 [ Symptoms ] i have high blood pressure i manage it with medication but my bp is still high what is my risk for heart disease [ Disease ] certain kinds of birth control pills are known to improve hormonal acne and thereby hyperpigmented acne scars it takes approximately 3 months for you to see the difference other hyperpigmented skin problems    such as melasma or butterfly mask    may get worse on birth control pills consult your gynecologist and dermatologist