Doctor insights on:
Epidermis And Acne
The outermost and nonvascular layer of the skin, derived from the embryonic ectoderm, varying in thickness from 0.07–1.4 mm. It comprises, from within outward, five layers: (1) basal layer (stratum basale), ; (2) prickle cell or spinous layer (stratum spinosum), (3) granular layer (stratum granulosum), (4) clear layer (stratum lucidum), and (5) ...Read more
How to manage acne prone facial skin n sensitive? Is adapalene too harsh for sensitive skin to reduce the appearance of dead skin and acne.
Yes & No: There are two types of acne scars. Craters and ice-pick. The ice-pick scar has sharp borders whereas the crater has smoother borders. Ice-pick variety of scars have to be excised and can be done quite easily with small punch biopsies. The crater variety can be helped with multiple sessions of microdermabrasion. ...Read moreSee 2 more doctor answers
Acne therapy: If your acne doesn't respond to otc treatments, consider seeing a doctor or dermatologist to get a stronger prescription lotion. Tretinoin (avita, retin-a, others), Adapalene (differin) and tazarotene (tazorac, avage) are examples of topical prescription products derived from vitamin a. They work by promoting cell turnover and preventing plugging . You may also need oral antibiotics like doryx (doxycycline). ...Read more
Derm evaluation: Proactiv is topical dermatologic treatments based around salicylic acid, which is a known treatment for acne. Proactiv really has an effective marketing scheme, but it may not be the best treat for all skin conditions. I would seriously suggest a consultation with a dermatologist before starting any skin therapy and learn about all the options. ...Read moreSee 1 more doctor answer
Proactive: Proactive, depending on the specific product used, often uses benzoyl peroxide (antibacterial) to treat mild acne. While this may be helpful, more severe cases may require topicals such a Retin-A , oral antibiotics , or Accutane . Talk to your dermatologist for the right treatment for you. ...Read more
Acne Scars: There are different treatments for acne scars depending on severity and cost considerations. Treatments include but are not limited to mechanical dermabrasion, laser resurfacing, and surgical scar revision. The treatment program and costs vary with the extent of the scarring and number of treatments required. See a dermatologist or plastic surgeon to check out your options. ...Read moreSee 1 more doctor answer
Can only Improve: You cannot "erase" scars. Poor scars can be improved through the following methods: 1) scar massage 2) silicone sheeting (a kind of silicone tape you where over the scar) 3) steroid injections 4) laser treatment (helps remove coloring) 5) scar revision (removing the scar and starting over). Consult with a plastic surgeon to find out which combination of these would best work for you. ...Read moreSee 2 more doctor answers
Do acne scars fade and flatten out with time and Glycolic acid peels? Both hyper pigmentation and light indentation.
How to manage acne prone facial skin n sensitive? Is adapalene too harsh for sensitive skin to reduce the appearance of dead skin and acne ?
Acne : Sensitive skin patients should use gentle non soap cleansers to wash as needed. The key is to start out with one product at a time to help gauge sensitivity . An otc benzoyl peroxide wash could be used in lower concentrations initially and then increased as tolerated . Topical retinoids should be tried every other or every third night before using nightly. See a dermatologist for treatment. ...Read more
Skin Clear Wash: I recommend the skin clear wash from cosmo grade professional skincare. Specifically formulated for acne-prone skin, this foaming cleanser utilizes salicylic acid and tea tree to thoroughly wash away oils and dirt, unclog pores, treat existing blemishes and prevent future breakouts - improving the appearance of problematic skin. ...Read more
No: If you've had acne scarring and still have acne, you need to get with your personal physician. Use topical benzoyl peroxide until then. Nothing will touch acne scars short of a physician's intervention with a laser, microsurgery or filler. I'm sorry your acne was neglected, but several hollywood stars have kept their scars for the "tough guy" look. ...Read more