Effective Treatments for Acne Scars and Oily Skin Management - Dermatology

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Acne scars


Hello Doctor, I have combination oily skin, and my forehead and nose often become oily.
I frequently get acne on both cheeks, and even when I don't pick at them, there are still many red and dark brown acne scars after they heal.
I would like to ask the following questions:
1.
Could you recommend some topical medications that can help heal red and dark brown acne scars?
2.
Do foods like beef, seafood, or dairy products exacerbate acne? (But I really love milk >.<)
3.
My nose is very oily, and both cheeks also tend to get oily easily.
What methods can help reduce oiliness? Thank you.

Xiao Ming, 20~29 year old female. Ask Date: 2009/10/27

Dr. Jiang Zheen reply Dermatology


It is recommended to establish the diagnosis and treatment in an outpatient setting.

Reply Date: 2009/10/27

More Info


When it comes to managing oily skin and acne scars, there are several effective treatments and strategies that can help you achieve clearer skin. Let's address your questions one by one.

1. Topical Treatments for Red and Dark Acne Scars:
For treating post-inflammatory erythema (red marks) and post-inflammatory hyperpigmentation (dark spots), several topical agents can be beneficial. Ingredients such as niacinamide, azelaic acid, and retinoids (like tretinoin or adapalene) can help reduce redness and promote skin cell turnover, which can fade scars over time. Vitamin C serums are also effective for brightening the skin and reducing pigmentation. Additionally, hydroquinone is a potent skin-lightening agent, but it should be used under the guidance of a dermatologist due to potential side effects with prolonged use.

2. Dietary Impact on Acne:
The relationship between diet and acne is complex and can vary from person to person. While some studies suggest that dairy products, particularly skim milk, may exacerbate acne in some individuals, others may not experience any negative effects. Foods high in glycemic index, such as sugary snacks and refined carbohydrates, are more consistently linked to worsening acne. If you love milk, consider monitoring your skin's response after consuming it. If you notice an increase in breakouts, it may be worth reducing your intake.

3. Managing Oily Skin:
To reduce excess oil production, consider incorporating oil-free and non-comedogenic skincare products into your routine. Look for cleansers containing salicylic acid or benzoyl peroxide, which can help control oil and prevent breakouts. Regular exfoliation (1-2 times a week) with gentle exfoliants can also help remove dead skin cells that contribute to clogged pores. Additionally, using a lightweight moisturizer is crucial, even for oily skin, as it helps maintain hydration without adding excess oil. Products containing witch hazel or tea tree oil can also help control oiliness and have antibacterial properties.

In terms of professional treatments, chemical peels and microdermabrasion can be effective for both acne scars and oily skin. These treatments help to exfoliate the skin and promote new skin cell growth, which can improve the appearance of scars and reduce oiliness. Laser treatments, such as fractional laser therapy, can also target deeper scars and pigmentation issues.

Lastly, it's important to maintain a consistent skincare routine and be patient, as improvements can take time. If you find that over-the-counter products are not sufficient, consulting with a dermatologist can provide you with tailored treatment options, including prescription medications that may be more effective for your specific skin concerns.

In summary, managing oily skin and acne scars involves a combination of topical treatments, dietary considerations, and possibly professional interventions. By adopting a comprehensive approach, you can work towards achieving clearer, healthier skin.

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