Suggest treatment for acne and chicken pox marks

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Posted on Tue, 6 Jan 2015 in Skin Hair and Nails
Question: I have pimple of my face and 3 or 4 pimple on my Back .
and on face i have chicken pox black spot i want to remove them!
also face skin dry and lite gray color ! i need it more bright!
What i do now !
I. For Pimple
what I use NOW !!! (new doctor advice)
1. Episoft Cleansing Lotion ... (Use like a face wash 1 time in a day)
2. Deriva MS Aqueous Gel .... (direct apply on face skin before sleep @ night one time)
3. Clindac A Gel (Clindamycin phosphate Gel USP) ... (Direct apply on face skin 1 time in a day @ morning)
4. Sotret Isotretionin Capsules USP 20 mg (1 capsule)
....................................................................
What i want to use (old doctor advice)
with these all above cream and capsule can i apply below cream on my face ?
1. Neutrogena Body Moisturizer + Advan Cream .... (1 time in a day ... its lite my skin i hop ..)
2. Neutrogena Body Moisturizer + Glyco 6 (Glycolic Acid Cream 6/ W/W) ... (1 time in a day .. may my skin become healthy)
3. Neutrogena Body Moisturizer + Atopiclalr Lotion ... (1 time in a day if use may some pimple is come and pain)
4. 1. Neutrogena Ultra Sheer SPF 50+ (Sun cream .. any batter can advice)
...
please advice me for how to make lite my skin and remove all spot !
also advice which medicine i can use
Thanks
doctor
Answered by Dr. Kakkar S. 24 minutes later
Brief Answer:
Mainly comedonal acne;Oral Isotretinoin, Topical Adapalene are good choices

Detailed Answer:
Hello. Thank you for writing to us at healthcare magic

I have gone through your query and I have also seen the Images.

You have a lot of whiteheads/closed comedones on both cheeks; Whiteheads carry a potential to turn into inflammatory acne.

I completely agree with the recent medications that you were asked to use by the new doctor.

Isotretinoin is a good choice. It is comedolytic as well as sebostatic (reduces sebum production). It is an excellent antiacne medicine.

The cleanser you have been prescribed is gentle and quite good. You may use it twice daily.

Clindamycin 1% gel for day time use can be used only as a spot treatment, if you develop inflammatory acne. It won't work for comedones so not need to apply all over.

The gel that is for night use contains a topical retinoid i.e Adapalene 0.1%; it is an excellent comedolytic agent.
Since you mainly have comedonal acne therefore topical retinoid like adapalene would be ideal.
You should apply it to the whole affected are 30 min after face wash.

The products that were supposedly prescribed by your old doctor are mainly moisturizers and sunscreens.
Why would you want to use a moisturizers and sunscreens on skin that it already oily and acne prone? In my opinion these should be avoided altogether in oily and acne prone skin.

At this stage I think the focus should be on acne treatment.
Tanning and dark skin can be managed later on with sunscreens and pigment lightening agents; right now there is a danger that these agents might flare already existing acne.

Regards
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Kakkar S. 6 hours later
Hi,
Thanks for reply me !
if you have facebook we can talk and also can
1. so Isotretinoin is good and did you advice or i can use sebostatic ?
2. "Clindamycin 1% gel for day time use can be used only as a spot treatment"
so its only for spot! not for acne ..
you advice use Clindamycin 1% only on spot place like pox spot ?
3. "The gel that is for night use contains a topical retinoid i.e Adapalene 0.1%; it is an excellent comedolytic agent."
so did i replace Devriva MS with Adapalene 0.1% ? or use both ?
4. my nose is oily only other all face is dry ! its become white if not use any moisturizer ....
on pick actuly these time i'm use clindac 1%

sorry for ask it.
can we talk on any online char system ! like facebook or any other ? i want to talk and want to clear all point !
https://www.XXXX.com/XXXX7589
and i'm happy to send your fee by bank ware ! for chat !

Thanks
doctor
Answered by Dr. Kakkar S. 12 hours later
Brief Answer:
Your antiacne treatment mainly comprises of Isotretinoin and Adapalene gel

Detailed Answer:
Hi.

-Isotretinoin 20 mg, once daily, after meal.
Isotretinoin is sebostatic i.e it inhibits oil production. Therefore i would take care of the oiliness on nose.
-Adapalene gel 0.1% is active ingredient of the gel that you have been asked to use at night. Use it over the whole affected area once daily, at night.
Adapalene, as i said before is comedolytic.
-Clindamycin 1% gel, day time, only if you have inflammatory acne (red and painful). By spots I mean "Inflammatory acne" Spots.
-For chicken pox scars you may use a pigment lightening cream e.g kojic acid Or hydroquinone based cream, twice daily.
These creams will bleach out the pigmentation of chicken pox scars and therefore make them less noticeable.
For depressions/dents of chicken pox scars, I would suggest a Laser resurfacing procedure e.g Fractional Co 2 Laser.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. 6 hours later
hi,
Thanks for your nice help !
i really admire you.

can you please tell me a suitable cream which is base on kojic acid Or hydroquinone based cream

can i do the Fractional Co2 Laser now or after pimple fix !
and i can spend 1 lakh each month for my face . i just need quick and batter skin !
also can you tell me skin lightening cream for me !
please give me best ever name if i don't got the cream in XXXXXXX i can import it from US or any country. and price also not matter !

I'm update some pic of my neck please tell me what i have like small pimples ..
and how can i fix it!

Thanks
doctor
Answered by Dr. Kakkar S. 2 hours later
Brief Answer:
Co 2 Laser at least 6 months after finishing Isotretionoin..

Detailed Answer:
Hi.

Fractional Co 2 Laser resurfacing procedure is basically for resurfacing of Chicken pox scars.
You may take the Laser at least 6 months after you finish with Isotretinoin, because Ablative Lasers are contraindicated simultaneously with Isotretinoin because of the risk of scaring.
Right now you may use a Kojic acid based cream Or Hydroquinone based cream for chicken pox scars; these will help bleach out pigment from post-chicken pox scars and would make them less noticeable.
There are a lot of creams which contain these active ingredients and are available in XXXXXXX only on prescription of a dermatologist.
The lesions on your neck would also reduce on Isotretinoin and are nothing else but comedones/white heads.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8893 Questions

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