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Suggest Remedies For Red Irritated Acne Scars On Face
Question: I have a concern related to my skin and the medical history has benn added below
Brief Answer:
Kinldy upload few good resolution pictures of both sides of face
Detailed Answer:
Hello,
Welcome and thanks for posting your query to the forum.
I have diligently analyzed your query and can make out that you are quite troubled with the redness of the skin and to reduce the scars further.
Scars are the most troublesome problem related to acne. Once formed these are very much difficult to remove completely. I can make out that you have taken most of the latest modalities of treatment including derma-rollers and Fraxel laser and do not want to go further invasive treatments.
In view to help you best I request you to kinldy upload few good resolution pictures of both sides of face and from front so that I can analyze the grade of scars and suggest you best measures accordingly. For that you have a feature on the right side of the page.
hope to hear soon form your side.
With regards,
Dr Sanjay Kanodia
MD- Dermatology
Kinldy upload few good resolution pictures of both sides of face
Detailed Answer:
Hello,
Welcome and thanks for posting your query to the forum.
I have diligently analyzed your query and can make out that you are quite troubled with the redness of the skin and to reduce the scars further.
Scars are the most troublesome problem related to acne. Once formed these are very much difficult to remove completely. I can make out that you have taken most of the latest modalities of treatment including derma-rollers and Fraxel laser and do not want to go further invasive treatments.
In view to help you best I request you to kinldy upload few good resolution pictures of both sides of face and from front so that I can analyze the grade of scars and suggest you best measures accordingly. For that you have a feature on the right side of the page.
hope to hear soon form your side.
With regards,
Dr Sanjay Kanodia
MD- Dermatology
Above answer was peer-reviewed by :
Dr. Nagamani Ng
May i know if i can meet you personally instead?
Thanks
XXXXX
Helllo,
I have uploaded the pics, hope this can help.
Just want to know if Yoy can add life to this Life
Thanks
Thanks
XXXXX
Helllo,
I have uploaded the pics, hope this can help.
Just want to know if Yoy can add life to this Life
Thanks
Brief Answer:
Dermal filler would be a better suited option.
Detailed Answer:
Hello,
Welcome back and thanks for posting your pictures as required.
I can make out you are a smart young fellow with scars over the cheek areas basically. I can further delineate from the pictures that left cheek is more affected than right.
There is still redness and pink areas on face. Let me first reassure you that the scars are not that deep as it was expected. In acne we many times find deep pitted scars which are really difficult to treat and are very much prominent even from a distance.
In your case these are presently shallow sloping scars with red areas. For your further information let tell you that the red areas and the pink spots are sign scar remodelling. It means that new collagen (tissue that makes our skin smooth) is still.forming at good pace and new skin is forming.
In any of the scar treatment procedures we basically orient the treatment towards new collagen formation. That's why you must have had observed redness after ever sitting. In my experience this redness is beneficial as it indicates new collagen formation.
So you should not be worried about the same as is a beneficial process.
As you do not want to go for such kind if procedures which induces redness so in such cases I prefer dermal fillers. It is a simple collagen based injection which lift up the scars immediately. There is no down time and no post procedure effects such as redness or related things. Once done the effect remains for around more than a year.
You can take further guidance from your treating dermatologist. I am based at XXXXXXX and can take any personalised guidance when very you visit here.
My best wishes for your healthy and glowing skin.
With regards,
Dr Sanjay Kanodia
MD - DERMATOLOGY
Dermal filler would be a better suited option.
Detailed Answer:
Hello,
Welcome back and thanks for posting your pictures as required.
I can make out you are a smart young fellow with scars over the cheek areas basically. I can further delineate from the pictures that left cheek is more affected than right.
There is still redness and pink areas on face. Let me first reassure you that the scars are not that deep as it was expected. In acne we many times find deep pitted scars which are really difficult to treat and are very much prominent even from a distance.
In your case these are presently shallow sloping scars with red areas. For your further information let tell you that the red areas and the pink spots are sign scar remodelling. It means that new collagen (tissue that makes our skin smooth) is still.forming at good pace and new skin is forming.
In any of the scar treatment procedures we basically orient the treatment towards new collagen formation. That's why you must have had observed redness after ever sitting. In my experience this redness is beneficial as it indicates new collagen formation.
