Struggling with Severe Acne: Seeking Solutions for Persistent Breakouts
I'm sorry, but I cannot assist with that? Dr. Jiang, I am an 18-year-old male. I have been struggling with acne since middle school, but it worsened significantly during my freshman year of college, affecting my face, back, and chest with inflammatory acne. My facial acne in...
Dr. Jiang Zheen reply Dermatology
If oral isotretinoin does not achieve the desired effect, there are two possible reasons: either the dosage is insufficient, or it is truly ineffective. If it is ineffective, one can consider using newer generations of macrolide antibiotics. For inflamed cystic acne, localized co...[Read More] Struggling with Severe Acne: Seeking Solutions for Persistent Breakouts
Managing Acne with Isotretinoin: Common Concerns and Tips
Isotretinoin Hello Dr. Jiang, I am currently a freshman. Since my senior year in high school, I have been experiencing persistent acne on my cheeks. I once saw a doctor who prescribed me tetracycline, which was very effective at first, but after the acne cleared up, I stopped tak...
Dr. Jiang Zheen reply Dermatology
Oral isotretinoin can sometimes cause an initial worsening of acne during the first month of treatment for some individuals. I believe you can stop using your topical retinoids. Dr. Lin Bing-Huang is my senior, and it would be better for you to write down your questions and show ...[Read More] Managing Acne with Isotretinoin: Common Concerns and Tips
Managing Persistent Acne: Tips for Reducing Redness and Swelling
Persistent acne My acne is quite severe. Sometimes my skin is good, but other times it’s really bad. The acne is always red and swollen. I have been using glycolic acid, but it doesn’t seem to have much effect. Before my menstrual period, I always break out. Is there a way to pre...
Dr. Jiang Zheen reply Dermatology
Moderate to severe acne requires a cocktail therapy, which involves the use of topical acne medications combined with oral antibiotics for optimal control. It is advisable to visit a dermatology clinic for treatment. Wishing you good health.[Read More] Managing Persistent Acne: Tips for Reducing Redness and Swelling
Understanding Skin Peeling on the Glans: Causes and Treatment Options
Peeling skin I have peeling on my glans. I saw a doctor, and the physician advised me not to use cleaning products to avoid weakening my resistance. However, I haven't been cleaning it specifically, so why is this happening? The doctor prescribed me hydrocortisone ointment; ...
Dr. Jiang Zheen reply Dermatology
If the irritation is caused by stimulation during sexual activity, you can use a moisturizing lotion for care. Please do not use the medication prescribed by your doctor for more than 3-4 weeks continuously. Wishing you peace, Jesus loves you.[Read More] Understanding Skin Peeling on the Glans: Causes and Treatment Options
Understanding Scalp Acne-Like Bumps and Hair Loss: Causes and Solutions
The scalp has developed acne-like lesions, leading to hair loss? Hello, doctor. About a month ago, I developed three unusual lumps that initially looked like small mosquito bites. They gradually became hard and painful, then turned soft and began to break down, with pus and blood...
Dr. Jiang Zheen reply Dermatology
Please consult a dermatologist for your concerns, as an in-person examination is necessary and guessing is not advisable. Thank you.[Read More] Understanding Scalp Acne-Like Bumps and Hair Loss: Causes and Solutions
Understanding Unwanted Hair and Skin Issues: When to See a Dermatologist
Issues related to pubic hair? I have a situation in the area where I grow pubic hair. Sometimes it itches, and sometimes it doesn't. I’ve looked at it, but there’s no redness or any noticeable growths. I’m wondering why this is happening and if I should see a doctor. Recentl...
Dr. Jiang Zheen reply Dermatology
You may have contracted pubic lice. First, you should shave the pubic hair, and then shave again in 3-4 weeks. Apply a topical lice treatment; it is a contagious condition, so consider whether your sexual partner has a similar issue. Wishing you well.[Read More] Understanding Unwanted Hair and Skin Issues: When to See a Dermatologist
Understanding Small Red Dots on Skin: Possible Causes and Insights
Doctor, please help me? Recently, I noticed small red dots on my arm and chest. They are not very dense, but evenly distributed, and are hard to see unless you look closely. They are about 0.01 cm in size (very, very small and red). I visited a clinic and asked the doctor about i...
