Consult Doctors. FREE.

Your trusted medical source by doctors!

Continue with Facebook

or

PLEASE FILL IN THE ABOVE AND PRESS ENTER TO SIGN IN or CREATE YOUR ACCOUNT.
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Registration Progress
Step 1: Register Email & Password
Step 2: Indicate Topics of Interests
Step 3: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Register Email & Password
Step 2: Indicate Topics of doctors
Step 3: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

MESSAGES TO
Aaron from Singapore asked a question

How can I get rid of closed comedones that do not respond to topical treatments?

Hi, I have some closed comedones that do not seem to go away for about a year already. I have been using AHA 30%/BHA 2% peeling solution once/twice a week, applying benzoyl peroxide on it twice daily, applying retinol 2/3 times a week, applying rosehip oil 4 times a week, and applying Thayers toner twice daily. However, I still do not see any improvements. What should I do?

DOCTOR’S ANSWER (3)
Dr Jiwei Wu
Aesthetic
Singapore
(3 Ratings)
Consult Doctor
FOLLOW
Dr Jiwei Wu
Aesthetic
Singapore
(3 Ratings)
Answered on Tue Mar 13 2018 08:02:08 GMT+0000 (UTC)

Hello Aaron

Thank you for your question. In addition to what Dr Winston has mentioned, you can consider changing the topical retinol (usually over the counter) to a prescription based retinoid such as retin-A. It can be applied every other night initially and you can gradually increase it to 5 to 6 times per week as tolerated. 

You can also consider doing 20-30% salicylic acid (BHA) peels fortnightly. This is a safe chemical peel which is effective in treating oily skin, acne skin and comedones. 

Oral antibiotics can also be given if you are not responding to topical treatments. Speak to your doctor to find out more!  

Regards,

0 524 views 0 Doctors agree Tue Mar 13 2018 08:02:08 GMT+0000 (UTC)
Consult Doctor
Dr Winston Lee
Aesthetic
Singapore
(5 Ratings)
Consult Doctor
FOLLOW
Dr Winston Lee
Aesthetic
Singapore
(5 Ratings)
Answered on Tue Mar 13 2018 07:02:37 GMT+0000 (UTC)

I would like to ask you to consider stopping benzoyl peroxide. From my experience, it tends to dry the skin and not solve the underlying comedone issue.

I would actually consider adding on oral isotretinoin to work on the pathogenesis of sebum production. And also, to use a keratinolytic such as differin and tretinoin.

Please seek consultation with a doctor to treat it!

0 531 views 0 Doctors agree Tue Mar 13 2018 07:02:37 GMT+0000 (UTC)
Consult Doctor
Dr Jason Pek
Aesthetic
Singapore
(1 Ratings)
Consult Doctor
FOLLOW
Dr Jason Pek
Aesthetic
Singapore
(1 Ratings)
Answered on Fri Mar 16 2018 09:14:05 GMT+0000 (UTC)

Hi Aaron,

Firstly we need to establish that closed comedones is that correct diagnosis as they are some other conditions that may look similar to the layman such as milia and syringomas.  

Topical comedolytic treatments such as acid peels and retinoids are generally effective in treatment of comedonal acne. I would suggest switching the retinol to tretinoin. This is a prescription medicine so you will need to see a doctor for this, who will also advise you which concentration to use. Persistent comedonal acne may require physical extraction in addition to the above mentioned treatments.

0 475 views 0 Doctors agree Fri Mar 16 2018 09:14:05 GMT+0000 (UTC)
Consult Doctor

Get Doctor Quotes

We promise that we'll ask our doctor friends to give you their best possible price!
Name of Treatment
Category
Budget
Full Name
Email
Contact Number
Other Information