So you should not be worried about the same as is a beneficial process.
As you do not want to go for such kind if procedures which induces redness so in such cases I prefer dermal fillers. It is a simple collagen based injection which lift up the scars immediately. There is no down time and no post procedure effects such as redness or related things. Once done the effect remains for around more than a year.
You can take further guidance from your treating dermatologist. I am based at XXXXXXX and can take any personalised guidance when very you visit here.
My best wishes for your healthy and glowing skin.
With regards,
Dr Sanjay Kanodia
MD - DERMATOLOGY
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello,
Thanks for your abrupt response.
1) Since i have already undergone intensive treatments so i just wanted to know that should i wait for skin to heal/rejuvenate (as you said its happening ) or i should again start with the procedure you told?
2) I had undergone PRP therapy wherein platelet rich plasma was injected to my face around 3 injections at a space of 15 days.
How is that sort of treatment when compared to dermal fillers?
3) When you say dermal fillers, are they vitamin c serums? if not, then how about injecting vitamin c serums?
4) As i conveyed i am currently orally applying vitamin c serum before sleeping , how it is to continue with the same ?
Thanks Much !!
Thanks for your abrupt response.
1) Since i have already undergone intensive treatments so i just wanted to know that should i wait for skin to heal/rejuvenate (as you said its happening ) or i should again start with the procedure you told?
2) I had undergone PRP therapy wherein platelet rich plasma was injected to my face around 3 injections at a space of 15 days.
How is that sort of treatment when compared to dermal fillers?
3) When you say dermal fillers, are they vitamin c serums? if not, then how about injecting vitamin c serums?
4) As i conveyed i am currently orally applying vitamin c serum before sleeping , how it is to continue with the same ?
Thanks Much !!
Brief Answer:
VArious suggestions for acen scars.
Detailed Answer:
Hello young fellow,
Welcome back and thanks for your further follow up.
As I guided you that there is still good collagen regeneration based on the redness and the pinkish areas of the face, so in my opinion it is better to postpone any of the invasive procedures including fillers or lasers or even PRP.
Your main concern is the redness at this time. So in such conditions I suggest my patients to halt any of the lotions or serums or related things. Stopping these things will give relaxation to the skin and will aid in reducing the redness.
I suggest my patients that after waiting for around 2- 4 weeks, one can observe the grade of redness and accordingly could restart the Vitamin C serum on alternate day basis. If the redness increases then can halt and if not then continue to apply on alternate days and then make on daily basis after 4 weeks. So an intermittent therapy will help in maintaining the results as well reducing the tendency of redness.
I guided you that fillers are collagen based injection which lift up the scars immediately. So these could be taken any time when a major social function such as marriage or related event is there.
There is no hurry in taking these on immediate basis. I further suggest you to increase your weight thereby meaning bit of facial fat by good nutrition diet. As I can make out from the pictures that you have bit thin face, so increasing bit of weight and fat content of face will help in masking the scars.
My best wishes for your healthy and glowing skin.
With regards,
Dr Sanjay Kanodia
MD - DERMATOLOGY
VArious suggestions for acen scars.
Detailed Answer:
Hello young fellow,
Welcome back and thanks for your further follow up.
As I guided you that there is still good collagen regeneration based on the redness and the pinkish areas of the face, so in my opinion it is better to postpone any of the invasive procedures including fillers or lasers or even PRP.
Your main concern is the redness at this time. So in such conditions I suggest my patients to halt any of the lotions or serums or related things. Stopping these things will give relaxation to the skin and will aid in reducing the redness.
I suggest my patients that after waiting for around 2- 4 weeks, one can observe the grade of redness and accordingly could restart the Vitamin C serum on alternate day basis. If the redness increases then can halt and if not then continue to apply on alternate days and then make on daily basis after 4 weeks. So an intermittent therapy will help in maintaining the results as well reducing the tendency of redness.
I guided you that fillers are collagen based injection which lift up the scars immediately. So these could be taken any time when a major social function such as marriage or related event is there.
There is no hurry in taking these on immediate basis. I further suggest you to increase your weight thereby meaning bit of facial fat by good nutrition diet. As I can make out from the pictures that you have bit thin face, so increasing bit of weight and fat content of face will help in masking the scars.
