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Bemme from Singapore asked a question

Are there any topical products that can help with pitted acne scars, or must I opt for fractional laser treatment? (photo)

Hi Doctors, I am turning 24 this year and have battled with acne/acne scars for as long as I can remember. I have really oily skin and except for some hormonal acne, my major concern lies with uneven skin texture, pitted scars and enlarged pores. I currently use a combination of products (AHA/BHA peels, toner, etc) that has helped clear up my acne and PIH, but it doesn't seem to have any effect on my pitted scars and enlarged pores. I am wondering if there is any product I can add to my regime that will help with skin texture, or must I opt for fractional laser treatment? Many thanks!

DOCTOR’S ANSWER (3)
Dr Jiwei Wu
Aesthetic
Singapore
(3 Ratings)
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Dr Jiwei Wu
Aesthetic
Singapore
(3 Ratings)
Answered on Mon May 14 2018 04:44:51 GMT+0000 (UTC)

Hello Bemme

Thank you for your question. You can try topical retinoids (retin A/ differin) which will help with mild acne scars, acne control, skin texture and oily skin.

Use it at night for 1 to 2 months, and you should be able to see some results. However it is not enough to shrink your pores. 

A fractional resurfacing laser or microneedling fractional radiofrequency treatment can be done in combination for better results and more severe acne scars and uneven skin texture.

It will also improve small to medium sized pores. Speak to a doctor to find out more. Hope this helps! 

Regards,

Dr Jiwei Wu

0 507 views 0 Doctors agree Mon May 14 2018 04:44:51 GMT+0000 (UTC)
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Dr David Deng
Aesthetic
Singapore
(7 Ratings)
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Dr David Deng
Aesthetic
Singapore
(7 Ratings)
Answered on Mon May 14 2018 11:06:17 GMT+0000 (UTC)

Hi Bemme,

From the picture you submitted, it appears that your main issues seem to be oily skin, enlarged pores and open comedones (black heads). 

If your main concern is enlaged pores and open comedones I would suggest options of:

1. Medium-depth chemical peels

2. Carbon lasers

3. Rejuran Healer 

This is of course in addition to already having a good cleanser, exfoliator-scrub or mild AHA, toner, moisturiser and SPF 50 broad spectrum sunscreen as a base. 

Key is to find a doctor you can trust to assess your skin health face-to-face and explain the various options and recommendation specific to you.

Cheers,

Dr David Deng

0 489 views 0 Doctors agree Mon May 14 2018 11:06:17 GMT+0000 (UTC)
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Dr Winston Lee
Aesthetic
Singapore
(5 Ratings)
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Dr Winston Lee
Aesthetic
Singapore
(5 Ratings)
Answered on Sat Jun 02 2018 14:50:18 GMT+0000 (UTC)

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 complexion issue you mentioned.

0 197 views 0 Doctors agree Sat Jun 02 2018 14:50:18 GMT+0000 (UTC)
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