uploaded it, and wrote about my concerns. That’s it. The best part is that without insurance, the consultation fee was much lower than any health insurance. I submitted my photo at midnight and received a prescription the very next morning. The doctor at Miiskin was very professional and empathetic, which really helped ease my emotional distress. Although I’m just at the beginning stage of my treatment and haven’t seen significant results yet, I feel reassured and supported. I will definitely upload my progress in 3 to 4 months to show my appreciation for the prescription from Miiskin.

Jiyeon Kang,
Patient Review →

10 of 10stars

My dermatologist was extremely quick, reviewed my consultation request within 2hrs and I had my Rx the next day! The Miiskin team also responds within minutes and are very polite and communicated concisely. I’ll never make a in person appointment again after experiencing this outstanding and affordable telehealth service!

Dion H,
Patient Review →

10 of 10stars

Quick response from the dermatologist — I wanted a fast turnaround for a skin concern that would be more immediate than going through health insurance, making an appointment, traveling to the doctor.

Timothy C.
Patient Review →

10 of 10stars

What is PIH?

Post-inflammatory hyperpigmentation (also known as PIH), is a type of darkening of the skin that appears after inflammation or injury. It happens when the skin produces excess melanin (pigment) in response to irritation—commonly after acne, eczema, bug bites, rashes, or skin trauma. PIH shows up as flat brown, tan, or dark spots and can take weeks to months to fade. Dermatologists often treat PIH with prescription creams, chemical exfoliants, and sun protection to improve discoloration and prevent it from worsening.

Causes of PIH

sunlight exposure

Burns

Including minor heat burns or sunburns, that trigger excess melanin production.

endocrine factors

Inflammatory conditions

Eczema, dermatitis, or other inflammatory skin conditions can cause PIH.

genetic characteristics

Genetics

Genetics can increase your skin’s tendency to develop PIH, especially in darker skin tones.

post-inflammatory hyperpigmentation

Acne breakouts

Deep or cystic pimples can cause inflammation and excess melanin production and lead to PIH.

drug-induced

Medication-induced

Certain medications can irritate the skin and cause inflammation or sun sensitivity, leading to PIH.

side effects from laser or other cosmetic surgery

Cosmetic procedures

Chemical peels, lasers, or waxing can irritate or inflame the skin, sometimes resulting in PIH.

How to prevent PIH?

Although you cannot fully prevent the development of hyperpigmentation on your skin you can do three things to reduce the chance of developing or worsening it.

post-inflammatory hyperpigmentation

Protect your skin from the sun

Wear protective clothing, and apply a broad-spectrum sunscreen (SPF 30 or higher), reapplying often when outdoors.

modify your technique of contraception

Keep your acne under control

Inflammatory acne commonly leads to PIH once it heals. Treating acne early can help prevent new dark marks from forming.  

ensure your acne remains manageable

Avoid picking or irritating your skin

Picking acne, scratching rashes, or irritating the skin through harsh skincare can increase inflammation and the risk of PIH.

hyperpigmentation statistics

Clinically proven ingredients

IncludedClinical trials show that 77% of patients applying Tri Luma were almost clear of pigmentation by week 82.



IncludedResearch shows that 72% of patients with melasma who used hydroquinone for 4 months saw an overall improvement3.



IncludedPatients using azelaic acid over a 24-week treatment period, showed that it significantly reduced the intensity of pigmentation4. 



Request a Prescription for Hyperpigmentation Cream in Three Simple Steps

  1. Start consultation to request your cream prescription for hyperpigmentation
  2. A dermatologist will create prescription treatment plan, if medically appropriate
  3. Go to the pharmacy to buy your treatment and wait for results
Start consultation
Buy prescription medicine
prescription for psoriasis

Process to getting a prescription for hyperpigmentation cream
Through Miiskin, you can connect with a dermatologist for an online consultation using photos. The dermatologist will evaluate your condition and, if appropriate, write you a prescription cream for hyperpigmentation treatment. You can then pick up the prescription at your preferred pharmacy.

Frequently asked questions about post-inflammatory hyperpigmentation treatment

Will my insurance cover the consultation fee?

