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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can severe Painful Acne Be Treated?

Hello Doctor,
I have a problem of acne with white stuff. My skin is now dull and tanned. There are lotd of acne marks and painfull pimples.
I have tried lots of things after consultation of doctors but nothing made my face looks good.
Sugeest me the right way.
Thank you
Wed, 22 Mar 2017
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General Surgeon 's  Response
Hello,
Thanks for the query.
I have gone through your short description and I can understand your concerns.

Acne is a frustrating disease especially in adolescents.
We follow a step wise treatment plan acne and most of the cases can be managed effectively with treatment.
I suggest you to do the following under the supervision of an experience dermatologist:-
(1)- Start with a topical anti acne medications like "retinoids" they are derived from vitaminA and highly effective for acne. For milder lesions you can apply benzyl peroxide wash.
(2)- Since your lesions found infected you can also use topical "clindamycin" gel once in day.
(3)- Oral antibiotics like "doxycycline" is needed as there are many nodules on your face. Once daily dose is used,"minocycline" is another alternative to doxycycline.

For treating acne scars, you have to consult a deramtologist with special interest in cosmetology and procedures like laser resurfacing and dermabrasion may be needed.


You can also try the following home remedies.
1.Do not squeeze or puncture the acne nodules.
2.Apply steam to your face frequently.
3.Wash your face frequently with good moisturizing creams.
4.Avoid fatty and oily foods.

Hope I have answered your query.
Regards.

Dr.Shinas Hussain
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How Can severe Painful Acne Be Treated?

Hello, Thanks for the query. I have gone through your short description and I can understand your concerns. Acne is a frustrating disease especially in adolescents. We follow a step wise treatment plan acne and most of the cases can be managed effectively with treatment. I suggest you to do the following under the supervision of an experience dermatologist:- (1)- Start with a topical anti acne medications like retinoids they are derived from vitaminA and highly effective for acne. For milder lesions you can apply benzyl peroxide wash. (2)- Since your lesions found infected you can also use topical clindamycin gel once in day. (3)- Oral antibiotics like doxycycline is needed as there are many nodules on your face. Once daily dose is used, minocycline is another alternative to doxycycline. For treating acne scars, you have to consult a deramtologist with special interest in cosmetology and procedures like laser resurfacing and dermabrasion may be needed. You can also try the following home remedies. 1.Do not squeeze or puncture the acne nodules. 2.Apply steam to your face frequently. 3.Wash your face frequently with good moisturizing creams. 4.Avoid fatty and oily foods. Hope I have answered your query. Regards. Dr.Shinas Hussain