Common Skin Concerns: Acne Laser Treatment and Skincare Myths - Dermatology

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Some questions?


I had laser treatment for acne at Qianzhen, and after the procedure, I noticed a reduction in blackheads and smaller pores.
However, a week later, I still had a lot of blackheads, and my pore size returned to what it was before.
Do others experience this as well? Could improper skincare contribute to this issue? I tend to break out, and I have a habit of using astringent.
I rely on it heavily; I feel more secure when my face feels tight, otherwise, I feel uneasy.
Even after six hours, my face still feels a bit tight.
Is this okay? When I extract blackheads, they come out in a line, similar to squeezing toothpaste.
Is this something that happens to regular people too?

gh, 20~29 year old female. Ask Date: 2007/04/07

Dr. Hong Zhengsheng reply Dermatology


Hello: Due to individual differences in skin types, it is not possible to make a blanket judgment about whether something is good or bad.
However, if you experience severe allergic reactions or significant redness, it may not be suitable for you.
The best advice is to consult with a trusted dermatologist.
I apologize, but based on your description, I cannot determine your specific condition.
Answers found online can only speculate based on the information provided and personal experiences, and cannot provide the precise diagnosis and treatment that an in-person consultation can offer.
Therefore, I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your city or county and consult with a dermatologist.
All of our physicians are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2007/04/07

More Info


When it comes to common skin concerns such as acne and the effectiveness of laser treatments, it's essential to understand both the treatment options available and the myths surrounding skincare. Based on your experience with acne laser treatment, it seems that while you initially noticed improvements in the number of pimples and the appearance of your pores, the results were not long-lasting. This is a common occurrence and can be attributed to several factors.

Firstly, laser treatments, such as those targeting acne, can indeed reduce the number of active breakouts and improve skin texture temporarily. However, they are not a permanent solution. Acne is a multifactorial condition influenced by hormones, genetics, diet, and skincare habits. Therefore, while laser treatments can help manage acne, they should be part of a comprehensive skincare regimen that includes proper cleansing, moisturizing, and possibly topical treatments.

Regarding your concern about the reliance on astringent products, it's important to note that while they can help control oiliness, overuse can lead to skin irritation and dryness. This can create a cycle where the skin produces even more oil to compensate for the dryness, potentially leading to more breakouts. Instead of relying solely on astringents, consider incorporating a gentle cleanser and a non-comedogenic moisturizer into your routine. This can help maintain your skin's hydration without exacerbating oiliness.

The sensation of tightness you experience after using astringent products is a sign that your skin may be over-dried. Ideally, your skin should feel clean but not tight or uncomfortable. If you find that your skin feels tight six hours after application, it may be beneficial to reassess the products you are using. Look for hydrating ingredients such as hyaluronic acid or glycerin in your moisturizer, which can help maintain skin moisture without clogging pores.

As for the act of extracting pimples, it's generally not recommended to do this at home. While it may seem satisfying to extract blackheads or whiteheads, improper techniques can lead to skin trauma, scarring, and even more breakouts. If you feel the need to extract, it's best to consult a dermatologist or a licensed esthetician who can perform extractions safely and effectively.

Lastly, it's essential to recognize that many people experience similar challenges with acne and skincare. The journey to clear skin can be frustrating and often requires patience and a tailored approach. If you find that your current regimen is not yielding the desired results, consider seeking advice from a dermatologist. They can provide personalized recommendations based on your skin type and concerns, which may include prescription treatments or alternative therapies.

In summary, while laser treatments can be beneficial for acne, they are not a standalone solution. A balanced skincare routine, mindful product use, and professional guidance can significantly enhance your skin's health and appearance. Remember, skincare is a journey, and finding what works for you may take time and experimentation.

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