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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Persistent Acne With Dark Marks?

i am a female african american & creole , 17 , 5`4 & ive had an ance issue since i was about 12 , it wasnt that bad at first & i figured it was because i started wearing my hair down & my hair was greasy . but i stopped & stried multiple products . my acne isnt that bad anymore , i use Noxema cleansing pads & ambi moisturisinig cream , but my scars are terrible . i can get a pimple , not mess with it & still get a really dark mark , i have a few of these little indent like craters in my face , & areas where it feels like acne under the skin . i have marks all down my back & my shoulders & chest . to the point where the tattoo on my right shoulder lumps up & gets bumps in it . i really wanna be a model , but this problem has been hurting me for too long . whats my next best step ?
Tue, 25 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

Your main concern is acne and post acne hyperpigmentation (PIH), which is common complication of acne in skin of color
Treatment of acne mainly revolves around topical antibacterials like clindamycin, nadifloxacin; topical benzoyl peroxide; topical retinoids.
Topical antibacterials and benzoyl peroxide are antiinflammatory and benzoyl peroxide is keratolytic as well.
Topical retinoids are comedolytic in action.
Cleansing should be gentle with a neutral pH cleanser and should not leave behind your skin dry.
Oral antibacterials e.g Azithromycin Or Doxycycline may be started in your case since you seem to have inflammatory acne.
Oral retinoids are also an option for you. Oral retinoids are indicated for moderately severe to severe inflammatory acne Or acne resistant to traditional antiacne medicines Or acne associated with significant scaring.
When you visit your dermatologist, your doctor will be able to assess the severity of your acne and guide you accordingly.
You may also opt for a few sessions of chemical peeling from your treating dermatologist. Salicylic acid peel is particularly good for acne.

Regards
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How To Treat Persistent Acne With Dark Marks?

Hello. Thanks for writing to us at healthcaremagic Your main concern is acne and post acne hyperpigmentation (PIH), which is common complication of acne in skin of color Treatment of acne mainly revolves around topical antibacterials like clindamycin, nadifloxacin; topical benzoyl peroxide; topical retinoids. Topical antibacterials and benzoyl peroxide are antiinflammatory and benzoyl peroxide is keratolytic as well. Topical retinoids are comedolytic in action. Cleansing should be gentle with a neutral pH cleanser and should not leave behind your skin dry. Oral antibacterials e.g Azithromycin Or Doxycycline may be started in your case since you seem to have inflammatory acne. Oral retinoids are also an option for you. Oral retinoids are indicated for moderately severe to severe inflammatory acne Or acne resistant to traditional antiacne medicines Or acne associated with significant scaring. When you visit your dermatologist, your doctor will be able to assess the severity of your acne and guide you accordingly. You may also opt for a few sessions of chemical peeling from your treating dermatologist. Salicylic acid peel is particularly good for acne. Regards