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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acne Scar Removal

Hello, a couple of days ago, I popped a pretty good sized pimple and it is now red and last night the scab fell off from a towel tearing of the scab. There was a hole in the skin on my cheek about 1 cm in diameter, and the was white in the middle of it but i tried to get it out by popping it again but nothing came out just blood. So I applied cortisone cream on it and placed a bandaid on it. I woke up this morning and now there is a really black ugly scab over the hole but my whole cheek is swollen and the skin is red circle about 3cm in diameter around the scab and the skin and cheek are really tough in that circle and my whole cheek is swollen. Please help!?!
Thu, 27 Mar 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic.

Squeezing and manipulating acne is never a good idea. Having done exactly that, you seems to have developed secondary bacterial infection with surrounding cellulitis in that area.

I would advice that you see a dermatologist or your local care practitioner, for a prescription of an oral antibiotic (My choice of an oral antibiotic would have been either cephalexin or cefadroxyl) for a week to resolve the secondary bacterial infection.

An OTC antibacterial e.g 2% mupirocin or fusidic acid cream can be applied twice daily at the site.

An OTC pain killer once or twice daily would help you symptomatically, in getting rid of the pain and swelling.

Once the infection settles down, you could use a topical antiacne gel e.g benzoyl peroxide or clindamycin gel twice daily for active acne.

Your treating dermatologist might also feel the need to start you on oral doxycycline or azithromycin for 4-12 weeks depending on the severity of acne and response to treatment.

regards
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Suggest Treatment For Acne Scar Removal

Hello and welcome to healthcaremagic. Squeezing and manipulating acne is never a good idea. Having done exactly that, you seems to have developed secondary bacterial infection with surrounding cellulitis in that area. I would advice that you see a dermatologist or your local care practitioner, for a prescription of an oral antibiotic (My choice of an oral antibiotic would have been either cephalexin or cefadroxyl) for a week to resolve the secondary bacterial infection. An OTC antibacterial e.g 2% mupirocin or fusidic acid cream can be applied twice daily at the site. An OTC pain killer once or twice daily would help you symptomatically, in getting rid of the pain and swelling. Once the infection settles down, you could use a topical antiacne gel e.g benzoyl peroxide or clindamycin gel twice daily for active acne. Your treating dermatologist might also feel the need to start you on oral doxycycline or azithromycin for 4-12 weeks depending on the severity of acne and response to treatment. regards