No. Providers on the Miiskin platform charge as little as $59 for new patient consultations, with potentially lower rates for follow-up appointments, making them affordable even without insurance. Unfortunately, insurance coverage for online consultations remains limited in many areas. By paying the low consultation fee directly out of pocket, you can avoid complicated insurance paperwork and associated delays, resulting in a simpler and faster process.

What are the best medications for PIH?

  • Combination creams
  • Hydroquinone
  • Prescription retinoids
  • Azelaic acid
  • Vitamin C
  • Niacinamide
  • Chemical exfoliants (AHA/BHA)

 

Are customized formulas suitable for PIH?

Yes, customized formulas are often highly effective and safe for PIH, especially when they combine brightening agents, anti-inflammatory ingredients, and retinoids in a balanced way.

Is sunscreen important for PIH?

Absolutely. UV exposure darkens PIH and slows improvement. Daily broad-spectrum SPF 30–50 is essential to prevent further pigmentation.

How long does PIH treatment take to show improvement?

Most people start seeing results in 6–12 weeks, depending on severity, skin tone, and treatment consistency.

Should I use multiple brightening products at once?

You can combine some ingredients (e.g., niacinamide + vitamin C, azelaic acid + retinoids), but over-treating can irritate the skin and worsen PIH. It is best to consult a board-certified dermatologist who can prescribe a customized formula with up to five ingredients suitable for your specific concern. 

Does vitamin C help with hyperpigmentation?

Dr. Howell says that vitamin C helps with hyperpigmentation by inhibiting the enzyme tyrosinase, which is involved in melanin production. Its antioxidant properties also protect the skin from free radical damage and promote a brighter, more even skin tone. He recommends the regular use of vitamin C serums in the morning followed by sunscreen with SPF 50 to reduce dark spots and improve overall skin radiance.

Can exfoliation help with PIH?

Yes—gentle chemical exfoliants like glycolic acid, lactic acid, or salicylic acid can speed up cell turnover. Avoid harsh scrubs, which may worsen pigmentation.

What ingredients should I avoid if I have PIH?

Avoid anything that causes irritation or inflammation, such as harsh scrubs, overly strong acids, or picking/squeezing acne. Irritation can lead to more PIH.

Does tretinoin help hyperpigmentation?

Dr. Howell says that tretinoin helps with hyperpigmentation to some extent by promoting cell turnover and increasing the shedding of pigmented skin cells. However, if you want to obtain more dramatic results you should use tretinoin and hydroquinone together.

How long does it take for hydroquinone to work on hyperpigmentation?

Hydroquinone typically takes 4-6 weeks to show noticeable improvements in hyperpigmentation, with more significant results visible after 2-3 months of consistent use. Continued application and strict sun protection are essential for achieving the best results and preventing new pigmentation from forming. Unlike tretinoin, hydroquinone should not be used indefinitely and the exact duration of treatment is something that can be discussed during your consultation.

Does hydroquinone remove pigmentation permanently?

According to Dr. Howell, hydroquinone can significantly lighten or remove pigmentation, but it may not be permanent. Continued sun exposure or other triggers can lead to new hyperpigmentation. Maintenance treatment and constant use of sunscreen are necessary to sustain the results and prevent recurrence of dark spots.

When should I see a dermatologist?

If PIH is severe, persistent, spreading, or affecting confidence—or if you’re unsure which treatments are safe for your skin type—a dermatologist can provide tailored guidance and prescription options.

EXPLORE ARTICLES

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References:
1https://www.webmd.com/skin-problems-and-treatments/freckles-skin-spots
2https://pubmed.ncbi.nlm.nih.gov/16901182/
3https://pubmed.ncbi.nlm.nih.gov/12709008/
4https://www.sciencedirect.com/science/article/abs/pii/S0149291898800763

Teledermatology Clinic Online Request a prescription for PIH!
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Miiskin is an online dermatology consultations platform that connects patients with independent dermatologists.

All consultations are provided by independent online dermatologists on a cash-pay-only basis. Miiskin does not practice medicine or pharmacy. Prescriptions, if medically appropriate, are sent to third-party pharmacies, which are paid directly for any medication. Medication images on the website are for illustrative purposes only and images of people are not actual patients. Medical information on miiskin.com is for informational purposes and not medical advice. Consult a healthcare provider for any concerns.

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