Is it necessary to treat oily skin first before treating acne scars?

Doctor's Answers 1

Hi,

Oily skin is often the precursor of acne although not all persons with oily skin develop active acne. It is important to treat active acne first before considering acne scar treatment as active acne will rapidly undo all the benefits of expensive acne scar treatments, makes acne scar treatment more painful and may even complicate healing after acne scar treatment.

But it is not necessary to treat just oily skin per say (without active acne) before treating the acne scars.

Simply put, oily skin has no significant impact on acne scar treatment outcome.

Hope this helps!

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For moderate acne scars, how do doctors determine how much improvement is realistically possible as I wish to get rid of them completely? (photo)

Hi, Realistically, 25-50% improvement will be achievable with combination acne scar therapy (these include subcision, scar revision, fractional CO2 lasering, fractional microneedle RF and fractional picosecond lasering) for moderately severe acne. Generally, after treatment, scars will still be present but will look less obvious, less deep and less craggy. Complete removal of acne scars is not possible even with repeated treatments and with the “best” treatments. Hope this helps!

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What is the best treatment for pigmentation and depressed acne scars in Singapore? Do topical creams for acne scars work?

1)acne scar with crater, firstly, need to assess if the skin has healed well before a gentle subcision of the the crater scar. This is followed by a resurfacing, best by a fractional resurfacing laser. Otherwise a spot chemical peel will do well too. often multiple sessions will be needed for both laser and chemical peels. 2)pigmentation it can be many types of pigmentation, from freckles to Post-inflammatory pigmentation(PIH) to moles. pigment laser work well for freckles, but there is down time for 3-5days. PIH can be treated with nonablative laser and creams.

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