San Diego Acne Surgery doctors

	Melanie D. Palm, MD San Diego Dermatologic Surgeon 320 Santa Fe Drive Suite 310, Encinitas		1 answer
	Steven R. Cohen, MD San Diego Plastic Surgeon 4510 Executive Drive Suite 200, San Diego
	Roy A. David, MD San Diego Facial Plastic Surgeon 3252 Holiday Court Suite 206, La Jolla
	Mitchel Goldman, MD San Diego Dermatologic Surgeon 9339 Genesee Avenue Suite 300, San Diego
	William Groff, DO San Diego Dermatologist 9339 Genesee Ave Suite 300, San Diego

Recent Answers

Treatment for Scars Left After Acne Surgery? I don't know if you understand exactly what a doctor did to me. I think the procedure I had is called acne surgery. I am not sure if the alternate name is comedone extraction--he used needle anyway. He convinced me that he should do this to me. From the first time, my face became totally red, and there was blood everywhere in my face. This situation continued for 3 treatments more (continued breaking the new spots). I changed doctor and did therapy of minaxen pills. Now, I am 21 and I have multiple small, needle-sized scars on my forehead, and some bigger-sized scars on my cheeks, which still look red. Help!

A: A clear diagnosis on your acne condition is important

Typical acne treatment, surgical or otherwise, typically is relatively pain free and bloodless. It sounds as though you still have active acne lesions, which should be treated with appropriate therapy. This may include topical agents such as benzoyl peroxide, topical antibiotics, topical dapsone, topical retinoids, topical sulfur products, topical beta hydroxy acids, etc. and the possibility of an oral antibiotic or hormone-normalizing agent, such as spironolactone or oral contraceptive pills (in some cases of female acne). Recalcitrant acne sometimes requires alternative treatments such as photodynamic therapy and isotretinoin, both of which require proper patient counseling and informed consent.

Acne surgery may encompass many procedures. The most common include comedone extraction (a bloodless procedure) or occasional incision and drainage for cystic lesions. Combination therapy will often yield the best results.

Melanie D. Palm, MD

San Diego Dermatologic Surgeon