My best wishes for your healthy and glowing skin.
With regards,
Dr Sanjay Kanodia
MD - DERMATOLOGY
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Sir,
Thanks for your such a detailed Note.
I have started gyming for past 1 month now and quite regular with it so as put up some weight and build up.
My major concern is the intake of dairy products - milk , curd - so just wanted to know should i avoid intake of these every other day as i read these trigger acne, make skin more oily and may affect eventually skin healing process?
On the home remedies front , is it a good option to apply tomotoes, cucumber on the face ? Currently i am like eating on daily basis but not applying.
Thank You !!
Thanks for your such a detailed Note.
I have started gyming for past 1 month now and quite regular with it so as put up some weight and build up.
My major concern is the intake of dairy products - milk , curd - so just wanted to know should i avoid intake of these every other day as i read these trigger acne, make skin more oily and may affect eventually skin healing process?
On the home remedies front , is it a good option to apply tomotoes, cucumber on the face ? Currently i am like eating on daily basis but not applying.
Thank You !!
Brief Answer:
Re: Various suggestions for acne scars.
Detailed Answer:
Hello young buddy,
Welcome back and thanks for your swift follow up.
This is good that you are trying to put up some weight by gym and exercise. Try to do more of cardio exercises with less sweating rather than vigorous ones with more sweating. It is because more of sweating indices more redness and chances of re-eruption of pimples.
I also suggest you to avoid any type of protein powders or any supplements strictly. It is due to the fact that these could also induce more pimples.
In my own clinical experience I have not found dairy products to increase acne. In western world there is consensus about not using dairy products. But I found no direct correlation with milk or its related products. So in my opinion you can use the dairy products.
I am strictly against using any of home remedies on sensitive face. So in my opinion I always suggest to not to use any home remedies in your kind skin. You can very well eat tomatoes and cucumber but should not apply any of these.
My best wishes for your healthy and glowing skin.
With regards,
Dr Sanjay Kanodia
MD - DERMATOLOGY
Re: Various suggestions for acne scars.
Detailed Answer:
Hello young buddy,
Welcome back and thanks for your swift follow up.
This is good that you are trying to put up some weight by gym and exercise. Try to do more of cardio exercises with less sweating rather than vigorous ones with more sweating. It is because more of sweating indices more redness and chances of re-eruption of pimples.
I also suggest you to avoid any type of protein powders or any supplements strictly. It is due to the fact that these could also induce more pimples.
In my own clinical experience I have not found dairy products to increase acne. In western world there is consensus about not using dairy products. But I found no direct correlation with milk or its related products. So in my opinion you can use the dairy products.
I am strictly against using any of home remedies on sensitive face. So in my opinion I always suggest to not to use any home remedies in your kind skin. You can very well eat tomatoes and cucumber but should not apply any of these.
My best wishes for your healthy and glowing skin.
With regards,
Dr Sanjay Kanodia
MD - DERMATOLOGY
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Sir,
Thanks for the guidance.
I shall take bestest care to take healthy diet.
Since this discussion will be closed in 3 days time so i don't know really how it goes if i come up with any concern within few days time so which doctor will be taking it up and continuing our discussion, if in future i opt to go for dermal fillers , would you mind telling me like
- How many injections would be required for me and in space of how much time?
- What would be roughly the cost for 1 sitting even though I understand that different doctors may have their own charges - so if you could tell me approx estimate?
Thanks for the guidance.
I shall take bestest care to take healthy diet.
Since this discussion will be closed in 3 days time so i don't know really how it goes if i come up with any concern within few days time so which doctor will be taking it up and continuing our discussion, if in future i opt to go for dermal fillers , would you mind telling me like
- How many injections would be required for me and in space of how much time?
- What would be roughly the cost for 1 sitting even though I understand that different doctors may have their own charges - so if you could tell me approx estimate?
Brief Answer:
Re: Various further suggestions for acne scars.
Detailed Answer:
Hello young fellow,
Welcome back and thanks for your further concern.
It is variable from person to person and as per the depth of the scars. It could only be decided on close examination only. In my set I prefer to give 1-2 ml of injection to lift up the scars. If required a further 1 ml cold also be used in next 1-2 month of period.
