How to get rid of post acne marks? (photos)
Doctor Answers 9
Post acne marks
To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.
Post-acne marks and Retin-A
Please find someone reputable and I think you will do just fine.
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Red marks and Acne
First you need to have your skin analyzed and find out if there is a hormonal reason why your acne is so bad. I would recommend consulting a dermatologist who has expertise in acne and scars. A combination of V-Beam laser and peels will improve the skin color. This is a situation which can be easily remedied.
Acne is a very common condition and yet one of the most common under or mistreated condition. To effectively treat acne one has to first address your skin flora, or bacteria on your skin, that may be causing infection. Second one has to address skin oil deposit on your skin and skin oil production by your skin. Third one has to address the inflammation in your skin that may be causing the redness in your acne case. Fourth one has to address the post acne hyper pigmentation and pitting scars.
I suggest you see a Drmatologist or Plastic Surgeon that is experienced in acne treatment to get started maybe on accutane. If you are a candidate (accurate most of above but with a lot of side effects) or get stared on oral low dose antibiotics, good cleansers of oily skins, a lactic acid based exfoliant and benzal Peroxide, a hydro quinone and tretinoin which you are already on and a sunblock. Another option is to look into and switch around your oral contraceptive and consider spironolactone to control the hormonal responsive acne.
Once you do all of that than consider du vision and laser resurfacing for your deep acne scars. Be patient and make sure you continue to follow up with your physician to adjust and monitor your treatment,
Nagi T Ayoub MD, FACS
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
Laser Options for Red Scars
Give the Retin A a few more weeks and if you do not feel it is working out, consider seeking out a practitioner experienced in treating red acne scars with pulsed dye lasers.
To see an example of a patient that was treated with pulsed dye lasers for red acne scarring, click on the link below.
Post acne pigmentation
Fractional laser vs Q Switch lasers
You have several options to speed up clearance. One is with Picosecond or Nanosecond Q switch lasers. I like using the Picosure FOCUS fractional as it has little, if any downtime. You will need 3-4 sessions. Long pulse 1064 Nd Nanosecond lasers can also work.
Fractional laser resurfacing can be effective. In this case, I would use a light resurfacing laser, Fraxel 1927, or Pearl. You have the option for CO2 or Erbium, but these lasers have longer downtime.
All the best
Dr Davin Lim
Laser and aesthetic dermatologist
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.