 [ Symptoms ] how does birth control help or hinder acne and hyperpigmentation how long do i have to wait for it to work [ 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