How to Treat Acne Scars and Improve Oily Skin Texture

Poor skin condition..?

Hello, Doctor: I would like to ask you about my situation.
I was an athlete in elementary school and have oily skin, which led to a lot of acne.
However, I didn't understand it when I was younger, and due to rapid development, my acne became quite severe.
My mother would help me pop the pimples, so now I have many scars on my face.
What should I do? Although I don't have much acne now, my pores are really enlarged, my skin feels rough, and there are some dark spots.
What can I do? I don't even know how to take care of my skin, as no one has ever taught me.
Doctor, please help me! Thank you.

Xiao Guo, 10~19 year old female. Ask Date: 2003/01/16

Dr. Zheng Lizhen reply Dermatology

Hello! Atrophic scars can be treated with laser resurfacing surgery to achieve good results.
For enlarged pores, you may consult a dermatologist about using retinoids or alpha hydroxy acids to improve pores that have become enlarged due to clogged comedones.
The fundamental principles of skincare are cleansing and moisturizing, with the addition of sun protection during the day.
With good products and the right methods, significant results can be achieved without the need for numerous products.
Best wishes for your health from Dr.
Cheng Li-Chen, Dermatology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/01/16

More Info

Treating acne scars and improving the texture of oily skin can be a multifaceted approach that involves both topical treatments and professional procedures. Given your history of acne and the resultant scarring, it’s essential to adopt a comprehensive skincare routine while also considering professional interventions.

Understanding Your Skin Type
First, it’s important to recognize that oily skin can often lead to enlarged pores and a rough texture, especially if acne has been a persistent issue. The key is to maintain a balance: you want to control oil production without over-drying your skin, which can lead to irritation and further breakouts.

Skincare Routine
1. Cleansing: Use a gentle, oil-free cleanser twice daily. Look for products containing salicylic acid or benzoyl peroxide, which can help reduce oil and prevent future breakouts. Avoid harsh scrubs that can irritate the skin and exacerbate oiliness.

2. Exfoliation: Incorporate chemical exfoliants into your routine. Products containing alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) can help remove dead skin cells, improve skin texture, and reduce the appearance of scars. Start with a low concentration to see how your skin reacts.

3. Moisturizing: Even oily skin needs hydration. Opt for a lightweight, non-comedogenic moisturizer that won’t clog pores. Gel-based moisturizers are often a good choice for oily skin.

4. Sun Protection: Daily sunscreen is crucial, especially when using products that can make your skin more sensitive to the sun. Choose a broad-spectrum sunscreen with at least SPF 30.

5. Targeted Treatments: For acne scars, consider using products with ingredients like retinoids or vitamin C. Retinoids can promote cell turnover and improve skin texture, while vitamin C can help brighten the skin and reduce pigmentation.

Professional Treatments
If your scars are significant or if you’re looking for faster results, professional treatments may be beneficial:
1. Chemical Peels: These can help improve skin texture and reduce the appearance of scars by removing the top layer of skin. They can be tailored to your skin type and the severity of your scars.

2. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which stimulates collagen production and can improve the appearance of scars and texture.

3. Laser Treatments: Fractional laser treatments can target deeper layers of skin, promoting healing and reducing the appearance of scars. This is particularly effective for deeper acne scars.

4. Dermal Fillers: For certain types of scars, fillers can be injected to raise the depressed areas of the skin, providing a smoother appearance.

Additional Tips
- Avoid Picking: It’s crucial to avoid picking at acne or scars, as this can lead to further scarring and infection.

- Diet and Hydration: While diet alone won’t cure oily skin, maintaining a balanced diet rich in antioxidants and staying hydrated can support overall skin health.

- Consult a Dermatologist: Given your history and the complexity of your skin concerns, it’s advisable to consult a dermatologist. They can provide personalized recommendations and treatments based on your specific skin type and concerns.

Conclusion
Improving the appearance of acne scars and oily skin texture is a journey that requires patience and consistency. By establishing a solid skincare routine, considering professional treatments, and maintaining a healthy lifestyle, you can achieve significant improvements in your skin’s appearance. Remember, it’s essential to listen to your skin and adjust your routine as needed, and don’t hesitate to seek professional guidance for the best results.

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