Dealing with Oily Skin: Tips for Control and Acne Scar Treatment

Oily face?

Hello Doctor: I have oily skin, and after washing my face, I start to get oily in less than 10 minutes.
Within 1 to 2 hours, my entire face becomes very oily.
This has been a long-standing issue for me.
I use oil blotting papers, about 4 sheets in the summer and 1 to 2 sheets in the winter, which seems excessive.
A friend suggested that I see an endocrinologist.
What do you think, Doctor? I previously visited a dermatologist, and the doctor said my condition was manageable, but I also have acne scars.
What can I do to make them fade quickly? I have a lot of acne on my arms and back as well.
What should I do? Thank you very much for your help, Doctor.
I really appreciate it.

Xiao Gui, 10~19 year old female. Ask Date: 2008/02/17

Dr. Hong Zhengsheng reply Dermatology

Hello,
If your face is oily, using oil-control tissues and oil-control topical skincare products are good options.
To quickly reduce acne scars, minimize sun exposure and enhance sun protection while allowing your skin tone to balance out naturally.
If you have a lot of acne, the best advice is to consult a trusted dermatologist.
We recommend that when you experience the symptoms mentioned, you should promptly visit a public hospital in your city or county and consult with a dermatologist.
Our physicians are always happy to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2008/02/17

More Info

Dealing with oily skin can be quite challenging, especially when it leads to excessive shine and acne breakouts. Your experience of feeling oily just minutes after washing your face is not uncommon among individuals with oily skin. This condition is often linked to overactive sebaceous glands that produce excess sebum, which can be exacerbated by various factors including hormonal fluctuations, diet, and stress levels.

Tips for Controlling Oily Skin
1. Cleansing Routine: It's essential to establish a proper cleansing routine. Use a gentle, foaming cleanser specifically formulated for oily skin. Look for ingredients like salicylic acid or benzoyl peroxide, which can help reduce oil and prevent acne. However, avoid over-cleansing, as this can strip your skin of its natural oils and lead to increased oil production as your skin tries to compensate.

2. Exfoliation: Regular exfoliation can help remove dead skin cells that can clog pores and contribute to oiliness. Consider using chemical exfoliants like alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) a few times a week. These can help keep your pores clear and reduce the likelihood of breakouts.

3. Moisturizing: Even oily skin needs hydration. Opt for lightweight, oil-free moisturizers or gel-based products that won't clog pores. Ingredients like hyaluronic acid can provide moisture without adding excess oil.

4. Oil Control Products: Incorporate products designed to control oil, such as mattifying primers or oil-absorbing powders. These can help keep your skin looking fresh throughout the day.

5. Diet and Lifestyle: Pay attention to your diet. Reducing the intake of greasy and sugary foods can help manage oil production. Staying hydrated and maintaining a balanced diet rich in fruits, vegetables, and whole grains can also contribute to healthier skin.

6. Stress Management: Stress can trigger hormonal changes that lead to increased oil production. Engage in stress-reducing activities such as exercise, meditation, or hobbies that you enjoy.

7. Consult a Dermatologist: Since you mentioned considering an endocrinologist, it might be worthwhile to explore this option if you suspect hormonal imbalances. Hormonal fluctuations can significantly impact oil production, especially in women during their menstrual cycle or those with conditions like polycystic ovary syndrome (PCOS).

Treating Acne Scars
For acne scars, there are several treatment options available:
1. Topical Treatments: Products containing retinoids can help improve skin texture and reduce the appearance of scars over time. Other ingredients like vitamin C and niacinamide can also promote skin healing and brighten the skin.

2. Chemical Peels: These can help exfoliate the top layer of skin, promoting new skin growth and reducing the appearance of scars. Consult with a dermatologist to determine the best type of peel for your skin type.

3. Laser Treatments: Laser therapy can be effective for deeper scars. Treatments like fractional laser resurfacing can stimulate collagen production and improve skin texture.

4. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, promoting healing and collagen production, which can help reduce the appearance of scars.

5. Dermal Fillers: For certain types of scars, dermal fillers can be used to elevate the skin's surface and make scars less noticeable.

Conclusion
Managing oily skin and treating acne scars requires a multifaceted approach. Establishing a consistent skincare routine, making lifestyle changes, and seeking professional advice when necessary can lead to significant improvements. Remember, patience is key, as many treatments take time to show results. If you continue to struggle with these issues, don't hesitate to consult a dermatologist who can provide personalized recommendations based on your specific skin type and concerns.

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