How to get rid of hormonal acne? Acne scars? Pigmentation? Also getting lots of bump/pimples colorless on forehead?
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Doctor Answers 4
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Multifaceted approach to acne treatment
There are several options to manage acne, all of which can be implemented by a board-certified dermatologist. Depending on the severity of your acne, a dermatologist might recommend one or a combination of treatments, including topical medications and/or oral medications. Since your acne worsened after stopping birth control, resuming a certain type of birth control pills may be a good option assuming you are medically cleared to take them. It sounds like a topical retinoid may be particularly useful for you (a vitamin A-derived class of medication). All acne treatments require several months of faithful use before effects can be determined.To manage the hyperpigmentation (dark spots left behind from acne), you may benefit from carefully selected topical lightening agents (such as hydroquinone, azelaic acid, kojic acid, etc.) with or without chemical peels. Chemical peels, especially salicylic acid, can be especially useful in the treatment of acne. An overall skin care regimen is essential for all acne treatments, and it would be important for you to find a moisturizer that you can wear every day (ideally with SPF!) that helps preserve your facial skin barrier and overall hydration. Once acne is under excellent control (no or rare new bumps appearing), the scarring can be addressed with the help of surgery, laser, microneedling, and/or chemical peels to assist in resurfacing areas of scarring. It is important to realize that no treatment is 100% effective at erasing acne scarring, so it is crucial to get acne under control so no further scarring occurs.
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.