Hyperpigmentation Risk Checker

Does Topical Corticosteroids Cause Hyperpigmentation?

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

Risk level
HIGH risk

Prolonged or unsupervised use of topical corticosteroids can thin the skin, cause steroid-induced acne, and trigger rebound hyperpigmentation or hypopigmentation. They should only be used under medical guidance.

How it can affect pigmentation

  • Skin atrophy and barrier compromise
  • Steroid-induced acne and perioral dermatitis
  • Rebound hyperpigmentation or hypopigmentation

Usage advice

Topical steroids are prescription treatments, not cosmetic ingredients. If present in a cosmetic product, it is a red flag.

Recommendations

  • Use only under medical supervision and for the prescribed duration.
  • Do not use steroid-containing products as daily skincare.
  • Always use sun protection if your skin tends to hyperpigment; we recommend a zinc oxide sunscreen.

Sources

  • Topical corticosteroid-induced skin atrophy. Hengge UR, et al. J Am Acad Dermatol. 2006;54(1):1-15. link

Related ingredients

HydroquinoneBenzoyl Peroxide

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