I had acne for 14 years now, I've been to numerous dermatologist, pills, creams, chemical peels, retin A. (photo)
Doctor Answers 3
Your skin color is a limiting factor to getting quick dramatic result
First, don't do chemical peels. From your photos, I can say you are a Fitz V. Ethnic skin and chemical peels usually don't do well together. More often than not, you end up with post inflammatory hyperpigmentation. The very first thing to do in your condition is make a good assessment of your acne scar type: ice pick, box car and rolling. It looks like you have mostly ice pick plus a few box car and rolling. Next is to figure out how bad the scars are. Are they shallow or deep? Try to light your face in an angle to see how much light is trapped in the scars. This way you'll know how deep your scars are. Next is to control your acne because if you are still breaking out, you will keep getting the hyperpigmentation and keep developing scars. There is no single treatment to your "curse". It involves a multi-disciplinary approach. Contrary to common beliefs, dark, ethnic skin is very sensitive and it should be approached very gingerly, carefully and slowly. With appropriate treatment protocol, it is possible for your skin to improve by as much as 80 - 90% over a period of 2 years. Your pigmentation will be the last thing to improve. As shown by your photos, your pigmentation seems to have already gone dermal. Improving pigmentation in ethnic skin is like walking on a tight rope. The key is slow but surely. With patience, your skin should clear.