Doctor insights on:
How Acne Forms
Wish it were easy...: Even in dermatology, we struggle with cystic acne. Genetics, hormones and bacteria all seem to play a role. Eating a healthy diet, low in sugary, processed foods and eliminating dairy can help some, but may not cure it. Topical and oral antibiotics are often necessary, and Isotretinoin may be needed as well. Sometimes hormonal therapies like spironolactone work wonders. ...Read more
Scientific Rx: If you are male and still have acne while on benzoyl peroxide and clindamycin, your physician may try a systemic antibiotic such as tetracycline 500 2x/day. Or if this is deep / cystic / severe acne, it may be time to consider accutane. For the scars, a dermatologist can abrade, fill, operate and/or laser; your choice, but note the hollywood stars who keep their scars for character. Good luck. ...Read moreSee 1 more doctor answer
Improve not remove: Many options exist for cosmetic improvement and include anti-inflammatories, peels, exfoliation, lasers, resurfacing, bleaching, excision, grafting, fillers, and much more, scars vary in their severity and so do the treatments. See a plastic surgeon, dermatologist or ENT for options. ...Read more
Treat acne first: Active acne must be taken care of first. Once that is done, then scarring can be addressed with a variety of treatment options depending on your skin type, the depth of scar, presence of other skin problems etc. Your facial plastic surgeon or dermatologist may recommend peels, lasers, scar revisions, dermabrasion or other techniques. Good luck! ...Read moreSee 2 more doctor answers
First control acne: Acne is a complex disease treated with a variety of approaches ranging from topical anti-inflammatories, antibiotics, as well as hormonal, medical regimens and surgery. Each case is individually treated and it is difficult to recommend a single cure. See a dermatologist first. ...Read moreSee 1 more doctor answer
Rx: I start with topical clindamycin, with a retinoic acid derivative if there are many blackheads and benzoyl peroxide if not and the person can stand it. I add a systemic antibiotic if needed; dermatologists have bigger guns that are a bit dangerous but worth it. Nothing will remove scars, but dermatologists have lasers and surgery to make them fade if that is what you wish; some actors like theirs. ...Read moreSee 1 more doctor answer
Improve not remove: Manynoptions exist for cosmetic improvement and include anti-inflammatories, peels, exfoliation, lasers, resurfacing, bleaching, excision, grafting, fillers, and much more, scars vary in their severity and so dote treatments. See a plastic surgeon, dermatologist or ENT for options. ...Read more
Takes time: Use an otc salyclic acid topical product , either as a cleanser or as a topical gel. ...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
Acne Scars: Typically your dermatologist will prescribe different topical medications and possibly oral medications depending on the severity of your acne. In order to reduce the appearance of scars, a topical retinoid may be prescribed to help increase the rate of cell turn over. It is extremely important to protect your skin from the sun as this can make acne scars look worse. ...Read more
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