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Red spots on face, gets darker on sun exposure. Suggestions for scar removal?

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Dermatologist
Practicing since : 2003
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I have on the cheeks of my face these odd red marks. They are odd because I had acne when I was younger but accutane cleared it up mostly. These are separated red dots spread out on my cheeks and from standing face to face you would almost think it is acne. It is not because the marks are almost underneath my skin or at least apart of my skin. It is flat and smooth and matches the surface of my skin. No bumps just discoloration. When I go outside in the cold the red dots appear redder. I have done a peel before and multiple facials but that has cleared up some acne but not this red undertone dots on my cheeks. I am looking into 'Zenmed' Skin Earser or their Rosacea care system. I want to know based on what I have told you, do I have rosacea, acne scars or hyperpigmentation, help me please.
Posted Sat, 5 May 2012 in Skin Hair and Nails
 
 
Answered by Dr. Rohit Batra 5 hours later
Hi,

Thanks for your query.

As you told, these red spots get darker on going outside; these may be Rosacea or dilated blood vessels (but needs to be confirmed on physical examination by a Dermatologist).

Apply sunscreen of good SPF (Sun Protection Factor) regularly.

Avoid excess of Chocolates and coffee.

I think this should help you.

Best Regards
Dr Rohit Batra
Above answer was peer-reviewed by
 
Follow-up: Red spots on face, gets darker on sun exposure. Suggestions for scar removal? 2 hours later
Yeah, but its not XXXXXXX outside...have you heard about Zenmed Roasacea care before? IDK if it'll work or not..basically I had a lot of sun exposure over the summer and then when i stopped going in the sun these dots came up
 
 
Answered by Dr. Rohit Batra 18 minutes later
Hi,

Thanks for reverting.

Zenmed seems to be an OTC (Over the counter) product. It seems to have natural herbals as its constituents. You may consider trying it but it is always better to do it in consultation with your Dermatologist and with a patch test before starting.

Though it may not be very XXXXXXX these days, yet they are always present in a good amount. So, you need sunscreen regularly especially while going out.

I hope your query is answered.

Best Regards
Dr Rohit Batra
Above answer was peer-reviewed by
 
Follow-up: Red spots on face, gets darker on sun exposure. Suggestions for scar removal? 2 hours later
Thank you for your information so far.

My problem is I live in Canada and I can't get dermatology appointments here without waiting for months. So if you don't mind I'm going to just explain the characteristics of my condition and if you could just give me your best guess if its Rosacea, hyper-pigmentation or acne scars. I know you cannot be 100% sure so all I could really ask for is your best guess.

-red marks that are smooth and basically apart of my skin. No bumps just red underneath my skin
-started showing up when it started being fall as I stopped tanning outside which I did everyday almost in the summer
-I go outside or wash my face the red gets a lot redder
-had acne before now I will get a pimple every now and then but most of my marks are under my skin
-Twice in past 6 months I had to take anti bacteria cream on my cheeks for shaving improperly now the bacteria is gone but there are the marks underneath the skin.

So ya thats it, sorry if its alot of info but if you can based on those points just give me what your best guess it is that I have. I have narrowed it down on the products I will use because I want it as natural herbs and ingredients as possible but I just need to know what exactly it is of the 3.

Thank you for your help,

XXXXXXX
 
 
Answered by Dr. Rohit Batra 2 hours later
Dear XXXXXXX.

Thanks once again for your query and the detailed description.

You seem to be having acne scars. Rosacea increases with sun exposure and hence the condition can not be rosacea, as when you stop tanning the redness erupts.

The redness on the face during winters can be associated with dryness and exposure to excessive cold winds.

As far the acne are concerned, you can use a combination of Clindamycin and Benzoyl Peroxide and for scars only semi- invasive treatments like laser resurfacing can help.

I hope, this answers your query. Please accept my answer in case you have no follow up queries.

Wish you good health.

Regards.

Dr.Rohit Batra
Above answer was peer-reviewed by
 
Follow-up: Red spots on face, gets darker on sun exposure. Suggestions for scar removal? 1 hour later
Ok, just one more question please if you don't mind..

I see you said only laser resurfacing will help but can you check this product out for me
WWW.WWWW.WW
Basically its a combination of 2 different products to use one is for dermabrasion which I think is used in the resurfacing sessions at the doctors..can you based on the ingredients they have there say if this will be good for my acne scar/hyperpigmentation?
 
 
Answered by Dr. Rohit Batra 34 minutes later
Hello.

Thanks for follow up.

This product says that it will cause a sort of dermabrasion, but dermabasion itself when used with the best of tips hardly causes any reduction in scars, its used as a skin polishing technique.

Though there might be some visible glow and smoothness but scars wont show any difference.

Hope, this answers your query. Please accept my answer in case you have no follow up queries.

Wish you good health.

Regards.

Dr.Rohit Batra
Above answer was peer-reviewed by
 
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