The patient presented with post-inflammatory hyperpigmentation (PIH) affecting the lower face, cheeks, chin, and neck. Initial skin analysis identified uneven skin tone, dark spots, and sensitivity. The patient’s skin type was classified as Fitzpatrick V, requiring careful consideration for treatment intensity and sensitivity.

Over a 6 week period, the patient underwent a progressive treatment plan, including both in-office and at-home care. The protocol consisted of:
1.Chemical Peels (Jessner’s Peel):
A concentrated blend of lactic acid, salicylic acid, and resorcinol was applied in three sessions. The intensity was gradually increased with each session to address pigmentation effectively while minimizing sensitivity risks.
2.Barrier-Repair Skincare Regimen:
Hydrating and calming products were prescribed for daily use to support skin recovery and reduce sensitivity between peel sessions.
3.Broad-Spectrum Sunscreen:
Daily application of SPF 50 to prevent further pigmentation and protect the skin from UV damage.

Post-treatment evaluation after six weeks indicated the following improvements:

Reduction in post-inflammatory hyperpigmentation
Improvement in overall skin tone 
Boost in patient confidence: Patient reported feeling more comfortable with their skin appearance in social and professional settings.

The stepwise approach combining chemical peels tailored to the patient’s Fitzpatrick V skin type, barrier repair, and protective measures demonstrated significant results. While the patient experienced mild, transient sensitivity during the peeling process, careful monitoring ensured optimal outcomes. The treatment plan effectively addressed hyperpigmentation while fostering long-term skin health and improved self-esteem.