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Suggest Treatment For Post Acne Scars

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Posted on Fri, 11 Jul 2014
Question: Hello,

I am 29 years old married woman. Until 3 years ago, I had a huge problem of acne. I took medications to get rid of them. While i do not have acne anymore on the rest of my face, I have some permanent group of skin protruding on my chin, just below the lip area, which never goes away. Based on the season and weather, it increases or decreases but I have not seen my plain chin for almost 8 years now. About 1.5 years ago, I had visited a dermatologist who performed a surgery on them to burn them from the inside. But after the scars of the surgery were gone, they reappeared. Is there a way to get rid of them permanently?
doctor
Answered by Dr. Geetika Paul (22 minutes later)
Brief Answer:
Please provide pictures

Detailed Answer:
HI

I understand your concern regarding your skin problem and I hope I am able to help you in the same .
From the description, it looks like you have developed post acne scars over your chin region. But I would like to have a look at the exact skin lesions before we can discuss the treatment options .
Please click some close up pictures of the skin condition and upload them here on this page . You can also mail them at YYYY@YYYY with heading as ref to Dr Geetika Paul .
Also please tell if you still develop any new acne lesions on and off.
Are you a currently applying any medicines or cream over the face.
I am sure I will be able to help you more once you provide me the above details and the pictures .

Dr Geetika Paul
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Geetika Paul (1 hour later)
Hello Dr. XXXXXXX

Thanks for responding to my query. I am unable to attach the pictures here so I will send them to you through email in a short while. Please note that in the pictures, there is a big one you will see towards the lower side of my chin, which is actually a pimple I developed a few days ago. The rest of what you see below my lip area is what is permanent and doesn't go away. They don't give me any pain and don't release any pus or white/black heads.

I am not sure what you call acne lesions. If you are talking about pimples, yes they come and go away sometimes. I don't get pimples on my cheeks or forehead anymore. They usually appear on the side of the nose, upper-lip area (area below the nose) or the end of the chin, like the big one you will see in the pictures. I usually get pimples after I eat egg, but without it as well.

I don't apply anything on my face currently. The only thing I do is apply a multani mitti or a XXXXXXX face pack once every 1 or 2 weeks.

Also, I sometimes feel that this issue arose as a side effect of the medication I took for acne. But i can't say that with surety. But my chin used to be plain and this occurred only after I started taking medication for acne.

I hope this will help you understand my issue better.
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Follow up: Dr. Geetika Paul (1 minute later)
I have uploaded the pictures where it asked me to upload reports. Please let me know if they are not available.
doctor
Answered by Dr. Geetika Paul (17 hours later)
Brief Answer:
Please provide pictures

Detailed Answer:
Hi

Please try uploading the pictures again at the place provided for uploading photos .
In case you are unable to do so, please mail them at YYYY@YYYY with heading as ref to Dr Geetika Paul.

Dr Geetika Paul
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Geetika Paul (51 minutes later)
I can't find the place to upload the photos, so I have sent them in an email from YYYY@YYYY . Please review it and confirm the receipt.
doctor
Answered by Dr. Geetika Paul (2 hours later)
Brief Answer:
Post acne scars, need long treatment

Detailed Answer:
Hi again

I have seen the attached picture .
You surely have a lot of hypertrophic post acne scars over your lower face area.
You seem to have undergone cryosurgery for the raised lesions earlier.
Now as far as the present skin condition is concerned , I would suggest you to see your treating doctor to discuss the option of oral retinoid drugs for treatment of both the pimples and the residual scars.
I am sure this treatment therapy should be of help in your skin condition . Now at present , you can use topical tretinoin cream 0.1percent at night . Apply it over the pimples as well as the rest of the raised lesions. But make sure you apply only a little amount and do not rub the medicine too much. This will help in reducing the irregularities in the skin in the chin region.
Although this medicine will help you to some extent, but you might need oral therapy along which your treating doctor can assess and decide upon.
Also you should avoid touching or picking the affected area as it will lead to more scarring.
Do not apply any oil or creams over the face.
Use a sunscreen on regular basis.

Hope it answers your query

Please ask if you need any further clarifications

Dr Geetika Paul
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
doctor
Answered by
Dr.
Dr. Geetika Paul

Dermatologist

Practicing since :2008

Answered : 2606 Questions

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Suggest Treatment For Post Acne Scars

Brief Answer: Please provide pictures Detailed Answer: HI I understand your concern regarding your skin problem and I hope I am able to help you in the same . From the description, it looks like you have developed post acne scars over your chin region. But I would like to have a look at the exact skin lesions before we can discuss the treatment options . Please click some close up pictures of the skin condition and upload them here on this page . You can also mail them at YYYY@YYYY with heading as ref to Dr Geetika Paul . Also please tell if you still develop any new acne lesions on and off. Are you a currently applying any medicines or cream over the face. I am sure I will be able to help you more once you provide me the above details and the pictures . Dr Geetika Paul