How do the symptoms of hormonal acne, pityrosporum folliculitis (fungal yeast) and dermatitis herpetiformis differ? (photo)

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Is Isotretinoin or the birth control pill more effective for hormonal acne that runs in the family?

You are quite right that genetic and hormonal reasons are the 2 more common causes for acne. At the same time, there are also other possible causes that may have aggravated your conditions, making your treatment less effective. While Isotretinion and hormonal treatments are both highly effective, these 2 treatments are often done in combinations. First to prevent pregnancy while on isotretinion, second to potentiate the result. Once the acne is under control, I may remove the isotretinoin once it achieve the targeted dosage based on your weight.

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Dr Elias Tam

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

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!

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Dr Jiwei Wu

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