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Acne and scars,improving skin complexion

Hi,, I have a problem of acne and scars,,,, due to acne n scars my skin is become dark ..... Now I have started melas lotion and cream,, Is it real effective or not ? And what I have to do to remove this acne and scars . And I also want to improve my skin complexion and glowing skin,,, And melas cream has any side effect ???
Asked On : Mon, 30 Apr 2012
Answers:  2 Views:  2369
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Dermatologist 's  Response
Hi...dear Prasad..,
Thanks for choosing HCM..,
ACNE n SCARS...common problem in so many individuals..,
ACNE...It is due to infection of sebaceous glands unit..,
due to hyperactivity of Hormones..,
1) Frequent washes with Triclosan or Salicylic acid face wash..,
2) Topical ...use ZYCLINE 1% clindamycin cream night times..,
morning SUNSCREEN LOTION is mandatory...SUNCOTE( curatio), SUNCARE (unichem).,
3) Tab...ISOTRETINOIN 20 mg daily for 2 months..,
SCARS...depend upon type of scars....hypertrophic or atrophic..,
Good treatment is available..,
Chemical peels.,
LASER ...treatment..,
So consult good dermatologist ..,
he will give good guidance...and treatment..,
Answered: Wed, 2 May 2012
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Dermatologist Dr. Kruti's  Response
thanks for using healthcare magic.
i will be glad to be of assistance.

melas lotion may not be a very effective solution for acne and scars.

i hope you have not been picking up on any of the acne lesions as that will lead to deep scars and pigmentation.
if there are active lesions, they also need to be treated.

first of all creams that you can apply.

you need to follow a routine of cleansing, sunscreen , creams daily.

cleanse your face with cleansing lotion for acne prone skin thrice daily.

sunscreen needs to be used daily , once every 4 hrs.

creams would be:-

clindamycin gel on the active acne lesions in the morning and retinoic acid 0.025% cream at night on the entire face.

retinoic acid cream needs to be applied only at night, start with coming it for 2 hours and then gradually increase the time interval to keep it overnight.

this will cause priming of skin. after 10 days, you can start peels. chemical peels with glycolic acid will be effective. for this you will need to go to a dermatologist.

also if the dermatologist has the equipment for photofacial with ipl will be very effective.

the method depends on the facilities available with the dermatologist.

however meanwhile you could start the creams.

chemical peels can also be done with salicylic acid.

it will take a while but surely everything will clear up.

now coming to the scarring:- your skin is scarring because that is the natural history of how acne progresses and then resolves.

this is how it resolves.

you need not worry as there is treatment for it. but if you stop applying the creams on active lesions, they will leave behind deeper scars.

you can do either of these procedures.

this will ensure treatment of the scars permanently.

1. subcision is a method used to treat deep rolling scars left behind by acne.

the process involves separating the skin tissue in the affected area from the deeper scar tissue.

This allows the blood to pool under the affected area, eventually causing the deep rolling scar to level off with the rest of the skin area.

its done with the help of special needles inserted in the skin under topical or local anaesthesia.

2. DERMAROLLER is used for treating Acne Scars,
its an instrument with small sharp microneedles which act on acne scars.

if your dermatologist does these procedures, he can do them for you.

they cause transient redness for a day and then you can go back to work, you could get it done on the weekend. its an office procedure which takes around 30 minutes.

3. pixel laser which will clear the scars in 4-6 sittings. done with the help of a laser machine.

it will take a while but surely everything will clear up.

hope i have answered all your queries.

if you have any further queries, i will be glad to be of assistance.
Answered: Tue, 1 May 2012
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