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This depends on what the age of the patient (your child) is.
Epiduo has been recently approved for the use in children age 9 and above by FDA, as such from the clinical perspective the use of Differin alone can be expected to be safe, albeit off-label.
Other options such as mild BHA and AHA can be considered as an acne- treatment. Do consult your doctor early though.
My other colleagues have answered well and indeed, it appears that there is a cystic lesion underneath and the evidence of discharge suggests you need urgent medical attention.
Steroid injection and antibiotics should probably be the mainstay of the therapy.
In terms of other changes to your skin care, please ensure you are using a light gel based moisturiser in view of the oily skin, and please use the appropriate concentration of rectanyl(and don't be overly generous as what my patients love to do unilaterally).
There is such a thing as overdoing it and leading to excessive peeling and thus removing the natural skin barrier against bacteria entry.
Pls see your doctor early!
It really depends on the practice. However basically certain dosages of chemical peels can only be purchased and ordered by clinics/doctors, and these are what we term as prescription only peels.
They tend to be of a higher concentration/risk of adverse outcomes if poorly used.
I suspect your derma did the first few treatments to ensure that the dose is safe and to ascertain your skin reaction first, and then beyond that the mechanical application is done by the assistant.
You may want to ask your derma when you next visit, and he/she may oblige by assuring you and providing some education on the peels being used.
The whiteheads is quite significant. I would suggest you consider first to use the right products.
- Gel based serums or moisturiser
- Retinoids to assist in the appropriate keratinolysis
- the occasional home based chemical peels AHA/BHA
Following it, then consider the use of:
- Carbon laser which reduces acne outbreaks/cystic acne
- Hydrafacial/machine based facial for gentle exfoliation.
Those would be useful to consider. Severe acne outbreaks may warrant medications. Consult your doctor early.
If you have described it as deep pitted scars, I would suggest that you speak to your doctor first. It is my experience that many patients have pre-formed notions of the correct treatments for their type of scars.. which usually isn't that correct.
I would probably consider TCA Cross for the deep pitted scars instead. Any photos would be useful!
But that said, pertaining to your question, I echo Dr Boey's idea that subcision with fillers improves the overall appearance by reducing re-attachment rates AND the biostimulatory effects would help plump up the atrophic scarred areas.
Generally my patients have been satisfied with their subcision results with the use of fillers.
So hope it works for you too.
Subcision can be combined safely with any of the more superficial treatments, be it Co2 fractional laser, Intracel/microneedling rF and TCA Cross. However I would be concerned if you do too many treatments on the surface (TCA + Intracel) as healing may potentially be impaired.
Further more, TCA Cross downtime (socially) can be as long as 2 weeks or more.. you may find that unacceptable as well. So do take care to discuss with your doctor first
Can i advise that you discuss with your doctor about subcision and filler placement first? That would help improve the undulating appearance of your scars.
TCA Cross can widen scars if done poorly (technique wise) by having excessive spillage into the normal skin, or if the scar selection was done wrongly. Find an experienced practitioner for this treatment modality.
Post TCA pigment wise - sunblock is key! and you can use Q switch laser to reduce it 2-3 weeks after the therapy.
Hope all goes well and Merry Christmas!
Hi, I am a 28 year old male. Recently I noticed huge red bumps appearing on my chest. How can they be treated? Thanks!
I’m currently 24. I have some old crater acne scars on my face. I also have relatively dark skin tone that is tanned and brown. I would like to know what procedures can help to reduce or “smoothen” out the old acne scars.
My skin tends to be dry most of the time, which seems to cause more oiliness and acne. Any tips on how to moisturise my skin without making it more glossy or oily? Thank you in advance!
I’ve had this particular pimple for over 3 months now. Visited a GP and got antibiotic cream which reduced the swelling significantly, but it seems like the pus is still there. Was looking at cortisone shots but I am not too sure how effective they are. Can cortisone shots get rid of nodular acne effectively, or are there any other treatment options? Appreciate the help!