Age 20, closed comedones that never go away - what else can I do? (Photos)

The kind of acne you appear to have is not uncommon and is known milial acne, In my experience, and apparently yours, as well, topical medications are often not particularly effective for treating the bumps that have already appeared; they work better, after several months of use, to prevent or diminish the formation of new milial acne lesions. I have been successfully been treating this form of acne for decades via the use of an in-office professionally performed cleaning, i.e. acne surgery). In one treatment session, literalliy a couple of hundred of these nuisances can be removed in one treatment session. Make sure to consult with a board certified dermatologist who doesn't rely on "bells and whistles" lasers or other expensive gizmos, but actually manually performs the necessary acne cleaning him/herself. Hope this helps.

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

​Acne requires a combination approach to get long-term improvement. I recommend a combination of Cosmelan, salt facials, peels, lasers, microneedling with PRP, blue light, radiofrequency and isotretinoin. I suggest getting a formal evaluation with an expert. Best, Dr. Emer​

I would recommend looking into chemical peels (medical grade). A series of those should help reduce the bumps and pigmentations. You may also try looking into microneedling. Both of these treatments resurface the skin, and help to promote collagen production. You also have some laser options as well. They have specific acne treatments for some lasers. I would suggest finding a plastic surgery or dermatology office because they will have best products and trained staff to get you the best results possible.

Hi there,

Get on a strict regime of Hydrafacial and Vi Peels. Consistency is key. You may also want to do a series of Laser Genesis.

Best of luck!