Managing Acne Treatment: Redness, Scarring, and Skincare Tips - Dermatology

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Acne Moisturizer


I have a few questions for Dr.
Cheng: 1.
I am currently using acne treatment cream, but I am experiencing redness and peeling.
Should I stop using it? 2.
My acne has cleared up, but I still have red marks left.
Do I still need to apply the acne treatment cream? 3.
I am using a sunscreen; do I need to use a makeup remover? 4.
What products can help fade the marks left by acne on my face?

sandy, 20~29 year old female. Ask Date: 2002/12/03

Dr. Zheng Lizhen reply Dermatology


Hello! 1.
Please visit the dermatology outpatient clinic for a physician to assess whether you need to discontinue any medications.
2.
If you are using a tinted or waterproof sunscreen, it is recommended to remove it thoroughly; otherwise, a regular facial cleanser should suffice.
3.
Acne scars can be categorized into "true scars" (atrophic or hypertrophic scars) and "false scars" (erythema or hyperpigmentation).
True scars, particularly atrophic ones, can be treated with dermabrasion; currently, most procedures utilize laser resurfacing, which causes less damage than traditional microdermabrasion and has a quicker recovery time.
Wound healing typically takes about one week, while redness may take one to two months to fade.
Some individuals may experience hyperpigmentation (dark spots), which can take three to six months to resolve, depending on post-treatment care.
Costs vary based on the size of the treatment area.
Hypertrophic scars are related to individual skin types and can lead to raised keloid scars, which can be treated with topical or injectable steroids or cryotherapy.
As for false scars, these are usually the red or dark pigmentation left by acne, which typically fades gradually over time (approximately three to six months).
The use of whitening products and sunscreen can help accelerate the fading process.
Wishing you good health from Dr.
Cheng Li-Chen, Department of Dermatology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2002/12/03

More Info


Managing acne treatment can be a challenging journey, especially when dealing with side effects like redness, peeling, and scarring. Here’s a comprehensive approach to addressing your concerns based on your questions.

1. Redness and Peeling from Acne Treatment: If you are experiencing significant redness and peeling while using a product like Tretinoin (often referred to as "acne cream" or "acne treatment"), it is common, especially during the initial phase of treatment. This reaction is often due to the skin adjusting to the active ingredients, which can cause irritation. However, if the redness and peeling are severe or uncomfortable, it may be wise to reduce the frequency of application or temporarily discontinue use. Consult your dermatologist for personalized advice, as they might suggest a gentler formulation or an alternative treatment.

2. Post-Acne Red Marks: The red marks left after acne, known as post-inflammatory erythema, can take time to fade. If your active acne has cleared, continuing to use Tretinoin can still be beneficial, as it helps promote skin cell turnover and can gradually reduce the appearance of these red marks. However, if you find that the irritation is too much, you might consider using a soothing moisturizer or a product specifically designed for post-acne marks, such as those containing niacinamide or vitamin C, which can help brighten the skin and improve its texture.

3. Makeup and Cleansing: If you are using a primer or any makeup products, it is essential to remove them properly at the end of the day. Using a makeup remover or cleansing oil can help dissolve makeup effectively. Follow this with a gentle cleanser to ensure all residues are removed. This step is crucial, especially when using acne treatments, as leftover makeup can clog pores and lead to new breakouts.

4. Products for Red Marks and Scarring: To address the red marks left by acne, consider incorporating products that contain ingredients known for their healing and skin-brightening properties. Look for serums or creams with:
- Niacinamide: Known for its anti-inflammatory properties and ability to improve skin barrier function.

- Vitamin C: An antioxidant that can help brighten the skin and reduce the appearance of dark spots.

- Alpha Hydroxy Acids (AHAs): Such as glycolic acid, which can help exfoliate the skin and promote cell turnover.

- Retinoids: If you are not currently using Tretinoin, over-the-counter retinol can also help with skin texture and discoloration.

In addition to topical treatments, consider professional options like chemical peels or laser therapy, which can significantly improve the appearance of post-acne marks and scarring. Always consult with your dermatologist before starting any new treatment to ensure it’s appropriate for your skin type and condition.

General Skincare Tips:
- Hydration: Keep your skin well-hydrated with a non-comedogenic moisturizer to help combat dryness and irritation from acne treatments.

- Sun Protection: Always apply sunscreen during the day, especially when using products like Tretinoin, as they can increase your skin's sensitivity to the sun.

- Gentle Cleansing: Use a mild, fragrance-free cleanser to avoid further irritation.

In conclusion, managing acne and its aftermath requires a balanced approach of effective treatment, gentle skincare, and professional guidance. Regular follow-ups with your dermatologist can help tailor your treatment plan to your evolving skin needs.

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