Effective Solutions for Persistent Acne and Scarring in Taiwan - Dermatology

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Hello Dr.
Jiang,
I would like to ask about my ongoing acne problem.
It sometimes improves, but I have heard that I shouldn't squeeze my acne, so I have been hesitant to treat it myself and have let it run its course.
However, it almost always leaves noticeable scars that look like bruises (subcutaneous), and in some cases, they have developed into hyperpigmentation resembling moles.
What should I do? Recently, my acne has worsened again.
Could you please recommend a more professional and effective doctor in Nantou or Caotun? Thank you very much; I really appreciate it.

Chu Liu Xiang, 20~29 year old female. Ask Date: 2003/04/28

Dr. Jiang Zheen reply Dermatology


Dear Chu Liuxiang: Acne is a skin condition that may require the assistance of a dermatologist when it becomes severe.
I rarely see cases of acne that cannot be treated, but it is important to have patience, as the typical treatment duration is 2-3 months.
Treatment often involves a combination of oral and topical medications.
You can visit the dermatology department at Puli Christian Hospital, where there is a very good dermatologist.
If that is too far, any nearby dermatology clinic should be able to provide you with effective treatment.
Wishing you peace and may God bless you.

Reply Date: 2003/04/28

More Info


Persistent acne and scarring can be a frustrating issue, and it's great that you're seeking effective solutions. In Taiwan, there are several approaches to managing acne and its associated scars, and I would like to provide you with a comprehensive overview of the available options.


Understanding Acne and Scarring
Acne is primarily caused by the overproduction of sebum, clogged pores, bacteria, and inflammation. It can manifest in various forms, including whiteheads, blackheads, papules, pustules, and cysts. Scarring occurs when the skin heals improperly after an acne lesion has resolved, leading to either atrophic scars (depressed scars) or hypertrophic scars (raised scars). Post-inflammatory hyperpigmentation (PIH) can also occur, where dark spots remain after the acne has healed.


Treatment Options
1. Topical Treatments:
- Retinoids: These are vitamin A derivatives that help unclog pores and promote cell turnover. Common options include tretinoin and adapalene.

- Benzoyl Peroxide: This ingredient helps reduce bacteria and inflammation.

- Salicylic Acid: A beta-hydroxy acid that helps exfoliate the skin and unclog pores.

- Antibiotics: Topical antibiotics like clindamycin can help reduce inflammation and bacteria.

2. Oral Medications:
- Antibiotics: Oral antibiotics such as doxycycline or minocycline can be prescribed for moderate to severe acne.

- Hormonal Treatments: For women, hormonal therapies like birth control pills can help regulate hormones that trigger acne.

- Isotretinoin: This is a powerful oral retinoid used for severe acne that hasn't responded to other treatments. It can significantly reduce oil production and prevent future breakouts.

3. Procedural Treatments:
- Chemical Peels: These involve applying a chemical solution to exfoliate the skin, helping to reduce acne and improve the appearance of scars.

- Microdermabrasion: This is a non-invasive procedure that exfoliates the skin and can help improve the texture and appearance of scars.

- Laser Treatments: Fractional laser therapy and other laser treatments can target acne scars and promote collagen production.

- Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, stimulating collagen production and improving the appearance of scars.

4. Skincare Routine:
- Maintaining a consistent skincare routine is crucial. Use non-comedogenic products, and ensure to cleanse your face twice daily. Moisturizing is also important, even for oily skin types.

5. Lifestyle Modifications:
- Diet can play a role in acne. Some studies suggest that high-glycemic foods and dairy may exacerbate acne. Staying hydrated, managing stress, and getting adequate sleep can also help improve skin health.


Finding a Specialist in Taiwan
In terms of finding a qualified dermatologist in Nantou or Caotun, I recommend looking for clinics that specialize in dermatology and cosmetic procedures. You can check local hospitals or private clinics that have dermatology departments. It’s beneficial to read reviews or ask for recommendations from friends or family who may have had similar experiences.


Conclusion
Acne and scarring can be effectively managed with a combination of topical and oral treatments, procedural interventions, and lifestyle changes. It’s essential to consult with a dermatologist who can tailor a treatment plan specific to your skin type and concerns. They can also help you navigate the various options available in Taiwan and ensure that you receive the most effective care for your persistent acne and scarring. Don’t hesitate to reach out for professional help, as early intervention can lead to better outcomes.

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