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As far as scar is concerned near nose ,meladerm (or ?mederma) won't be an effective cream .We have not seen any good result with the creams on scars
.You can go in for lasers depending upon the availability at your place.Fractional laser would be good in such a case ,but might require multiple sitting depending upon the depth of the scar.
Treatment of acne
depends upon the stage or grade of acne one has.There are four grades in acne ,from blackheads to nodular variety .Also treatment depends upon the cause of acne . Cause of acne may be just a wrong selection of soap or a moisturizer to hormonal
disturbances in body (esp in females).
Treatment starts form the use of a anti acne face cleanser .It can be a anti acne soap or a face wash .Next would be use of a good anti acne cream for day time and night time use. Along with this one should be given a course of antibiotic tablet .This I would say is the basic or the first level treatment.
If patient does not respond to this or one has very sever acne then comes use of oral retinoids
.Retinoids are wonder drug for acne , but one needs to undergo various blood investigations before taking this .Also there are certain precautions which one needs to follow before use of this medicine.Your dermatologist
would be the best judge for this .
In female patients who have hormonal imbalance with irregular periods
and sever acne , need to undergo a hormonal profile and ultrasound
to rule out any hormonal disturbances.If it comes positive then they would require hormonal medicines to control their acne.Conventional medicines would not have good result on them.Since you are suffering from last 1 year ,it is important to rule out any hormonal imbalance.
Along with this one has to drink plenty of water and take good 7 hr sleep in night.Avoid all cosmetic creams or moisturizers on face.Healthy life style with above treatment is a must to keep your face clean and acne free.
So,i would advise you to consult a skin specialist(dermatologist) who can prescribe you medicines accordingly.