Acne Vulgaris (Pimples) & Acne Scars – Causes, Treatment, Remedies, Solutions

What Causes Acne Vulgaris (Pimples), Acne Scars & the Best Acne Doctor Treatment.

1)  Acne can be in the form of small bumps on the skin of the face, chest, back, arms, thighs, buttocks and the scalp, which may be black called blackheads, white bumps called whiteheads, pink or red colored, pus filled, or big and hard nodules. When they heal, they leave dark marks and sometimes pit like acne scars on the skin which can badly disfigure the skin.

2) Pimples are seen most commonly on the skin in teenagers, though they can continue into late twenties and thirties. They can suddenly appear during pregnancy and refuse to go thereafter. Some individuals may start getting it after middle age and in case of women it may start appearing around menopause.

3) Causes of Acne. Acne Vulgaris is generally related to hormone changes affecting the skin in teenage. Heredity, pregnancy, polycystic ovarian disease, some medicines, hormone abnormalities, high levels of P. acnes bacteria in the skin are some of the causes of acne. The role of food in causing acne is controversial; however, if you observe that particular food item consumption increases your acne, avoid it.

4) Evaluation of the skin by a cosmetic dermatologist / skin doctor is necessary, especially for severe and persistent acne, to treat the underlying cause if any and prevent pigmentation and scarring.

5) Your dermatologist may prescribe creams, tablets or face washes for treatment. Scars and skin pigmentation require treatment with microdermabrasion, chemical peels, dermarollers etc. depending on the extent of the problem, with the latest being the fractional laser technology which is available in some centers.

6) Microdermabrasion also called skin polishing, is good for very mild acne scars and can be done with powder crystals or diamond crystals. It requires many sessions. Recently, advanced microdermabrasion followed by serum infusion (Hydrafacial) is available at a few centers.

7) Chemical peels can be done for mild acne scars and post acne pigmentation. They require multiple sessions of treatment. A wide range of peels are available ranging from glycolic, TCA, salicylic, retinoid, combination, lactic, arginine, yellow peel, blue peel, green peel etc.

8)  Dermarollers are small hand held instruments with very fine needles attached to them, which stimulate collagen formation when applied to the skin.This treatment requires multiple sessions and can be used for mild to moderate grade acne scars.

9)  Fractional lasers are available in 2 types: ablative and non – ablative. Some studies in the western world report better results with the ablative variety. However, there are yet not many studies on the comparison between the two on Indian skin. Though, personally, I agree with the world literature. The ablative type has 2 varieties – the fractional CO2 laser treatment and the fractional erbium YAG laser. With respect to laser treatment for acne scars, the Carbon Dioxide Laser (CO2 laser) may be used for deeper acne scars and the Erbium Yag Laser for shallower acne scars. Both the carbon dioxide laser (CO2 laser) as well as the Erbium Yag lasers require multiple sessions, the Erbium YAG laser more so than the CO2 laser. Darker Indian skin types do have a risk of post laser hyperpigmentation. Hence, correct patient selection, the practitioner’s experience with lasers and appropriate post laser skin care are the key to successful outcomes. Though, in case of moderate to severe scarring, the results cannot be 100%, but they can be satisfying and improve the skin to a great extent.

10) It is better to seek an expert/ top / best dermatologist / laser skin expert’s advise and get your skin treated in time, rather than try your own or peer recommended therapies and then seek advise after the damage has been done. Every individual’s skin is different and requires customized care.

 Dr Rinky Kapoor- Best Cosmetic Dermatologist (Cosmetologist) in Mumbai, IndiaDr. Rinky Kapoor is a top/ Best dermatologistCosmetic DermatologistLaser Skin Expert Doctor, currently based in Mumbai, India. She has won many awards as the Best Dermatologist in India, Top 10 Skin Doctor in India, etc. She specializes in all skin diseases & conditions and given her training as a dermato-surgeon, provides non surgical liposuction surgery, laser lipo & lipoplasty etc for weight reduction & cellulite reduction. Dr. Rinky Kapoor is trained at the iconic National Skin Centre, Singapore and completed her Fellowship in Cosmetic Dermatology & Lasers at the world renowned Stanford University, USA.

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