Dear Kai Quan.
The whiteheads is quite significant. I would suggest you consider first to use the right products.
- Gel based serums or moisturiser
- Retinoids to assist in the appropriate keratinolysis
- the occasional home based chemical peels AHA/BHA
Following it,...
Consult Doctor
Dear Janice,
My other colleagues have answered well and indeed, it appears that there is a cystic lesion underneath and the evidence of discharge suggests you need urgent medical attention.
Steroid injection and antibiotics should probably be the mainstay of the therapy.
I...
Consult Doctor
Looking at your scars, I find that there is actually a significant element of tethering/atrophic scarring in the cheeks. It might be worth considering a baseline of subcision with fillers (my preferred choice is Radiesse) followed with TCA on a selection of the scars.
Follow it u...
Consult Doctor
When I saw your picture, I think the main concern you would have is the textural uneven-ness that has occured due to the past acne flares. As such my preference would be to first treat the un-even appearance and slowly work it towards the surface imperfections.
1) Subcision with ...
Consult Doctor
Dear Austin Casey
If the area between the eyebrow area was previously intact and a recent cystic acne resulted in the depression/contouring, then perhaps you could consider subcision with the placement of fillers.
This process is fairly comfortable with the use of numbing crea...
Consult Doctor
If downtime is not an issue, yes several overseas doctors would advise doing Ablative laser therapy to improve the scarring issue. The only downside are the increase in downtime, risk of pigmentary changes (hypo pigmentation or hyper pigmentation concerns). You will probably need t...
Consult Doctor
Dear Hlow
You have quite a number of icepick scars. I would probably combine TCA Cross and Fractional Laser for the best results. However, there would be a fair bit of social downtime experienced. I think thats the main consideration for your kind of acne scars.
Secondly, i w...
Consult Doctor
Dr Boey has answered your query excellently! the various options would be best combined for optimal results. However please consider mainly
1) budgetary constraints
2) Social downtime/downtime issues as fractional lasers and TCA would result in those.
But yes patience is re...
Consult Doctor
I agree with Dr Justin that there are several issues you have to combat and as such a combination of modalities needed. Q switch is not going to be the key answer.
1) You still have some acne which should be controlled with good mix of topical and oral medications. I always firml...
Consult Doctor
A short answer to your questions is
- I think you could still consider stabilising your skin further before doing fractional laser (which would be great for you) as lasers being heat-based therapies in my experience does incite some acne outbreaks.. not great if you are still bat...
Consult Doctor
Dear Allan
you could consider treating the existing acne lesions with topical and oral antibiotics as it currently doesn't look too bad. The alternative which I would consider is a prolonged period of LOW dose isotretinoin (minimising side effects while maintaining efficacy).
...
Consult Doctor
1) Appropriate products. Don't over DRY the skin, which is what people like to do. Use gel-based moisturisers instead of creams, add on some Adalapene and Dalacin Gel for the acne lesions.
2) I would still be an advocate of Isotretinoin looking at your acne type. You have oily sk...
Consult Doctor
Dear Mermer
I would actually be more concerned that your skin looks irritated, and likely prone to more acne outbreaks.
Do consult your doctor on treatments or products/advice that will reduce the risk of acne outbreaks and improve your skin texture/quality
Winston
Consult Doctor
I would actually like to do subcision and Radiesse fillers for your deep tethered scars. It is clear that that has led to significant uneven-ness on the complexion. Follow up with a TCA cross and fractional laser and that should make your scars much better. Winston
Consult Doctor
For me, I actually like using IPL (Intense pulsed light) for red/brown lesions. or consider using Yellow-laser for these lesions.
Add on a topical Vitamin C serum, and they should pretty much be disappearing soon!
Winston
Consult Doctor
Dear Tess
I completely agree with Dr Samuel Ho. Please consult for surgical removal, and sending it for histology might be useful.
Consult Doctor
Dear Tess
I agree with Dr Wu. You should do fractional laser which unfortunately has some downtime but results in some collagen stimulation and also to even out the skin texture, but pre-treat with filler instillation underneath the depressed scar (with subcision)
Winston
...
Consult Doctor
Hi there
Looking at the photo (which may not truly reflect the real appearance), light based therapies, including Yellow Laser or IPL would probably be my preferred mode of treating your condition
Dr Winston Lee
Consult Doctor
Generally i try not to advise too much of a heat based therapy, especially injection related (RF or otherwise) during acne outbreaks. I find that it leads to aggravation of the condition. The only treatment I like for minor outbreaks is Carbon Laser.
I would suggest consulting th...
Consult Doctor
Repeating everything would be pointless, so in my own practice:
A well planned isotretinoin treatment with chemical peels would be my preferred option in your case.
Consult Doctor
Understand the frustrations. Relapse of acne after Isotretinoin is not uncommon. But usually the recurrence is milder than the baseline acne condition since the medications change the pathophysiology of the skin (less oily).
Various issues like hormonal or stress can lead to a pr...
Consult Doctor
Hi there
I would be inclined to agree with Dr Chua and Dr Boey. It is a bad idea to do more lasers while your skin is in its healing phase. Energy devices such as lasers can result in increased pigmentation, and for some patients, fractional lasers result in "sensitive" and raw l...
Consult Doctor
I would actually like to use some TCA cross which means using concentrated acid to help reduce the appearance of the scars and pores. This is a recommended treatment for icepick scars and deep pores.
Combining this with fractional laser is probably your best chance to reduce the ...
Consult Doctor
Dear Jingjing
Based on your pictures, I am more of the opinion that the cheek scars should be the main priority. The un-even appearance is due to the rolling scars and I would recommend that the first line treatment is to do Subcision of the underlying scars with some filler inst...
Consult Doctor
I absolutely agree with Dr Wu on the treatment plan. The treatments available include:
Fractional laser
Chemical peels
Microneedling
TCA cross
However regardless of treatments, the right products which are light and adequately hydrating are still needed.
Con...
Consult Doctor
There is significantly uneven skin tone. I would probably advise to do exfoliation.
A mix of Chemical peels and topical products for gentle peels would help with the skin tone. Some lasers or light IPL will also help to reduce the discolouration.
That should do the trick!
...
Consult Doctor
Thanks for your enquiry. And yes, adult acne is like the MOOOOSTTT annoying thing possible.
I have patients who started popping out at age 32/50 and whatever lies in between. And generally the outbreaks are quite numerous.
I generally have a much lower threshold for starting i...
Consult Doctor
Well, I probably won't chime in with anymore of the various scar treatments available since my colleagues have already done so.
But more importantly is - it sounds like your acne isn't stable at all, since you are still getting some chest acne and body acne tends to be awfully st...
Consult Doctor
I fully agree with Dr Chua that the lesions you have posted are consistent with milia.
Some suggestions
Avoid excessive eye creams in the area, as some patients tend to find some aggravation with creams/gels in the under-eye area
Treat the lesions with ablative laser, bu...
Consult Doctor
