Bumpy texture and no acne - What is wrong with my skin and what can I do? (photos)

Question

I had lots of acne as a teen. Not a single zit in the last year but the texture of my skin is still bumpy and strange regardless of what i do. Are these acne scars or what? What procedures will address this? Im of Asian descent so i do have hyperpigmentation risks.

Anil R. Shah, MD · Answer

Hello 647461anon

My name is Melanie I am a Medical Aesthetician at Aesthetic Skin located in Winnetka, IL. I recommend a chemical exfoliation facial or Hydrafacial to improve the texture of the skin. Although I can see the texture in the photo it is hard to tell if this is scarring or some congestion. You may need a few treatments to reach your desired results as well as incorporating a retinol into your skin care regimen. Please give our office a call to schedule an in-person consultation I will be able to better asses the skin and choose the appropriate treatment for your skin. Our office number is 312-944-0117.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

At-home microneedling (see link) can be used to jumpstart the skin's natural healing process. The tiny needles puncture the skin to create micro-wounds. Professional-grade serums can be used in combination for maximum results. I suggest you seek out a board-certified dermatologist to discuss your best treatment options. Best, Dr. Emer

Bumpy texture and no acne - What is wrong with my skin and what can I do? (photos)

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