Dr. Jiang Zheen reply Dermatology
Your description is insufficient for a medical diagnosis; please seek evaluation and treatment at a nearby outpatient clinic.[Read More] Understanding Small Red Dots on Skin: Possible Causes and Insights
Concerns About Finasteride Use Before Pregnancy: What You Need to Know
Inquiring about potential issues associated with the use of Finasteride? Hello doctor, I am a 28-year-old male. I have been taking finasteride for hair loss for about two years, but I have not been consistent with it. I am getting married soon and I heard that finasteride should ...
Dr. Jiang Zheen reply Dermatology
The impact of Ropinirole on males is limited to erectile dysfunction (specifically difficulty achieving an erection); it does not affect sperm, and therefore will not impact the fetus. You can rest assured that the only effect it may have is on the compatibility of your sexual ac...[Read More] Concerns About Finasteride Use Before Pregnancy: What You Need to Know
Why Do My Pimples Only Appear on One Side of My Face?
Do they only grow in the same area? I'm not sure why, but my acne only appears on my cheeks. The left side is fine, but the right side always has a larger, very red pimple... although it doesn't have pus. My diet is normal, and I eat fruits regularly. My sleep is also r...
Dr. Jiang Zheen reply Dermatology
It indicates that your acne requires medical treatment, as only a serious treatment approach can reduce the formation of scars. Generally, deeper acne lesions are more likely to result in scarring. Wishing you peace; Jesus loves you.[Read More] Why Do My Pimples Only Appear on One Side of My Face?
Skin Concerns: Acne, Sun Damage, and Mole Removal Tips
Skin tanning and the development of moles? I have many skin issues to consult with a doctor. Thank you for your help. First: I have developed a lot of acne, and I don't want to use treatments. I've heard that retinoids are not good for the skin, is that true? How shou...
Dr. Jiang Zheen reply Dermatology
Severe acne still requires pharmacological treatment; the management of acne involves more than just retinoids. There are various medications available, and retinoids are considered the first-line treatment for acne worldwide. It is essential to understand that acne care prioriti...[Read More] Skin Concerns: Acne, Sun Damage, and Mole Removal Tips
Understanding Your Dermatology Prescription: A Guide to Acne Treatments
Medication concerns?? Hello Dr. Jiang, Recently, I've been experiencing a lot of pus-filled pimples on my forehead. I visited a dermatologist who said it wasn't serious and that I just needed to take medication and apply topical treatments, which would help me recover...
Dr. Jiang Zheen reply Dermatology
The average treatment duration for acne is 3 to 4 months. To evaluate the effectiveness of the medication, it should be used continuously for about 3 to 4 weeks before assessing its efficacy. If ineffective, second-line treatments may include oral retinoids or oral hormones. Topi...[Read More] Understanding Your Dermatology Prescription: A Guide to Acne Treatments
Understanding Androgens and Male Hormones: Key Differences Explained
Androgens and male hormones? Dear Doctor: Could you please explain the difference between androgens and male hormones? I have very little leg and abdominal hair and would like to have more. What can I do about it?
Dr. Jiang Zheen reply Dermatology
Both are the same; any method to make hair grow longer will have side effects. Cherish what God has given you. Wishing you peace, Jesus loves you.[Read More] Understanding Androgens and Male Hormones: Key Differences Explained
Understanding Complications and Recovery After Hyperhidrosis Surgery
Recovery from hyperhidrosis? I would like to ask a question! A colleague of mine previously underwent surgery for hyperhidrosis (excessive sweating of the hands), but they are now experiencing significant sweating in other areas. Five days after the surgery, they had the titanium...
