Bellevue Acne Surgery doctors
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Philip Young, MD
Bellevue Facial Plastic Surgeon
1810 116th Ave. NE Suite 102, Bellevue |
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4 answers |
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Daniel Levy, MD
Bellevue Dermatologic Surgeon
4455 148th Ave NE, Bellevue |
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Diane Chiu, MD
Bellevue Dermatologist
1200 112th Ave N.E. C-187, Bellevue |
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DeEtta M. Gray, MD
Bellevue Dermatologic Surgeon
1515 116th Avenue 307, Bellevue |
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Peter Jenkin, MD
Seattle Dermatologic Surgeon
1730 Minor Avenue Suite 100, 10th Floor, Metropolitan Park East Tower, Seattle |
Recent Answers
I have acne scars (kind of bulges) all over my nose and on my chin. I got the pimples when I was in my teenage and they stayed for ever on my nose leaving as bulges. It is making me looking worse. What kind of surgery helps me to remove these bulges and have a clean nose. I an 25 years old Female Asian origin. Will laser surgery help me to remove the acne scars or bulges. Your response is greatly appreciated.
These bumps on your nose can be removed with laser surgery, co2 lasr, dermabrasion, and dermaplaning. We have pictures on our website under rhinoplasty and acne scar surgery for you to see. Your situation appears similar to people who have rhinophyma. It could be something similar in pathology. The bumps can be due to accumulation of sebum (oil products from your hair follicles) that accumulate in the hair follicle. Or it can be due to proliferation of these glands under your skin. The approaches above will help both conditions. For your acne you should be on a retinol product, maybe alpha / beta hydroxy lotion, and a glycolic product and or at home peel.
Thanks for reading,
Dr Young
I have tried almost everything to get rid of my severe acne, but nothing seems to work in the long-term, so I am starting to think I need to consider a more drastic solution. When is surgery an appropriate and effective acne treatment?
Acne surgery typically means when a physician or assitant opens up an active flare of acne to express inflammatory fluid to prevent further infection and damage. This is used to when the acne has already reached the infective stage. The key is preventing this progression.
A couple ideas could help. You can take a food diary and find out what foods are causing the outbreak. The way to do this is to try to eliminate all of your foods for a week or so by just consuming protein non allergenic drinks. Then once all of the food allergens are out of your system you can introduce one food at a time that you normally eat and then record sensations like tingling to your face or more breakouts that seem to correlate. I have found many foods to correlate with acne. Then avoidance is the next step.
You should definitely be on a cleaning regime with salicylic acid cleansers and toners. Also at home glycolic peels could help as well with this. A retinoid is always recommended and a 3rd generation retinoid like adapalene could be less irritating, can decrease the inflammation, is keratolytic and has some mild antimicrobial activity. When you want more antimicrobial activity, topical and oral antibiotics can really help. And for the other category of sebosuppressive you will need to add an oral retinoid, accutane, or oral contraceptives.
I usually always suggest a salicylic acid cleanser and toner, I add a retinoid and usually adapalene. If they are resistant to this then I consider topical antibiotics like clindagel for breakouts. For more severe breakouts I will do oral clindamycin, or one of the tetracyclines. If after three months of not responding to also oral and topical antibiotics I then consider oral accutane.
Other choices include oral contraceptives, and testosterone binding medications like spironolactone, flutamide, cyproterone and testosterone enzyme blockers like 5 alpha reductase.
From a procedural standpoint, serial chemical peels can help but it could also worsen the acne. The only way to determine whether they will work is to see how they individual affect your acne. Choices include tricholoroacetic acid, jessner's, and glycolic peels.