Acne and Scarring: Effective Treatments and Solutions - Dermatology

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Acne and acne scars?


My acne fluctuates, and recently I've suddenly developed a lot of pimples.
None of my siblings have ever had acne; it's only me.
Some of my pimples leave scars, creating pitted skin.
Doctor, what can be done to make those pits disappear? I don't eat fried foods, and I've heard that playing on the computer can cause acne due to radiation; is that true? If the acne is really severe, should I see a doctor? I've heard from friends that it requires continuous visits and treatments, which seem quite expensive.
Could you recommend a good doctor or a better hospital in Zhubei, Hsinchu County, for acne treatment? Thank you.

Xiao Niu*, 10~19 year old female. Ask Date: 2007/04/22

Dr. Huang Ruiyun reply Dermatology


Pitted scars are difficult to eliminate, so the focus should be on preventing and treating acne itself to avoid further scarring.
Stress and lack of sleep can exacerbate acne; staying up late while using the computer is certainly not advisable.
If the condition is severe, it is recommended to consult a dermatologist.
In Zhubei City, you can visit Liu Chia-Lin and Cheng Ru-Ling Dermatology Clinic or Bi-Yang Dermatology Clinic.

Reply Date: 2007/04/22

More Info


Acne is a common skin condition that affects many individuals, particularly during adolescence and young adulthood. It is characterized by the presence of pimples, blackheads, and cysts, which can lead to scarring if not treated properly. Understanding the underlying causes of acne and the available treatments is essential for effective management and prevention of scarring.


Causes of Acne
Acne is primarily caused by a combination of factors, including:
1. Hormonal Changes: Fluctuations in hormones, particularly during puberty, menstruation, or due to hormonal disorders, can increase oil production in the skin, leading to clogged pores.

2. Bacterial Growth: The skin naturally harbors bacteria, including *Propionibacterium acnes*, which can proliferate in clogged pores, leading to inflammation and the formation of acne.

3. Excess Oil Production: Sebaceous glands in the skin can produce excess oil, contributing to clogged pores.

4. Dead Skin Cells: When dead skin cells do not shed properly, they can accumulate and block hair follicles, leading to acne.

5. Diet and Lifestyle: While the relationship between diet and acne is still being studied, some individuals report that certain foods, such as dairy or high-glycemic-index foods, can exacerbate their acne. Stress and lack of sleep can also play a role.


Treatment Options
For effective acne treatment, a combination of topical and systemic therapies may be recommended based on the severity of the condition:
1. Topical Treatments:
- Benzoyl Peroxide: Helps to kill bacteria and reduce inflammation.

- Salicylic Acid: Aids in exfoliating the skin and unclogging pores.

- Retinoids: Promote cell turnover and prevent clogged pores.

2. Oral Medications:
- Antibiotics: Such as doxycycline or minocycline, can reduce bacteria and inflammation.

- Hormonal Treatments: Birth control pills can help regulate hormones in females.

- Isotretinoin: A potent medication for severe acne that reduces oil production and prevents clogged pores.

3. Procedures:
- Chemical Peels: Can help exfoliate the skin and reduce acne.

- Laser Therapy: Targets bacteria and reduces oil production.

- Microneedling: Can improve the appearance of scars.


Scarring Management
For existing scars, several treatments can help improve their appearance:
1. Laser Treatments: Fractional laser therapy can stimulate collagen production and improve skin texture.

2. Dermal Fillers: Can temporarily fill in depressed scars.

3. Microneedling: Promotes collagen production and can improve the appearance of scars over time.

4. Chemical Peels: Can help to reduce the appearance of superficial scars.


Lifestyle Considerations
While there is no direct evidence that computer use causes acne, prolonged exposure to screens can lead to increased oiliness due to touching the face or not properly cleansing the skin. Maintaining a good skincare routine, including regular cleansing and moisturizing, is essential.


When to See a Doctor
If your acne is severe, persistent, or causing significant distress, it is advisable to consult a dermatologist. They can provide tailored treatment options and monitor your progress. In terms of costs, many treatments can vary in price, but a dermatologist can help you find a suitable plan that fits your budget.


Finding a Dermatologist
In Hsinchu County, particularly in Zhubei, you can look for reputable dermatologists through local hospitals or specialized skin clinics. Online reviews and recommendations from friends or family can also guide you in finding a qualified professional.

In conclusion, managing acne effectively requires a comprehensive approach that includes understanding its causes, utilizing appropriate treatments, and addressing any scarring that may occur. Consulting with a healthcare professional is crucial for personalized care and optimal results.

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