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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Oily Skin, Acne, Scars On Face. Treatment?

I m 19 turning 20 next month,I had acne since i was 14 and it s really bumming me out so much to the point where it s affecting my life.I want to feel normal but when i look in the mirror i don t look it..What makes it worse is knowing i m attractive and intelligent.Well if i keep closing myself in this antisocial shell i will never do anything with my life please give me any kind of advice.I don t breakout as much as i used too when i first went through it but i have this terrible scars on my face that don t seem to dissapear and the fact that my skin is oily doesn t help either.please answer with anything I will gladly appreciate it doctor.
Sat, 19 May 2012
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Dermatologist 's  Response
hello

welcome to healthcare magic.

i will be glad to be of assistance.


hope you have not been picking up on any of the lesions as that will lead to deep scars and pigmentation.

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

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

sunscreen needs to be used daily , neutrogena would be a good choice.

only if you have active lesions, then you need to apply these creams :-

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

Retino A 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.

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.

regards
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Oily Skin, Acne, Scars On Face. Treatment?

hello welcome to healthcare magic. i will be glad to be of assistance. hope you have not been picking up on any of the lesions as that will lead to deep scars and pigmentation. you need to follow a routine of cleansing, sunscreen , creams daily. cleanse your face with cetaphil cleansing lotion for acne prone skin thrice daily. sunscreen needs to be used daily , neutrogena would be a good choice. only if you have active lesions, then you need to apply these creams :- clindamycin gel on the active acne lesions in the morning and Retino A 0.025% cream at night on the entire face. Retino A 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. 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. regards