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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Adult Acne With Many Scars On Face, Oily Skin Tone. Permanent Cure ?

Hi m 29yrs old female and m facing the problem of adult acne with many left over scars on my face. I hhave tried almost everything even I have consulted many doctors.But their medicines work only for temporary period.I have a oily skinn tone. I want a permanent cure for my problem.In January m getting engaged so i want a clear face before that .So please help me.......
Thu, 25 Oct 2012
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Dermatologist 's  Response
Hello
,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 Retin A 0.025% cream at night on the entire face.Retin 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.
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Adult Acne With Many Scars On Face, Oily Skin Tone. Permanent Cure ?

Hello ,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 Retin A 0.025% cream at night on the entire face.Retin 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.