Acne
Hello, doctor.
I previously had a severe problem with acne and comedones.
I went to a beauty salon for facials and used topical retinoids (applied all over my face), and I also took oral isotretinoin for three months (which the doctor discontinued), which significantly improved my condition.
However, I am still experiencing persistent closed comedones and excessive oil production in my pores.
What can I do to improve this?
Amy, 20~29 year old female. Ask Date: 2022/10/23
Dr. Wu Yuxin reply Dermatology
It is advisable to discuss with your physician whether you can continue using retinoic acid, and perhaps consider reducing the dosage for continued use.
Reply Date: 2022/10/23
More Info
Dealing with persistent acne and clogged pores can be frustrating, especially after having tried various treatments. It sounds like you've already made significant progress with the use of topical retinoids (like tretinoin, commonly referred to as "A acid") and oral isotretinoin, but you're still experiencing issues with closed comedones (often referred to as "whiteheads") and excess oil production. Here are some effective solutions and strategies you might consider to further improve your skin condition.
1. Topical Treatments
- Retinoids: Since you've had success with topical retinoids, you might want to continue using them. They help in promoting cell turnover, preventing clogged pores, and reducing inflammation. If you were using tretinoin, consider discussing with your dermatologist about possibly reintroducing it or trying a different formulation or strength.
- Salicylic Acid: This beta hydroxy acid (BHA) is excellent for penetrating pores and exfoliating from within. It can help dissolve the debris that leads to clogged pores and is particularly effective for oily skin types.
- Benzoyl Peroxide: This is an effective antibacterial agent that can help reduce acne-causing bacteria and inflammation. It can be used in conjunction with other treatments but should be introduced gradually to avoid irritation.
- Niacinamide: This ingredient can help regulate oil production, improve skin texture, and reduce the appearance of enlarged pores. It’s also anti-inflammatory, making it suitable for acne-prone skin.
2. Professional Treatments
- Chemical Peels: These can help exfoliate the skin more deeply than at-home products. Salicylic acid peels, in particular, can be beneficial for acne-prone skin.
- Microdermabrasion: This treatment can help remove dead skin cells and promote new cell growth, which may help with clogged pores.
- Laser Therapy: Certain laser treatments can target acne and reduce oil production in the skin. Discussing options with a dermatologist can help you find the right treatment for your specific needs.
3. Lifestyle and Skincare Routine
- Gentle Cleansing: Use a gentle, non-comedogenic cleanser twice daily to remove excess oil and impurities without stripping the skin.
- Moisturizing: Even oily skin needs hydration. Look for lightweight, oil-free moisturizers that won’t clog pores.
- Avoid Heavy Makeup: If you wear makeup, opt for non-comedogenic products and ensure you remove it thoroughly at the end of the day.
- Diet and Hydration: A balanced diet rich in antioxidants, vitamins, and minerals can support skin health. Staying hydrated is also crucial for maintaining skin elasticity and overall health.
4. Consultation with a Dermatologist
- Since you’ve had a history of severe acne, it’s essential to maintain regular follow-ups with a dermatologist. They can provide personalized recommendations based on your skin type and the severity of your condition. If you haven't already, consider discussing the possibility of hormonal treatments if your acne is linked to hormonal fluctuations.
5. Patience and Consistency
- Acne treatment often requires time and consistency. It may take several weeks to see significant improvements, so it’s important to stick with your regimen and not to switch products too frequently.
In conclusion, while you've made strides in managing your acne, persistent issues with clogged pores and oil production can often be addressed with a combination of topical treatments, professional interventions, and a consistent skincare routine. Always consult with your dermatologist before making changes to your treatment plan to ensure the best outcomes for your skin.
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