It may vary form 10000 to 26000 according to different types of fillers used. So you can discuss with the treating dermatologist whenever you decide to go for the same.
You can take help of our customer care team regarding any of technical issues or follow up and continuation of this thread as per your requirement.
My best wishes for your healthy and glowing skin.
With regards,
Dr Sanjay Kanodia
MD - DERMATOLOGY
Re: Various further suggestions for acne scars.
Detailed Answer:
Hello young fellow,
Welcome back and thanks for your further concern.
It is variable from person to person and as per the depth of the scars. It could only be decided on close examination only. In my set I prefer to give 1-2 ml of injection to lift up the scars. If required a further 1 ml cold also be used in next 1-2 month of period.
It may vary form 10000 to 26000 according to different types of fillers used. So you can discuss with the treating dermatologist whenever you decide to go for the same.
You can take help of our customer care team regarding any of technical issues or follow up and continuation of this thread as per your requirement.
My best wishes for your healthy and glowing skin.
With regards,
Dr Sanjay Kanodia
MD - DERMATOLOGY
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello SIr,
Since you have seen the pics, in your view what type of fillers would be good for me and how many of them would be needed & at space of how much time?
Thanks Much !!
Since you have seen the pics, in your view what type of fillers would be good for me and how many of them would be needed & at space of how much time?
Thanks Much !!
Brief Answer:
Further guidance for acne scars.
Detailed Answer:
Hello,
Welcome back and thanks for your follow up.
As I guided you I previous mail that in your kind of cases I prefer to go with 1 to 2 ml in one sitting. If required I further give a touch up with 1 ml more after one month.
There are different variety of fillers available which varies in terms of persistence of results for 1 year to 3 years. I prefer to go with simpler one first and then if required go for advanced one after one to two years.
You can take a further guidance from a treating dermatologist.
My all best wishes for your glowing skin.
With regards,
Dr Sanjay Kanodia
MD Dermatology
Further guidance for acne scars.
Detailed Answer:
Hello,
Welcome back and thanks for your follow up.
As I guided you I previous mail that in your kind of cases I prefer to go with 1 to 2 ml in one sitting. If required I further give a touch up with 1 ml more after one month.
There are different variety of fillers available which varies in terms of persistence of results for 1 year to 3 years. I prefer to go with simpler one first and then if required go for advanced one after one to two years.
You can take a further guidance from a treating dermatologist.
My all best wishes for your glowing skin.
With regards,
Dr Sanjay Kanodia
MD Dermatology
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Sir,
Can you pkease suggest me a good face wash and a moisturizer ( my skin is quite oily so please suggest according to that )
Thanks !!
Can you pkease suggest me a good face wash and a moisturizer ( my skin is quite oily so please suggest according to that )
Thanks !!
Brief Answer:
Moisturizers not required. Salicylic acid based face wash.
Detailed Answer:
Hello young fellow,
Welcome back and thanks for your further follow up.
As your skin is already oily and the weather is quite humid so I would not suggest any moisturizers in your case. Applying moisturizers could make things more messy and could also induce new pimples due to blockage of oil glands. Oily skin people barely require any moisturizers.
In your kind of cases I prefer to suggest a salicylic acid based face wash ( such as Saslic face wash) which is also particularly helpful in this kind of weather. Be very gently in applying the same and do not try to rub vigorously. It could be used for two times or more as per the condition of oilyness.
I hope this helps.
With regards,
Dr Sanjay Kanodia
MD Dermatology
Moisturizers not required. Salicylic acid based face wash.
Detailed Answer:
Hello young fellow,
Welcome back and thanks for your further follow up.
As your skin is already oily and the weather is quite humid so I would not suggest any moisturizers in your case. Applying moisturizers could make things more messy and could also induce new pimples due to blockage of oil glands. Oily skin people barely require any moisturizers.
In your kind of cases I prefer to suggest a salicylic acid based face wash ( such as Saslic face wash) which is also particularly helpful in this kind of weather. Be very gently in applying the same and do not try to rub vigorously. It could be used for two times or more as per the condition of oilyness.
I hope this helps.
With regards,
Dr Sanjay Kanodia
MD Dermatology
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Sir,
Thanks for your response.
Presently i am using Papulex(sorry i forgot to mention this earlier)- is it fine to continue with this one?
