Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

Continue with Facebook Continue with Google

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

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 THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

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.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Request answers from expert doctors:

DxD
DxD

We will distribute this question to expert doctors, and notify you about new answers.





How do doctors determine the best treatment for acne and acne scars?

Acne & Scars Skin, Hair & Nails

I have active acne, and acne scarring on my cheeks. I am confused about all the treatment options available, as well as places where I can seek treatment. How do doctors determine the recommended treatment for acne and acne scar issues? I hope experienced Doctors in this field can provide me with more information on this, as I understand that some clinics have particular treatment "packages" for acne and acne scarring that they push all patients towards. Please advice and thank you very much!

DOCTOR’S ANSWER (4)

Recommendation - 

Acne - black-heads, white-heads, red bumps (papules), pustules and cystic.

Active acne can start from as early as 10 years old and most will self-resolve by the early 20s.  The most effective treatment for this is medical. Medical treatment can be a combination of topical medications or combined with oral medication.  The duration of treatment is usually for 6 months.  Sometimes I add a series of chemical peels ie salicylic acid to expedite the treatment. This can be combined with LED light (blue color wavelengths) to target the bacteria on the skin.  

Acne scarring - uneven texture on the skin after the active acne has resolved.  It can either be bulging (hypertrophic) or depressed (atrophic).  Run your finger along the skin and you can feel the indentations.

These are not easy to treat. Ablative lasers ie. CO2 and the Erb:YAG lasers are normally used to do a controlled ablation of the top and middle layers of the skin to allow a controlled healing of the skin to produce collagen and tightening.  At our clinic we use a fractional Erb:YAG laser and combine it with a continuous mode Erb:YAG laser.  There is downtime of about 1 week after the treatment and treatments are repeated every 6 weeks.  I tell patients to expect a 40-50% improvement after a series of treatments.  

Acne - post-inflammation hyperpigmentation

This is treated with depigmenting creams and sun protection. I would normally combine the creams with a series of chemical peels and the Dual Yellow laser to reduce the inflammatory redness that usually leads to the darkening of the skin.

I hope you have found this helpful.  

best,

Dr Benjamin Yim

345 views 26 Mar 2019

 

I feel your pain, it's hard not to be confused with so much information out there on acne and acne scar treatments!

These are the principles that I follow for treating active acne and acne scars.

1. I treat Active Acne first, before treating Acne Scars. 

- this is because active acne can cause more scars.

- certain acne scar treatments like ablative lasers can trigger active acne flares too.


2. Effective Active Acne Treatments in Singapore

I treat active acne with creams first, followed by oral medications and lasers if they do not improve.

Creams

  • Benzoyl peroxide gel
  • Clindamycin gel,
  • Differin cream or a Retinoic acid
  • Epiduo (combination of Retinoic acid and Benzoyl peroxide)

Oral Medications

  • Antibiotics (Doxycycline/ Erythromycin)
  • If your acne does not improve or even worsens, you might have to consider oral Isotretinoin (commonly known as Roaccutane).

Chemical Peels and Lasers can also help.


3. Best Acne scar treatments are treatments that are customised for each scar that you have.

I tailor my treatments according to the type of scars that my patients have.

Rolling/ Atrophic Scars  

Rolling Acne Scar

Treatments of choice: 

  • Fractional CO2, 
  • INFINI Fractional RF, 
  • Fractional PicoLaser

Ice-pick and Boxcar Scars

Ice pick and boxcar scars are deep scars and tethered down by fibrous tissue

Ice pick scars

Ice pick Acne Scars

Boxcar scars

box car acne scars

Treatments of choice: 

  • Subcision with fillers, 
  • TCA cross, 
  • Fractional CO2

Pigmented Brown scars – also known as Post-inflammatory Hyperpigmentation 

post-inflammatory hyperpigmentation acne scar

Treatment of choice: 

  • PicoPlus Laser

Hypertrophic Scars/ Keloid

keloid acne scar

Treatment of choice: 

  • Corticosteroid Injection

In my experience, most patients have a combination of scars.

As such, a combination of treatments are needed to target the various types of scars precisely.

I usually combine several types of lasers and peels in each treatment session to achieve optimal results.

For more details, you can check out this comprehensive Guide to Acne Scar Treatment Costs in Singapore.


Hope that this helps!

Warmest regards,

Dr Justin Boey

1312 views 27 Aug 2018

Hello Allan,

There are so many treatments available right now and ultimately it is down to the type of acne/ acne scars you have and the downtime you can tolerate. The treatment plan should be customised as everyone has different type of scars. 

Generally I will recommend TCA cross for ice pick scars, Fractional laser/ Microneedling RF for box scars, Subcision with filler for rolling tethered scars and Rejuran microinjection as a supplement to scar treatment. 

The treatment for active acne depends on the type and severity of the acne. Topical creams for mild acne, oral medications for moderate to severe acne and steroid injection for stubborn cystic acne. 

All these treatment options have their own pros and cons and downtime so it is important to clarify with the doctor before proceeding. Hope this helps!

Regards,

Dr Jiwei Wu 

1298 views 27 Aug 2018

Dr Justin says it well.

Treat the acne first. IF not its an absolute waste of time chasing after the scars when new ones keep appearing. More often than not, products can play a large part in acne. Stick to a few products but gel-based are preferred.

I don't believe in "packages" for acne as everyone is different in acne types AND scar types. Sit down and discuss carefully with your doctor and don't sign packages etc IF you don't feel comfortable. understand your condition better and you would be able to make a wiser choice!

Winston

1144 views 6 Sep 2018
Not the answer you're looking for? Browse other answers tagged Acne & Scars Skin, Hair & Nails or ask your own question now FOR FREE.