Effective Acne Treatments: Expert Advice and Options in Changhua

Acne

1.
Could you please recommend a well-known acne clinic or dermatologist in Changhua? (Authority)
2.
My acne issue seems to fall into the moderate to severe category, with comedones, many inflamed cystic lesions, and some small red papules.

3.
How long does the treatment typically take? I've heard that oral isotretinoin is currently the most effective treatment method, but I've also heard that it has significant side effects.
What symptoms might occur?
4.
Why do some people say that glycolic acid peels are effective while others claim they are not? What is the situation?
5.
Are acne scars only treatable through dermabrasion? Is it very painful? What is the approximate cost for full facial dermabrasion?

Xiao Xiang, 10~19 year old female. Ask Date: 2005/08/02

Dr. Jiang Zheen reply Dermatology

You don't necessarily need to go to a renowned specialist; any board-certified dermatologist can effectively treat your acne.
In fact, many patients find that their doctors have limited interaction time.
Generally, acne treatment requires 3-4 months.
Oral isotretinoin is the most effective medication for treating acne, but it can only be prescribed in a hospital setting and requires prior approval from the National Health Insurance Administration.
Its side effects include dryness of mucous membranes, and it may sometimes elevate cholesterol and triglyceride levels in the blood.
The most significant contraindication is that you must not become pregnant while taking this medication, as it can affect fetal development.
Chemical peels using alpha hydroxy acids are effective for treating comedones and can enhance the absorption of topical medications, but they are not covered by insurance and must be paid out-of-pocket.
As for the most effective method for treating pitted acne scars, laser resurfacing is recommended, but treatment should only be performed once the acne is no longer active.
I only know that the dermatologist with the most acne patients in Taiwan is Dr.
Lin Bing-Huang at his clinic in Tainan City.
Wishing you peace and may God bless you.

Reply Date: 2005/08/02

More Info

When it comes to effective acne treatments, there are several options available, and it's essential to consult with a qualified dermatologist to determine the best course of action for your specific condition. In Changhua, there are reputable clinics and dermatologists known for treating acne, including those specializing in moderate to severe cases. You may want to look for dermatology clinics with good reviews or ask for recommendations from friends or family who have had positive experiences.

For moderate to severe acne, which includes the presence of comedones (blackheads and whiteheads), inflammatory papules, and pustules, a comprehensive treatment plan is often necessary. Oral isotretinoin (commonly known as Accutane) is indeed one of the most effective treatments for severe acne. However, it is crucial to understand that isotretinoin has significant potential side effects, including:
1. Dryness: Patients often experience dry skin, chapped lips, and dry eyes.

2. Liver Function: Isotretinoin can affect liver enzymes, so regular blood tests are required to monitor liver function.

3. Cholesterol Levels: It can also elevate cholesterol and triglyceride levels, necessitating monitoring.

4. Mood Changes: Some patients report mood swings or depressive symptoms, although the evidence linking isotretinoin to severe mental health issues remains debated.

5. Teratogenic Effects: Isotretinoin is highly teratogenic, meaning it can cause severe birth defects if taken during pregnancy. Women of childbearing age must use effective contraception and undergo regular pregnancy tests.

Regarding chemical peels, such as those using alpha hydroxy acids (AHAs), they can be beneficial for some individuals. The effectiveness of chemical peels can vary based on skin type, the severity of acne, and the specific formulation used. Some people report significant improvements, while others may not see the same results. The variability in outcomes can be attributed to individual skin responses, the depth of the peel, and the specific type of acne being treated.

As for acne scars, particularly atrophic scars (depressed scars), options include dermabrasion, laser treatments, and microneedling. These procedures can help improve skin texture and appearance, but they may cause discomfort or pain during the process. The pain level can vary depending on the treatment method and individual pain tolerance. It's advisable to discuss pain management options with your dermatologist before undergoing any procedure.

The cost of skin resurfacing treatments can vary widely based on the clinic, the expertise of the practitioner, and the specific treatment chosen. Generally, you might expect to pay anywhere from a few hundred to several thousand dollars, depending on the extent of the treatment and the technology used.

In conclusion, if you're dealing with moderate to severe acne, it's crucial to consult with a dermatologist who can provide a tailored treatment plan. They can guide you through the options, including the use of isotretinoin, chemical peels, and procedures for acne scarring, while also monitoring for potential side effects and ensuring the best possible outcomes for your skin health.

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