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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?

Dr,my very big problem is acne since i was in 17,now im 25. i have a acne more than 7,years from now and my face is very oily and more acne scars i have so many trying.soap,scrub,facial cleansers,creams antibiotics,and 4 dermatologist and roaccutane 10,mg for two months but why after the treatments after two weeks or 1,week acne started again pls help me.
Fri, 20 Jun 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Acne varies in severity from individual to individual. Some may have mild acne which may come off and on. Others may have almost incessant eruption of acne, which can gives leave behind post acne hyperpigmentation and acne scars.

For acne, you need to be constantly taking care care of your skin till at a certain when the tendency for new acne formation dies down

Topical treatment of acne mainly revolves around topical antibacterials (Clidamycin gel OR Nadifloxacin gel), benzoyl peroxide and topical retinoids. Topical retinoids are comedolytic thereby preventing new acne.

For inflammatory acne(papules and pustules) I advice my patients to start with one of the oral antibiotics leither Azithromycin/ Doxycycline OR Minocycline.

Finally, oral retinoids are the most effective drugs for acne and are usually first choice in severe or moderately severe acne OR acne not responding adequately to traditional antiacne medications OR acne significantly affecting the quality of life of patients regardless of severity.

You could also take a few peeling sessions e.g salicylic acid peels, from a dermatologist. Salicylic acid peels are specific for acne.

Acne is a recurrent condition and once your acne is brought under good control with oral and topical antiacne medicines, you should still continue to use a cream/gel e.g topical retinoid for maintenance of improvement. Topical retinoids are ideal for maintenance of improvement because they are comedolytic as well as antiinflammatory, thereby preventing the formation of new acne.

Hope this helps
Regards
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How To Treat Persistent Acne?

Hello and welcome to healthcaremagic Acne varies in severity from individual to individual. Some may have mild acne which may come off and on. Others may have almost incessant eruption of acne, which can gives leave behind post acne hyperpigmentation and acne scars. For acne, you need to be constantly taking care care of your skin till at a certain when the tendency for new acne formation dies down Topical treatment of acne mainly revolves around topical antibacterials (Clidamycin gel OR Nadifloxacin gel), benzoyl peroxide and topical retinoids. Topical retinoids are comedolytic thereby preventing new acne. For inflammatory acne(papules and pustules) I advice my patients to start with one of the oral antibiotics leither Azithromycin/ Doxycycline OR Minocycline. Finally, oral retinoids are the most effective drugs for acne and are usually first choice in severe or moderately severe acne OR acne not responding adequately to traditional antiacne medications OR acne significantly affecting the quality of life of patients regardless of severity. You could also take a few peeling sessions e.g salicylic acid peels, from a dermatologist. Salicylic acid peels are specific for acne. Acne is a recurrent condition and once your acne is brought under good control with oral and topical antiacne medicines, you should still continue to use a cream/gel e.g topical retinoid for maintenance of improvement. Topical retinoids are ideal for maintenance of improvement because they are comedolytic as well as antiinflammatory, thereby preventing the formation of new acne. Hope this helps Regards