Fungal Acne and VI peel

Question

I recently recovered from Fungal Acne. My dermatologist had put me on oral flucanazole tablets (200 mg) twice once last year 1 tablet per week for 8 weeks. Then again this year 2 tablets per week for 4 weeks. First time was helpful and 2nd time too.But I worry it might return again. My skin has not been doing very well but atleast new flare ups have gone. I have switched to completely FA safe products. I try to use happy cappy medicated shampoo all time even for face wash. Given the little background my face currently has scars and I was wondering if going for VI peel is a good idea? I still have a bit of itching left but I believe it could be because of mandelic acid serum and benzoyl peroxide. Attaching images of before and today. Please advise.

Anil R. Shah, MD · Answer

Hello! I'm Landry - an aesthetician at Shah Facial Plastics located in both Winnetka and the River North area.

You're doing a great job being mindful of your routine, especially when dealing with fungal acne. It’s great to hear that the flare-ups have settled down, even though I know the scarring and discoloration can still be frustrating.

A VI Peel can definitely help with acne scarring and pigmentation, but we want to make sure your skin is truly ready for it. Since you're still experiencing some itching and have had recent sensitivity to products like mandelic acid and benzoyl peroxide, your skin may still be a little compromised. That itching might be a sign your barrier isn’t fully healed yet—or that there’s still some lingering inflammation or irritation.

Before jumping into a peel, I’d recommend focusing on calming and strengthening your skin. This can be in the form of gentle, non-comedogenic moisturizers and calming ingredients like niacinamide or Centella. Once your skin feels calm—no more itching or reactions—absolutely revisit the VI Peel to target scarring and pigmentation more safely.

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Fungal Acne and VI peel

Answers (1)

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