I have tried all sorts of prescribed gels, creams and tablets from the dermatologists and it has not worked! I have also tried simple, clinique, Zenmed, Neutragena, clearsil and proactive products but nothing has worked! I have had this problem since I was 14. I do suffer from PCOS and I am wandering if surgery is my only option? I also have chicken pox scars on face and was wandering if theres any treatment available for them?
Acne, is Surgery my Only Option? (photo)
Doctor Answers 9
You do have acne and this needs to be treated by a board-certified dermatologist
Once the acne is better, you can treat the scars you have with a variety of energy based systems. Thiswill include the use of fractional lasers.The non-ablative fractional lasers will help here, and will require a series of treatments, with minimal downtime to give some very nice results. Four to six treatments over 4-6 months is usually required and many of the scars will improve. The ablative fractional lasers work faster, but have more downtime. Sometimes more than one treatment is needed with your kind of scarring. There are many kinds of ablative fractional lasers – we use mainly the Lumenis UltraPulse or AcuPulse, the Ellman Cortex, and the Syneron Core. We also have the sublative RF fractional devices, the Syneron eMatrix and the Venus Viva that has shown great results in treating acne scars. We did a lot of the FDA work with the eMatrix and use it regularly in our clinic. The new Venus Viva is showing similar results. And now there are RF microneedling devices, such as the EndyMed Intensif, and this also works well with these kinds of scars.
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2 problems to deal with
Firstly, you need your acne treated by a Specialist. Your PCOS may have a contributing role in acne, bottom line- see a Dermatologist for effective treatment.
Secondly, you have chick pox scars, my suggestion is a filler as there is no downtime, and will not scar. Most chicken pox scars are saucer scars and atrophic, so subscion will not work. Once again, consult either a Derm or Plastics for this.
Hope this helps
Dr Davin Lim
Treating active acne and acne and chicken pox scars
- You need to be a Board Certified Dermatologist or Plastic Surgeon interested in acne for a complete evaluation.
- There is no miracle treatment - you need a long term step-by-step plan.
- First, control of the PCOS will help.
- Treating active acne is next - and may take antibiotics as well as other products.
- Treating sunken scars may take filler and/or surgery.
- Resurfacing with laser or peels is next - the specific laser or peel depending on your budget, your goals and your skin response.
- Best wishes.
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Fraxel is outstanding for fine wrinkles, mild skin laxity, irregular pigmentation, acne scars, surgical scars, enlarged pores, stretch marks, age spots and Rosacea. It can be used safely on the face, neck, hands, arms, and chest. Fraxel is a great first option before resorting to more intensive options.
Treatment for acne scars.
Lasers can go a great job by making tiny little holes through the skin to the dermis. The area heals in hopes that the collagen redistributes and "fills in" the look of the depression or scar. Surgical treatment may involve cutting (circular) out the depression and replacing it with a graft of skin (usually from behind the ear) that is cut a little larger than the first opening. The grafted skin heals beautifully with little evidence that anything was ever there and the donor skin has a linear scar.
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