How Long Acne Marks Last: Red vs. Brown, Tracked in Monthly Photos

Evidence mix: 6 sourcesLarge or systematic studies 1Small or observational studies 3Medical societies & agencies 2Reviewed Next review See sourcesEvidence criteria

Acne marks can last from a few months to more than a year, so take one photo a month under the same conditions and use those photos to see how quickly the color is getting lighter.

Two hands in yellow knit sleeves holding a phone in a pale yellow case upright by a window with a sheer curtain
What this note covers6 sections
  1. Why take photos only once a month?
  2. Why do chin and cheek marks linger longer than other spots?
  3. How long before back acne marks look lighter?
  4. Acne mark calendar
  5. When is it time to show your photos to a dermatologist?
  6. Evidence behind this calendar
Item Detail Basis
How common 58.2% of 324 acne patients in seven Asian countries had dark marks after acne 2016 PMID 26813513 · B
How long In the same survey, at least half lasted a year or longer, and 22.3% lasted 5 years or more 2016 PMID 26813513 · B
Who squeezed 69.0% of 262 acne patients in the Middle East said they picked at or squeezed their acne 2019 PMID 30426810 · B
What to log The facial area, too much sun, and squeezing or scratching were risk factors 2021 PMID 34880967 · B
Sun check standard A sunscreen of SPF 30 or higher is advised Korean Dermatological Association, melasma page · institution

Why take photos only once a month?

Color does not lighten fast enough for your eyes to pick up a change over a few days. In a 2020 trial (PMID 32478879) that exposed the arms of 33 women to blue light, the pigment that formed had still not returned to its starting level after 28 days, and the Korean Dermatological Association, a professional society in Korea, says dark marks after acne can last a year or longer.

A glass hourglass in the middle of a yellow background, with sand from the top running down in a thin stream and building a small mound below
Changes over a few days are hard to see, so the photos are spaced a month apart.

Why do chin and cheek marks linger longer than other spots?

We found no study comparing speed between areas, but a 2021 study (PMID 34880967) named the facial area, sun, and squeezing or scratching as risk factors. If you rest your chin in your hand during class or touch your cheek while on the phone, mark it in that month’s row.

How long before back acne marks look lighter?

There is no timing data for the back on its own, so, as with your face, collect photos taken a month apart for several months and compare them. Set up two mirrors facing each other or ask someone at home to help, and use the same pose each time so the months line up.

Acne mark calendar

Month Photo day Red marks (count) Brown marks (count) Days you wore sunscreen Days you touched or squeezed
Start Evening of the 1st, after washing
Month 1 Evening of the 1st /30 /30
Month 2 Evening of the 1st /30 /30
Month 3 Evening of the 1st /30 /30
Month 6 Evening of the 1st /30 /30

We found no evidence comparing how fast red marks and brown marks lighten, so the two colors get separate columns. Flag any month that included a summer vacation or an outdoor field day.

Four rose petals in a row on a yellow background, going from deep pink to a dry pale beige
Only when photos taken a month apart sit side by side can you see the color slowly wash out.

When is it time to show your photos to a dermatologist?

  • If the surface of a mark starts to look sunken in your photos, have a dermatologist check whether it is a scar.
  • If the color and number of marks stay the same for more than 3 months, bring your calendar photos to a dermatology visit.
  • If brown patches spread widely, even to places where you never had acne, it could be a different pigment condition, so get it checked at a clinic.
Two square clay tiles on a yellow background; the left one is stained pale pink in the center and the right one is pressed in
Marks with only color left and sunken marks are handled differently, so once you see a dip, have it checked at a clinic.

Evidence behind this calendar

  • A 2016 survey of 324 acne patients in seven Asian countries (PMID 26813513) found that 58.2% had dark marks after acne and 22.3% had them for 5 years or more.
  • A 2019 survey of 262 acne patients in the Middle East (PMID 30426810) found pigmentation in 87.2%, and 52.6% said it lasted a year or longer.
  • The Korean Dermatological Association advises using a sunscreen of SPF 30 or higher (in its explanation of melasma).

Frequently asked questions

Why do marks on the chin and cheeks last longer than other areas?

We did not find a study in our sources that compared how fast marks lighten by body area. A 2021 study of risk factors for dark marks after acne (PMID 34880967) named the facial area, too much sun, and squeezing or scratching. If you tend to rest your chin in your hand or touch your cheeks, mark that on your calendar too.

How are old acne marks treated at a dermatologist's office?

First, have a dermatologist check whether it is a mark that has only color left or a scar with a sunken surface. The approach is decided at the visit after looking at your skin, so bringing several months of calendar photos makes it easier to show how long the mark has looked the same.

How long do back acne marks take to fade?

We did not find timing data that looked at the back on its own. In a 2016 survey of 324 acne patients in seven Asian countries (PMID 26813513), at least half of dark marks after acne lasted a year or longer. For your back, too, take a photo of the same spot once a month and compare over several months.

Sources

  1. Frequency of post-acne hyperpigmentation in 324 acne patients across 7 Asian countries, 2016 (PMID 26813513)B
  2. Survey of post-acne hyperpigmentation in 262 acne patients in the Middle East, 2019 (PMID 30426810)B
  3. Risk factors for post-acne hyperpigmentation, 2021 (PMID 34880967)B
  4. Randomized trial of blue light-induced pigmentation in 33 women, 2020 (PMID 32478879)A
  5. Korean Dermatological Association — Acne vulgaris (Korean)Institutional
  6. Korean Dermatological Association — Melasma (Korean)Institutional

Videos and forum posts never count as evidence for a fact here. Full rules: Editorial policy