Dr. Jiang Zheen reply Dermatology
I cannot tell you how things will change, as I lack experience in this area. Therefore, you may want to consult Dr. Tsai Cheng-Fang from the Dermatology Department at National Taiwan University, who is an expert in this field. Wishing you peace, and Jesus loves you.[Read More] Understanding Complications and Recovery After Hyperhidrosis Surgery
Identifying Skin Reactions: Are They Caused by Beetles or Infections?
Suspected blister beetle?? 1. Recently, I experienced two incidents under a tree. The first time, my shoulder felt burning and painful. The second time, I felt an itchy sensation on the back of my neck, and after scratching it, I experienced burning and stabbing pain within a few...
Dr. Jiang Zheen reply Dermatology
The first issue is likely blister beetle dermatitis. The second concern is that you may also have an allergic reaction, and you should visit a dermatology clinic for evaluation and treatment. Wishing you peace, and Jesus loves you.[Read More] Identifying Skin Reactions: Are They Caused by Beetles or Infections?
Understanding Folliculitis: Is It a Serious Skin Condition?
Folliculitis Is folliculitis a serious condition? Should I be concerned?
Dr. Jiang Zheen reply Dermatology
Folliculitis is mostly not a serious condition; however, if it recurs frequently, it is best to consult a physician for peace of mind.[Read More] Understanding Folliculitis: Is It a Serious Skin Condition?
Red Spots on Chest: Understanding Causes and Treatment Options
There are red spots on the chest area? I have red spots on my chest and the upper part of my shoulders that feel similar to acne. When I touch them, I can feel their presence, but some of them feel like scars and have a slightly dark coffee color. Those must be scars, right? They...
Dr. Jiang Zheen reply Dermatology
Please visit the dermatology outpatient clinic for medical attention. Thank you.[Read More] Red Spots on Chest: Understanding Causes and Treatment Options
Understanding Dyshidrotic Eczema vs. Athlete's Foot: Key Differences
Dyshidrotic eczema or pompholyx, also known as "sweaty hand eczema," is often confused with athlete's foot (tinea pedis) and "wealthy hand" (a colloquial term for hand dermatitis)? I have developed many irregularly sized blisters on the palms of my hands ...
Dr. Jiang Zheen reply Dermatology
Dermatological issues often require visual examination, which means you should visit a clinic for evaluation. A diagnosis cannot be made solely based on your description.[Read More] Understanding Dyshidrotic Eczema vs. Athlete's Foot: Key Differences
Effective Acne Treatments: Expert Advice and Options in Changhua
Acne 1. Could you please recommend a well-known acne clinic or dermatologist in Changhua? (Authority) 2. My acne issue seems to fall into the moderate to severe category, with comedones, many inflamed cystic lesions, and some small red papules. 3. How long does the treatment ...
Dr. Jiang Zheen reply Dermatology
You don't necessarily need to go to a renowned specialist; any board-certified dermatologist can effectively treat your acne. In fact, many patients find that their doctors have limited interaction time. Generally, acne treatment requires 3-4 months. Oral isotretinoin is the...[Read More] Effective Acne Treatments: Expert Advice and Options in Changhua
Understanding Painful Bumps Under the Eye: Causes and Concerns
Small hard lumps on the face? If there is a sudden swelling of a hard lump in the area below the eye, which is painful when pressed, it could be due to several possible causes. These may include a chalazion, which is a blocked oil gland, or a hordeolum (stye), which is an infecti...
Dr. Jiang Zheen reply Dermatology
It is most likely folliculitis, also known as a boil, and should be treated with antibiotics. Wishing you well.[Read More] Understanding Painful Bumps Under the Eye: Causes and Concerns
Why Does My Skin Wrinkle When Wet? Understanding Skin Changes
Is your skin prone to wrinkling? Hello, doctor. May I ask why my skin wrinkles shortly after coming into contact with water? This happens to both my hands and feet. Does this indicate any underlying issues?
Dr. Jiang Zheen reply Dermatology
That is a normal phenomenon, so there is no need to worry. Wishing you peace and safety.[Read More] Why Does My Skin Wrinkle When Wet? Understanding Skin Changes