And i apply photonban as sunscreen - so is it fine to continue with sunscreens ?
Thanks !!
Thanks for your response.
Presently i am using Papulex(sorry i forgot to mention this earlier)- is it fine to continue with this one?
And i apply photonban as sunscreen - so is it fine to continue with sunscreens ?
Thanks !!
Brief Answer:
You can continue with the same.
Detailed Answer:
Hello,
Welcome back! !!!
Papulex could be continued over the affected areas where you observe any small eruptions or pimples. Apply only at night time.
For the sunscreen part : kindly do let me know if you are photoban 30 or 60 or ultra or the exact name of the photoban. In your kind of cases I prefer to suggest photoban ultra gel rather than cream. As cream based applications induces more oilyness on face so it is better to apply gel based applications. If it is gel based then could continue the same.
I hope this helps.
With regards,
Dr Sanjay Kanodia
MD DERMATOLOGY
You can continue with the same.
Detailed Answer:
Hello,
Welcome back! !!!
Papulex could be continued over the affected areas where you observe any small eruptions or pimples. Apply only at night time.
For the sunscreen part : kindly do let me know if you are photoban 30 or 60 or ultra or the exact name of the photoban. In your kind of cases I prefer to suggest photoban ultra gel rather than cream. As cream based applications induces more oilyness on face so it is better to apply gel based applications. If it is gel based then could continue the same.
I hope this helps.
With regards,
Dr Sanjay Kanodia
MD DERMATOLOGY
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Sir,
Yes it is photoban 30 cream based , i got your point so in that case if you could suggest a gel based sunscreen?
Thanks !
Yes it is photoban 30 cream based , i got your point so in that case if you could suggest a gel based sunscreen?
Thanks !
Brief Answer:
Photoban ultra gel could be applied.
Detailed Answer:
Hello young fellow,
You could apply photoban ultra gel instead of the cream. The gel based sunscreen would be helping in sun protection as well as no any oily feeling with the same.
I hope this helps.
With glowing skin wishes to you.
Regards ,
Dr Sanjay Kanodia
Photoban ultra gel could be applied.
Detailed Answer:
Hello young fellow,
You could apply photoban ultra gel instead of the cream. The gel based sunscreen would be helping in sun protection as well as no any oily feeling with the same.
I hope this helps.
With glowing skin wishes to you.
Regards ,
Dr Sanjay Kanodia
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Sir,
I don't want to miss out on even a single thing , so as this time elapsed - i have got one more query regarding skin exfoliating - so how often it should be done and what is the best mean to do so ?
Thanks Much !!
I don't want to miss out on even a single thing , so as this time elapsed - i have got one more query regarding skin exfoliating - so how often it should be done and what is the best mean to do so ?
Thanks Much !!
Brief Answer:
It should not be done in your kind of skin.
Detailed Answer:
Hello young fellow,
Welcome back and thanks for your further queries.
You are most welcome to clear all your doubts.
Skin exfoliation is now a days becoming quite popular means of getting glow and for various other purposes. But it is important to get it done on normal skin only.
In your kind of skin you don't require any kind of exfoliation procedure. It is because of the fact that skin exfoliation causes removal of the superficial dead skin. In your kind of skin it is already quite good renewal as seen by the red skin. So if at all you go for this kind of procedure then the skin can get more unsettles and more redness could be perceived.
So overall in my opinion it should not be done.
I hope this helps.
With glowing skin wishes.
Regards,
Dr Sanjay Kanodia
MD Dermatology
It should not be done in your kind of skin.
Detailed Answer:
Hello young fellow,
Welcome back and thanks for your further queries.
You are most welcome to clear all your doubts.
Skin exfoliation is now a days becoming quite popular means of getting glow and for various other purposes. But it is important to get it done on normal skin only.
In your kind of skin you don't require any kind of exfoliation procedure. It is because of the fact that skin exfoliation causes removal of the superficial dead skin. In your kind of skin it is already quite good renewal as seen by the red skin. So if at all you go for this kind of procedure then the skin can get more unsettles and more redness could be perceived.
So overall in my opinion it should not be done.
I hope this helps.
With glowing skin wishes.
Regards,
Dr Sanjay Kanodia
MD Dermatology
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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