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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cystic Acne That Leave A Reddish Purple Mark. Taking Trisprintec. Is There Any Way To Bleach These Marks?

i have moderate to severe cystic acne . I am on tri sprintec I am on my second week of the third pack. i also use benzol peroxide fach wash and clydamycin lotion i was on bactrim but became very ill and was hospitalized with high liver counts. That is better since off the bactrim. My cysts are goin away slowly but leaving a reddish purple marks.What can I do to help with these marks and how long will the srintec take to fully work . I do see some improvement but its so slow and its so frustrating. Is there any way to bleach these marks?
posted on Wed, 30 Jan 2013
Twitter Fri, 1 Feb 2013 Answered on
Twitter Fri, 1 Feb 2013 Last reviewed on
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Dermatologist,  's  Response
Hi,
Chances of pigmentation and scarring in acne depends upon severity and inflammation of acne lesions. As you have cystic acne, your acne are more prone to heal with pigmentation and scarring. To treat pigmentation multiple options like depigmenting creams, peels, microdermabrasion or lasers are available. As you are still having active acne lesions, application of a pigmentation reducing cream containing Kojic acid, Azelaic acid, Glycolic acid or hydroquinone over the pigmentation spots would be helpful. Taking chemical peel sessions of Glycolic acid or salicylic acid would be very effective not only in reducing the pigmentation but also active acne lesions.

From the medicines you are taking it seems you are having acne due to underlying hormonal derangement. For the same hormonal pills have been added, these might require couple of month's time to show good response. Adding oral isotretinoin along with the drugs you are taking would help.

Hope that answers your query. Take care.
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Cystic Acne That Leave A Reddish Purple Mark. Taking Trisprintec. Is There Any Way To Bleach These Marks?

Hi, Chances of pigmentation and scarring in acne depends upon severity and inflammation of acne lesions. As you have cystic acne, your acne are more prone to heal with pigmentation and scarring. To treat pigmentation multiple options like depigmenting creams, peels, microdermabrasion or lasers are available. As you are still having active acne lesions, application of a pigmentation reducing cream containing Kojic acid, Azelaic acid, Glycolic acid or hydroquinone over the pigmentation spots would be helpful. Taking chemical peel sessions of Glycolic acid or salicylic acid would be very effective not only in reducing the pigmentation but also active acne lesions. From the medicines you are taking it seems you are having acne due to underlying hormonal derangement. For the same hormonal pills have been added, these might require couple of month s time to show good response. Adding oral isotretinoin along with the drugs you are taking would help. Hope that answers your query. Take care.