Dealing with Painful Acne and Dark Spots: Effective Solutions - Dermatology

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Melanin in acne lesions?


I often have large and painful acne, and if I don't pop them, they become dark and pigmented.
I went to see a doctor, and she prescribed me a medication called Benzoyl Peroxide, but I'm not sure if it's effective.
It only helps a little and doesn't eliminate the problem.
My mom told me not to pop them.
What should I do?

Dàtóuyú, 10~19 year old female. Ask Date: 2001/01/09

Dr. Jin Lianchun reply Dermatology


Hello, sir: (1) This topical medication is indeed effective, but acne cannot be treated solely with topical treatments.
(2) Acne is caused by multiple factors, including: 1.
Excessive keratinization of hair follicles 2.
Overactive sebaceous gland secretion 3.
Blocked oil leading to bacterial proliferation and inflammation 4.
Staying up past 11 PM (sleep deprivation) 5.
High levels of stress (including work, studying, relationships...) 6.
Other physical discomforts, constipation, illness...
7.
Irregular menstruation, hormonal imbalances 8.
Use of inappropriate facial care products 9.
Medications that may cause acne 10.
Consumption of high-fat, high-calorie, and caffeinated foods.
How to treat it: 1.
You should visit a dermatology clinic or hospital to diligently take prescribed medications and apply topical treatments for more than 2 consecutive months, which should lead to improvement.
2.
You need to address factors 4 to 10 on your own.
Wishing you a speedy recovery.

Reply Date: 2001/01/09

More Info


Dealing with painful acne and dark spots can be a frustrating experience, especially when the condition seems persistent and resistant to treatment. It's great that you've consulted a doctor and are using Benzoyl Peroxide, which is a common and effective topical treatment for acne. However, it's important to understand that managing acne often requires a multifaceted approach, and patience is key.


Understanding Benzoyl Peroxide
Benzoyl Peroxide works by killing the bacteria that cause acne, helping to unclog pores, and reducing inflammation. While it can be effective for many individuals, it may not completely eliminate acne for everyone. It's also worth noting that results can take time, often several weeks, to become noticeable. If you find that your acne is only improving slightly, it may be beneficial to discuss this with your healthcare provider. They might suggest adjusting the concentration of Benzoyl Peroxide or adding another treatment to your regimen.


The Importance of Not Picking at Acne
Your mother’s advice to avoid squeezing or picking at your acne is sound. While it might be tempting to pop a pimple, doing so can lead to several complications:
1. Infection: Squeezing can push bacteria deeper into the skin, leading to more severe infections.

2. Scarring: Picking at acne can result in permanent scars or dark spots, known as post-inflammatory hyperpigmentation, which can be more difficult to treat than the original acne.

3. Inflammation: Manipulating the skin can cause additional inflammation, worsening the acne.


Additional Treatment Options
If Benzoyl Peroxide alone isn't sufficient, consider discussing the following options with your dermatologist:
1. Topical Retinoids: These can help prevent clogged pores and promote cell turnover, which can reduce both acne and dark spots over time.


2. Salicylic Acid: This ingredient helps to exfoliate the skin and can be effective in treating acne.

3. Chemical Peels: These treatments can help reduce dark spots and improve skin texture by removing the top layer of dead skin cells.

4. Oral Medications: In some cases, oral antibiotics or hormonal treatments (like birth control pills) may be recommended to help manage acne.

5. Laser Treatments: For persistent dark spots, laser therapy can be effective in reducing pigmentation and improving skin tone.


Skincare Routine
In addition to medication, a consistent skincare routine can help manage acne and dark spots:
- Gentle Cleansing: Use a mild cleanser twice daily to remove excess oil and dirt without irritating the skin.

- Moisturizing: Even if you have oily skin, using a non-comedogenic moisturizer can help maintain skin hydration and barrier function.

- Sun Protection: Always apply sunscreen during the day, as sun exposure can worsen dark spots and lead to further skin damage.


Lifestyle Considerations
Lastly, consider lifestyle factors that can influence your skin health:
- Diet: A balanced diet rich in fruits, vegetables, and whole grains can support overall skin health. Some individuals find that reducing dairy or high-glycemic foods can help with acne.

- Stress Management: Stress can exacerbate acne, so incorporating stress-reducing activities like exercise, meditation, or yoga can be beneficial.


Conclusion
Managing painful acne and dark spots is often a gradual process that requires a combination of effective treatments, a consistent skincare routine, and lifestyle adjustments. It's essential to communicate openly with your healthcare provider about your concerns and treatment effectiveness. They can help tailor a plan that works best for you, ensuring that you achieve the best possible results while minimizing the risk of scarring and further skin issues. Remember, patience and persistence are key in the journey to clearer skin.

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