What can I do to improve my damaged skin? (Photo)

Question

I am a 43 years old woman currently residing in randfontein. Like many women I suffered from acne since my high school days until adulthood. I used almost every available product that promised miracles but unfortunately none of them made any improvement whatsoever. Fast forward to 2018 when I went for my annual pap smear and was advised by my gynae that I should start taking a pill that deals with hormonal imbalances and further prescribed (qlaira).

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Androgens are the most important hormones that regulate sebum production. This androgen-dependent secretion is mediated by potent androgens such as testosterone and DHT, as well as weaker ones. Certain lifestyle modifications can help naturally balance these hormones. These include:
1. Regular physical activity can help regulate hormonal balance and reduce the likelihood of acne breakouts.2. A diet rich in protein, fiber, and healthy fats can help maintain hormonal balance. It is advisable to limit dairy and added sugars, as these can exacerbate acne symptoms.3. Quality sleep is essential for hormonal regulation. Lack of sleep can disrupt hormonal balance and potentially trigger acne breakouts.4. High levels of stress can stimulate the production of acne-causing hormones. Techniques such as meditation, yoga, or other stress-reducing activities may be beneficial.5. Smoking can disrupt hormonal balance and contribute to acne. Encouraging the patient to quit smoking could potentially improve her acne condition.6. Certain supplements, such as Vitamin D and green tea extract, may help in managing acne symptoms.
Regarding your current medication, Qlaira, there is evidence suggesting that some contraceptive pills can cause acne due to the presence of acne-causing strains of the hormone progestin. Pills containing ethinyl estradiol and cyproterone may be more effective in reducing acne.
I hope this information is helpful. Please let me know if there are other aspects of your case that we should explore.

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