Does Benzoyl Peroxide Cause Hyperpigmentation?

Evidence-based guidance on benzoyl peroxide and its risk of triggering or worsening dark spots, melasma, and post-inflammatory hyperpigmentation.

Risk level
MODERATE risk

Benzoyl peroxide is effective for acne but can be drying, irritating, and bleaching to fabrics. The irritation it causes can worsen post-inflammatory hyperpigmentation, especially when overused.

How it can affect pigmentation

  • Oxidative irritation and dryness
  • Barrier disruption
  • PIH from acne treatment irritation

Usage advice

Use as a targeted acne treatment rather than an all-over product. Moisturize and use SPF daily.

Recommendations

  • Apply only to active blemishes at first.
  • Use a gentle moisturizer and daily SPF.
  • Avoid layering with strong acids or retinoids until tolerated.
  • Always use sun protection if your skin tends to hyperpigment; we recommend a zinc oxide sunscreen.

Sources

  • Benzoyl peroxide: a review of its mechanism of action. Bowe WP, et al. J Clin Aesthet Dermatol. 2012;5(5):32-40. link

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