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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Acne Problem?

Hello doctor, I m 20 years old (female) I m having acne problem form last 2 years my skin is very oily. I consulted a dermatologist for the same he asked me to apply melacare+ at night and ban a tan in morning and also gave some tablets I found this effective but after some time it is the same I m having acne all over my face plus my skin color is also becoming darker ( may be because I travel alot during day) I m having dark red acne scar all over my face. please advise me something. thanks in advance
Mon, 22 Dec 2014
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

The cream that you have been using are not meant to be used for acne. They are meant for dark marks, left over from acne.
Moreover the night cream contains a potent steroid and is not for regular use because it can itself cause more acne.
A dermatologist may ask this cream to be used for a short period time for acne marks because it effectively bleaches the pigment but never regularly.
If I was the treating doctor I would have started you on specific antiacne topical treatment e.g benzoyl peroxide Or clindamycin, twice daily only over active acne.
At night I usually ask my patients to use a topical Retinoid e.g Adapalene gel, to the whole affected area. Retinoids are first line treatment of acne. They are comedolytic and antiinflammatory; therefore prevent new acne as well as treating existing ones.
Topical retinoids also fade away the marks left over by acne.
You may use a gentle cleanser for face wash,twice daily. Over drying face washes and soaps cause rebound oiliness which neutralises the effect of washing.
I suggest you to seek another appointment with your dermatologist. Your dermatologist may also start you on Oral antibiotics if your acne is inflammatory.
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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What Is The Treatment For Acne Problem?

Hello. Thank you for writing to us at healthcaremagic The cream that you have been using are not meant to be used for acne. They are meant for dark marks, left over from acne. Moreover the night cream contains a potent steroid and is not for regular use because it can itself cause more acne. A dermatologist may ask this cream to be used for a short period time for acne marks because it effectively bleaches the pigment but never regularly. If I was the treating doctor I would have started you on specific antiacne topical treatment e.g benzoyl peroxide Or clindamycin, twice daily only over active acne. At night I usually ask my patients to use a topical Retinoid e.g Adapalene gel, to the whole affected area. Retinoids are first line treatment of acne. They are comedolytic and antiinflammatory; therefore prevent new acne as well as treating existing ones. Topical retinoids also fade away the marks left over by acne. You may use a gentle cleanser for face wash,twice daily. Over drying face washes and soaps cause rebound oiliness which neutralises the effect of washing. I suggest you to seek another appointment with your dermatologist. Your dermatologist may also start you on Oral antibiotics if your acne is inflammatory. You may also opt for a few sessions of chemical peeling from your treating dermatologist; Salicylic acid peel is particularly good for acne. Regards