Keke Palmer has been open about both sides of breakouts. In a 2024 NewBeauty interview tied to a skin care launch she was part of, she said she has dealt with acne since she was about 12, and that even when it clears, “there’s always going to be some dark spots.” Her approach is to manage the acne and the discoloration together.
That is the right instinct, and it starts with one question: is what you are looking at a mark or a scar? They are treated very differently, and a lot of people spend money on scar treatments for spots that would fade with sunscreen and time.
Run a clean finger over the spot and look at it in side light, like a window to one side of you. If it is flat and only the color is different, it is a mark. If it dips in or rises up, it is a scar.
| What you see | What it is | What usually helps |
|---|---|---|
| Flat brown or dark brown spot | A dark mark (post-inflammatory hyperpigmentation). More common in medium and deep skin tones | Sunscreen, brightening ingredients, time, and peels if it is stubborn |
| Flat pink or red spot | A red mark (post-inflammatory erythema). More common in lighter skin | Time and sunscreen. A vascular laser can speed it up |
| Shallow dents with soft or sharp edges | Rolling or boxcar scars | Microneedling, RF microneedling, lasers or subcision |
| Narrow, deep pits | Icepick scars | Dermatologist procedures such as TCA CROSS or punch techniques |
| Firm, raised bump | A raised scar or keloid | Injections, silicone sheets or laser from a dermatologist |
If you have true scars, or marks that have not budged after six months of steady care, an acne and scar specialist can map out a plan. Most scar plans combine two or three treatments over several months.
| Treatment | Best for | Good to know |
|---|---|---|
| Chemical peels | Dark marks and mild texture | Usually a series. Gentler peels suit deeper skin tones |
| Microneedling | Rolling and boxcar scars | Often three or more sessions. Works on many skin tones |
| RF microneedling (such as Morpheus8) | Deeper texture and scars | A few days of redness. Ask about settings for your skin tone |
| Fractional laser | Scars and uneven texture | Downtime varies by laser. Experience with your skin tone matters |
| Dermatologist procedures | Icepick scars, deep rolling scars, raised scars | Subcision, TCA CROSS and injections are done by doctors |
Ask to see before and after photos of patients with your skin tone and scar type, and ask how many sessions they expect for you.
This guide is general information, not medical advice. A board-certified dermatologist can confirm what you have and what is safe for you, especially if you are pregnant, nursing or on prescription skin care. Celebrity comments are quoted from the published interviews linked below.
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