Doctor insights on:
How Can I Help Prevent Acne And Acne Scars
Acne & Acne Scars: Acne and acne scars cannot be prevented. The key is to control acne break outs. Controlling break outs, minimizes the tendency to scar. Acne and acne scar control requires a multi-step approach that includes clinical and prescription skin care, oral medications, chemical peels, and laser and light treatments. Care coordination by medical provider with expertise in acne treatment is key. ...Read moreSee 2 more doctor answers
Medication: Medication is the key. If topical benzoyl peroxide had not cleared junior in two weeks, please get him to a scientific physician. Don't blame him for his illness -- it's impossible for many victims not to touch the lesions and it's not caused by poor hygiene. If an antiobiotic, retinoic acid derivative and/or spironolactone don't clear him, or if scarring's already begin, Isotretinoin may be best. ...Read moreSee 2 more doctor answers
Dermatologist eval: Wash face w gentle cleanser 2x/day. Use oil free products on face. Avoid heavy foundations. Don't squeeze pimples (including blackheads). Avoid touching face (i.e., cradling chin in hands). Remove makeup before bed. Shower after stenous exercise. Consider otc products (w salicylic acid or benzoyl peroxide). If > than mild acne see dermatologist (discuss meds, comedone extractor, etc.). ...Read more
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
Laser and wash: Non-active acne scars can be treated by various types of laser which can do collateral thermal damage and enahnce healing- co2 laser being one of them. Although other lasers have proven benefits as well. Blackheads can be treated medically as well as surgically depending on the depth and size. Proper cleansing and some topical medications can be very helpful in eleminating/decreasing the formation. ...Read more
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
Stop neglecting it: I'm sorry that you've ended up with acne scars, but you're old enough now to take your treatment into your own hands. You need to get with your physician now. Start using a topical agent such as benzoyl peroxide and your physician will probably add a systemic antibiotic. If this fails to clear you, Isotretinoin is a serious consideration. Specialists can make scars less visible. Take charge. ...Read more
Scientific Rx: Two weeks trial of topical benzoyl peroxide alone. This clears most mild acne. If not clear, physician's office visit. Options may include topical retinoic acid derivative, topical clindamycin, the oral contraceptive pill for a woman who can take it, and/or an appropriate systemic antibiotic right for the patient. Tough cases referred for isotretinoin. Manage as a chronic disease. Good luck. ...Read moreSee 1 more doctor answer
See your doctor: Scars mature and can continue to improve for up to a year. They are sun-sensitive and may become hyperpigmented with sun exposure. The best way to treat a scar depends on the scar. Options include silicone gel, silicone sheeting, use of filler (for spot or crater-like scars), laser therapy, hydroquinone, dermabrasion, or kenalog (triamcinolone) injection, or surgical scar revision. See your plastic surgeon. ...Read moreSee 1 more doctor answer
Specialist consult: I'm sorry your acne wasn't treated properly and you ended up with these lesions. Trying to bleach hyperpigmented lesions will probably just make things worse. They fade eventually. Scars can be treated by a dermatologist or plastic surgeon with a laser, microsurgery or a filler. ...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
See your doctor: Symptoms like these are best deterimed by a thorough evaluation by your physician. Based on his/her findings, a treatment plan can be developed to help you. ...Read more
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