Effective Treatments for Acne Scars and Enlarged Pores in Adults - Dermatology

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Acne scars


As someone who is no longer in their teenage years, I am troubled by acne.
I dread going to Watsons because I fear the sales staff will approach me.
I have undergone one session of microdermabrasion, but I am currently dealing with enlarged pores and scarring.
Additionally, I have some latent acne.
Could you please advise me on what level of assistance and treatment I can receive at Changhua Hospital? For example, would glycolic acid peels be an option? I am currently in a teaching position, so what treatment methods would be most suitable for me? Thank you, doctor!

An Dong Ni, 20~29 year old female. Ask Date: 2006/02/07

Dr. Hong Zhengsheng reply Dermatology


Hello Anthony: Based on your written description, it is currently difficult to ascertain your specific condition.
The most significant characteristic of skin diseases is that "seeing is believing, and texture is felt"; it is indeed challenging to convey a complete picture through text alone.
Therefore, I recommend that when you notice the symptoms described on your skin, you should promptly visit a public hospital in your county or city under the Department of Health and consult with a dermatologist.
All the physicians in our department are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/02/07

More Info


Acne scars and enlarged pores can be a significant concern for adults, especially when they are remnants of previous acne outbreaks. The treatment options available can vary widely depending on the severity of the scars, the type of skin, and individual preferences. Here’s a comprehensive overview of effective treatments for acne scars and enlarged pores, along with some insights into what you might expect from a visit to a dermatology clinic like the one at Changhua Hospital.


Treatment Options for Acne Scars
1. Topical Treatments:
- Retinoids: These vitamin A derivatives can help promote cell turnover, reduce the appearance of scars, and improve skin texture. Over-the-counter options include retinol, while stronger formulations are available by prescription.

- Alpha Hydroxy Acids (AHAs): Products containing glycolic acid can help exfoliate the skin, improving the appearance of scars and minimizing pore size.

- Beta Hydroxy Acids (BHAs): Salicylic acid is particularly effective for oily skin types and can help unclog pores and reduce inflammation.

2. Chemical Peels:
- Glycolic Acid Peels: These are superficial peels that can help improve skin texture and reduce the appearance of scars. They work by removing the outer layer of dead skin cells, promoting new skin growth.

- Trichloroacetic Acid (TCA) Peels: These are deeper peels that can be more effective for deeper scars but require more downtime.

3. Microneedling:
- This procedure involves using fine needles to create micro-injuries in the skin, stimulating collagen production. It can be effective for both scars and enlarged pores and usually requires multiple sessions for optimal results.

4. Laser Treatments:
- Fractional Laser Resurfacing: This technique targets specific areas of the skin, promoting collagen remodeling and reducing the appearance of scars. It can also help with enlarged pores.

- Pulsed Dye Laser: This is effective for redness associated with acne scars and can improve overall skin tone.

5. Fillers:
- For certain types of scars, dermal fillers can be injected to raise the depressed areas, providing immediate improvement in appearance.

6. Surgical Options:
- In some cases, surgical procedures such as subcision (where a needle is used to break up scar tissue) may be recommended for deeper scars.


Enlarged Pores Treatment
- Regular Exfoliation: Using products with AHAs or BHAs can help keep pores clear and minimize their appearance.

- Clay Masks: These can help absorb excess oil and reduce the appearance of pores.

- Pore Minimizing Products: Look for products that contain niacinamide, which can help regulate oil production and improve skin texture.


What to Expect at Changhua Hospital
When you visit Changhua Hospital, a dermatologist will likely conduct a thorough assessment of your skin. They may ask about your medical history, current skin care routine, and any previous treatments you have undergone. Based on this evaluation, they will recommend a personalized treatment plan that may include one or more of the options mentioned above.


Considerations for Treatment
- Skin Type: Treatments may vary based on whether you have oily, dry, or sensitive skin.

- Downtime: Some treatments, especially laser and chemical peels, may require downtime for recovery.

- Cost: Different treatments come with varying costs, and it’s essential to discuss this with your dermatologist.

- Lifestyle: As you mentioned you are in a teaching position, consider treatments that require less downtime or are less invasive.


Conclusion
Acne scars and enlarged pores can be effectively treated with a combination of topical treatments, professional procedures, and lifestyle adjustments. It’s essential to consult with a dermatologist who can tailor a treatment plan to your specific needs and skin type. With the right approach, you can achieve smoother skin and reduce the visibility of scars and pores, allowing you to feel more confident in your appearance.

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