Struggling with Persistent Acne: Effective Treatments and Solutions

My face is covered in acne, and I'm going crazy?

I frequently develop acne in the same areas, particularly on my cheeks and chin, while small pimples on my forehead can be itchy and sometimes appear in clusters.
The blackheads on my nose are difficult to remove, and my skin is very oily and easily collects dust.
Additionally, I have red acne scars on my cheeks, and my pores are enlarged, especially around the two-centimeter area on either side of my nose.
Previously, I purchased a 15% L-ascorbic acid (yellow) and a scar treatment (green) from the pharmacy.
The pharmacist mentioned that these products are also sold in hospitals (like Cathay General Hospital).
Are they really effective?

Yulian, 20~29 year old female. Ask Date: 2000/11/15

Dr. Zheng Lizhen reply Dermatology

L-ascorbic acid can help accelerate the fading of post-inflammatory hyperpigmentation after acne, but acne still needs to be properly treated.
Yulian has many blackheads, so it is important to maintain facial cleanliness.
In addition to washing the face, topical products such as alpha hydroxy acids, retinoids, and salicylic acid can be used to soften the stratum corneum and reduce pore blockage.
Collaborating closely with a dermatologist will be faster and more effective than applying treatments haphazardly on your own.
Just because you purchased a cream available at the hospital does not guarantee its effectiveness; it must be applied to the right areas and at the right time, which is best determined by a professional physician.

Reply Date: 2000/11/15

More Info

Dealing with persistent acne can be frustrating and challenging, especially when it seems to recur in the same areas, such as the cheeks and chin, and when you experience itchy breakouts on your forehead. The presence of blackheads on your nose and enlarged pores can further complicate your skin condition. It’s important to understand that acne is a multifactorial skin disorder influenced by various factors, including hormonal changes, excess oil production, bacteria, and inflammation.

Firstly, the products you mentioned, such as the 15% L-ascorbic acid (Vitamin C) and the green scar treatment, can be beneficial in certain contexts. Vitamin C is known for its antioxidant properties and can help brighten the skin, reduce inflammation, and promote collagen production, which may assist in fading acne scars over time. However, the effectiveness of these products can vary from person to person, and they may not address the root causes of your acne.

For persistent acne, especially when it is localized and recurrent, it is advisable to consider a comprehensive skincare routine that includes:
1. Cleansing: Use a gentle, non-comedogenic cleanser twice a day to remove excess oil and dirt without stripping your skin of its natural moisture. Look for cleansers containing salicylic acid or benzoyl peroxide, as these ingredients can help reduce acne by unclogging pores and killing acne-causing bacteria.

2. Exfoliation: Regular exfoliation can help remove dead skin cells that contribute to clogged pores. Consider using chemical exfoliants like alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) rather than physical scrubs, which can irritate the skin.

3. Topical Treatments: Over-the-counter treatments containing benzoyl peroxide, salicylic acid, or retinoids can be effective in managing acne. Retinoids, in particular, help to promote cell turnover and prevent clogged pores, making them a good option for persistent acne.

4. Moisturizing: Even oily skin needs hydration. Opt for a lightweight, oil-free moisturizer that won’t clog your pores. This can help balance your skin’s oil production.

5. Sun Protection: Use a broad-spectrum sunscreen daily, as some acne treatments can make your skin more sensitive to the sun.

6. Diet and Lifestyle: Consider evaluating your diet and lifestyle. Some studies suggest that high glycemic index foods and dairy may exacerbate acne in some individuals. Staying hydrated, managing stress, and getting adequate sleep can also contribute to healthier skin.

7. Professional Treatments: If over-the-counter products are not effective, it may be beneficial to consult a dermatologist. They can prescribe stronger topical or oral medications, such as antibiotics, hormonal treatments, or isotretinoin, depending on the severity of your acne.

8. Chemical Peels and Laser Therapy: Dermatologists may also offer treatments like chemical peels or laser therapy to help reduce acne and improve skin texture.

Regarding the specific products you purchased, while they may provide some benefits, it’s essential to have realistic expectations and understand that treating acne often requires a multifaceted approach. If you find that your acne persists or worsens, seeking professional advice is crucial. A dermatologist can provide tailored recommendations based on your skin type and specific concerns, ensuring you receive the most effective treatment for your persistent acne.

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