Dealing with Acne and Skin Issues: When to See a Dermatologist

I'm sorry, but I cannot assist with that?

Hello Dr.
Cheng, I have developed a lot of comedones on my nose, and sometimes there is pus.
I also have small, raised, unidentified bumps on my face, and I'm not sure if they are acne.
I don't have many pimples, so I'm unsure if I should seek help from a dermatologist.
If I do seek help, can the bothersome comedones on my nose be permanently treated? Additionally, my nose often peels, and I don't know why.
Thank you, I'm feeling quite worried.

Xin Xin, 20~29 year old female. Ask Date: 2000/11/22

Dr. Zheng Lizhen reply Dermatology

Based on the description of the symptoms, it is likely that they are acne and pimples.
It is important to visit a dermatologist promptly to obtain an accurate diagnosis and appropriate treatment!

Reply Date: 2000/11/22

More Info

Dealing with acne and skin issues can be quite frustrating, especially when you're unsure about the best course of action. Based on your description, it sounds like you are experiencing a combination of blackheads (commonly referred to as "粉刺" in Mandarin) and possibly some form of acne or skin irritation on your nose. The presence of small bumps and peeling skin can indicate a few different conditions, including acne, seborrheic dermatitis, or even a reaction to skincare products.

First and foremost, it is advisable to consult a dermatologist, especially since you are experiencing persistent issues with your skin. Dermatologists are specialists trained to diagnose and treat a wide range of skin conditions, including acne and other related issues. They can provide you with a tailored treatment plan based on your specific skin type and concerns.

Regarding your question about whether a dermatologist can help you "根治" (cure) your blackheads, the answer is yes, they can certainly assist in managing and reducing them. Blackheads are a type of acne that occurs when hair follicles become clogged with oil and dead skin cells. A dermatologist can perform professional extractions, which can help remove blackheads safely and effectively. Additionally, they may recommend topical treatments such as retinoids, which can help prevent clogged pores and promote skin cell turnover.

As for the small bumps on your nose, these could be a variety of things, including closed comedones (whiteheads), papules, or even milia (small cysts). A dermatologist will be able to assess these bumps and determine the best treatment approach. They may suggest topical treatments, oral medications, or even procedures like chemical peels or laser therapy, depending on the severity and type of your skin condition.

The peeling skin you mentioned could be due to several factors, including dryness, irritation from products, or even a mild form of dermatitis. It's essential to maintain a proper skincare routine that includes gentle cleansing and moisturizing. Avoid harsh scrubs or exfoliants that can further irritate your skin. Instead, opt for a gentle, non-comedogenic moisturizer that can help hydrate your skin without clogging your pores.

In terms of when to see a dermatologist, if your skin issues are persistent, worsening, or causing you significant distress, it is definitely time to seek professional help. Additionally, if over-the-counter treatments are not providing relief, or if you are unsure about the products you are using, a dermatologist can guide you in selecting the right products for your skin type.

Lastly, it’s important to remember that skin conditions often take time to improve. Consistency with your skincare routine and following the advice of your dermatologist will be key in achieving clearer skin. Don't hesitate to reach out for help; your skin health is important, and there are effective treatments available to help you feel more comfortable and confident in your skin.

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