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Volvo850

Dermatologist confused?

Hi,

I visited a derm today about a red mark that has been present for a month and a half (but has faded somewhat since I made the appointment). This was my first visit to this particular dermatologist--I HATE going to derms because the past one I went to was way too pushy and just wanted me to take Accutane because I had exactly four pimples on my face.

Well, this one also recommended Accutane, but my pimple count was only three now. I refused. Then I asked about the red marks, and she said they were scars. However, I have never picked at these zits and if they do come open in the shower or something and bleed, I've always treated them with Neosporin as if they were a cut. She recommended some expensive laser surgery for me, which I also turned down because I can't miss any time recovering from something (the last time I missed a day of anything due to health was 1998--I'm trying to break Cal Ripken's records).

Then I read that people with very fair skin like myself have red marks that will persist for a few months after acne goes away and that the skin is really just healing itself. Thinking back I remember two similar red marks that I have had in the past year, both of which have gone away with just two to three months of time.

Of the marks in question, only one looks relatively scarrish, and I'm guessing it's because I got three zits in the exact same spot there and the skin got really worn out. I've treated that very small and not noticeable blemish with Retin A and have noticed improvement in just four weeks. I'm hesitant to treat other areas.

What I want to know is if I know my stuff or not. They don't feel like scars (I have enough of those on my knees to know what a scar feels like at any stage) but I was told they are when most things I've read say they're not. Was the derm just trying to make a quick buck off laser surgery with me?

Volvo 850

^^safest car ever

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i didnt read all what you typed cuz it got boring a little. but follow ur instinct first if you dont think its a scar, dont fix it if it aint broken.

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Well even if u dont get bad acne but u scar then 3 or 4 zits is a chance to get 3 or 4 scars. Take accutane if u scar even if u have minor acne. It didnt make my face break out at all and i had real minor acne but I scar. I wasnt gonna take any more chances and didnt want to risk getting zits and acne anymore. I also had a problem with redness that lasted for a long time but I used hydroquinone and also tan so I am red free.

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Here's the deal though...

1. I never had any red mark problems until early this year.

2. I don't take oral medicine.

I have no history of scar problems, but the marks seem to take a while to go away.

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Hei Volvo850,

I'm exactly in the same condition as your except i have a huge difference in term of number of acne.I have many acnes and breakout since this February. It was sudden. I have many red marks all over my face which are indented and will become scars. If your marks are not indented then they are just red marks and will go away without leaving any scars.

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What I want to know is if I know my stuff or not. They don't feel like scars (I have enough of those on my knees to know what a scar feels like at any stage) but I was told they are when most things I've read say they're not. Was the derm just trying to make a quick buck off laser surgery with me?

unfortunately that is quite possible. There are a lot of derms out there that offer whatever will make them easy money without real considerations to their patentients. Im actually SHOCKED one would suggest laser (what kind of laser did he mention? That actually does make a difference in how unethical he comes across).

From what you say, you dont need any kind of evasive treatment. If you heal on your own then I would do nothing to mess with that. If you feel you would a derm to help with suggestions then ask for a reputable derm in your area or travel to one outside of your area. One that specialises in acne/acne scar treatments and is valued for their true advice.

Both these guys you have seen sound unethical. If you have an honest derm check u out and his suggestions are more realistic and differ grately from the other two i wonder if the previous derms can be reported. I wonder what the protocol is for derms that offer treatment people dont need, esp if its risky. Sick of these 'proffessional' guys taking advantage of vunerable people. Stinks!

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24 hours later, I'm still sticking to my own feelings. I read that aloe will speed up the process, and I know this has worked for me in the past!

I use Edge shaving gel with aloe. When I started using it, a red mark similar to the one I have now was somewhat visible. About a month after I started using this cream it was pretty much gone. This one isn't in a shaveable area (next to the eye) but considering I had been using non-aloe cream and the red mark didn't fade quickly I'm willing to bet the aloe is what helped.

Now I've been told shaving exfoliates somewhat, but the only thing I changed was the cream. I use an electric razor and added the cream to prevent irritation. Maybe it was just that magic week when the mark was supposed to go away. But I still think the aloe had a large role in this.

So tomorrow I'm going to get some aloe. The Fruit of the Earth or whatever it's called is the one I'll likely look for after staying up last night researching it. It's natural and I know I'm not allergic to it. I'd rather be using something produced by a plant than get some random beam of light in my face.

Also, I'm very sensitive skin wise, so laser probably wouldn't have been a good option for me in the first place. If I'm out for a 40 minute swim, I get pretty burnt even with Neutrogena SPF 45 sunscreen (well, I am significantly better with that, but I still get pretty red...without I turn as red as a stripe on the American flag).

The laser treatment was called Prolite, for the person who wanted the name of it. The brochure is pretty much worthless--it says what it does but nowhere does it say what the process is. The derm gave me a piece of paper with parts of the process on it, and it would be way too inconvenient for me to even consider because:

1) I hate going to any doctor and only do so if I have a question or something or if I need a prescription. If I get sick, I always just fight it off myself, usually with no medicine. (The last time I took a painkiller was March 1999)

2) The process would take a few hours. Three hours of my day could be spent working or spending quality time with other fine folks. I'd rather run fools errands than lose three hours of my day.

3) The recovery process means you pretty much have to be homebound for 48 hours and away from almost all light. I DO NOT MISS WORK OR SCHOOL...the last time I missed a day was in fifth grade. I'm now a sophomore in college. I have gone to school with breakouts, diarreah, cramps, ear infections, sore throats...I just cannot miss time.

End of rant...onto some more meaningful stuff

Do derms get extra money if they prescribe accutane or something? That's why I stopped going to my first derm. I only went to one yesterday because I wanted advice on Retin A (if only I had come here first, I found this board to be very knowledgable when I started reading it yesterday). And to suggest laser surgery on the first visit is a little strange. Seems like they want my cash. I'd rather use that cash on clothes or maybe a new Blaupunkt stereo for my Volvo.

My grandmother goes to the derm I saw. She has had a few skin cancer problems and I guess this derm is pretty good at what she does, and my grandmother swears by her, but I wasn't that impressed--especially because she wanted to put me on Accutane and give me laser surgery.

I will NEVER take Accutane. I already have a family and personal history of depression. When I saw suicide as a side effect six years ago when that first quack recommended it to me, I ripped the brochure up, looked at my mother, and said, "let's get a benzoyl peroxide refill". My regular doctor has been kind enough to write me prescriptions for Duac, Benzaclin, Retin A, and Brevoxyl over the past few years.

If anyone here is from Pittsburgh, are all the Pittsburgh area derms like this? I'm 0 for 2 with derm satisfaction in the north Pittsburgh area. The guy I hear is really good, unfortunately, is a pediatric derm. I'm a few years too old and found out about him too late.

So I'm keeping the Brevoxyl wash twice daily, but I'm not sure if I'll replace Duac with Aloe or not. I might use both for a while and see what happens. I have like six weeks until the next semester starts, so I've got time to experiment (enough time that if I do break out it won't be that big of a deal). I actually look pretty good right now with the exception of a few minor red spots--most people wouldn't notice any of them except the one that's a little bigger than the others.

Since I don't trust derms, I pretty much come up with my acne routines myself :-) I call myself a "blue collar derm".

Volvo 850

^^drive safely

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the first ive heard of someon complaining that the doctor was WILLING to prescribe accutane. usually its the other way around.

i wouldnt be so stubborn if i were you. research accutane. you can go on a super low dose which will get rid of your mild acne and have no side effects. 2.5-20 mg or so.

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