Scarring seems very minimal but I'm sure someone can advise.

On 4/5/2018 at 11:34 PM, alexander7 said:

I tried to take pics under brutal lighting and some up close and angled with my iPhone 7 Plus camera ...and the actual camera with more pixels not the weaker inside one. Damn the look brutal lol. Thanks again guys for any input...I really appreciate it!

Well, I don't think anyone would would notice unless you're under harsh light as in these pics. If it bothers you that much, I suggest you try a few rounds of TCA peel for starters. Check out the FAQ Section [Link removed] for more info.

Looks like icepicks. You can probably TCA Cross them, though they will become slightly wider as they become shallower (at least mine did), so you might want to consider that first, as they are not very noticeable.

Please get checked out for Folliculitus as this is what it looks like to me, infection at the hair follicle. Yes TCA Cross (or fraxel 1924 at full density/ Clear and Brilliant is similar just more treatments ) would work best for your icepicks but you need to be clear first or you could have a bacteria problem. I really do not see a problem with your skin other than pores / icepicks. Good skin quality, not fat loss. You could do a few peels for texture.

Please be completely shaven before any procedure.

As soon as i see your beard in pics i think folliculitus also,scrolls down and BA is mirroring my thoughts,suggest drs and course of anti biotics,its best thing to kill it.

looks like you will have to shave as i suspect your scarred pore prob in also under the beard area.

suggest you get anti biotic,oxytetracycline (or similar) get clear,shave and do tca peeling,follow the tca peeling guide lines.

needling is more for deficiency where collagen production is required,everything you got is right at the surface.

[Media removed]

On 4/6/2018 at 3:05 PM, beautifulambition said:

Please get checked out for Folliculitus as this is what it looks like to me, infection at the hair follicle. Yes TCA Cross (or fraxel 1924 at full density/ Clear and Brilliant is similar just more treatments ) would work best for your icepicks but you need to be clear first or you could have a bacteria problem. I really do not see a problem with your skin other than pores / icepicks. Good skin quality, not fat loss. You could do a few peels for texture.

Please be completely shaven before any procedure.

On 4/6/2018 at 3:52 PM, Quadboy said:

As soon as i see your beard in pics i think folliculitus also,scrolls down and BA is mirroring my thoughts,suggest drs and course of anti biotics,its best thing to kill it.

looks like you will have to shave as i suspect your scarred pore prob in also under the beard area.

suggest you get anti biotic,oxytetracycline (or similar) get clear,shave and do tca peeling,follow the tca peeling guide lines.

needling is more for deficiency where collagen production is required,everything you got is right at the surface.

[Media removed]

 

Thanks for input everyone. I never thought of Folliculitis honestly...as Ive definitely had acne for years so just always thought every pimple/blemish was acne related. I will try to get into doctor to get checked out for that, and see if I can get some antibiotics. Im gonna shave tonight and upload some pics so you can see scars better unobstructed from beard. But most/all of my scarring is unfortately in upper cheeks where my facial hair cant really hide them:( Back to the Folliculitis talk...could this be causes by yeast overgrowth in body? Or is that all just bs? Thanks again

You can get a biopsy if you wish. Yes one can get candida, yeast/ fungal infection, etc... from Taking too many antibiotics, poor health, stress, gut issues. You can try the basics for a week and see if they help, no sugar, tomatoes / eggplant can cause some issues, dairy including cheese are triggers for some.

Fungal acne is different than normal acne though.

14 hours ago, alexander7 said:

 

Thanks for input everyone. I never thought of Folliculitis honestly...as Ive definitely had acne for years so just always thought every pimple/blemish was acne related. I will try to get into doctor to get checked out for that, and see if I can get some antibiotics. Im gonna shave tonight and upload some pics so you can see scars better unobstructed from beard. But most/all of my scarring is unfortately in upper cheeks where my facial hair cant really hide them:( Back to the Folliculitis talk...could this be causes by yeast overgrowth in body? Or is that all just bs? Thanks again

I don't think it's folliculitis, as you can clearly see acne comedones in your pictures, which are not present in folliculitis.

Folliculitus will basicly just manifest itself as acne on the face.

On 4/8/2018 at 8:34 AM, Quadboy said:

Folliculitus will basicly just manifest itself as acne on the face.

 This is not true. Acne and folliculitis have different morphologies although distinguishing the two can be tricky.
Folliculitis will be pustular and there will not be any closed or opens comedones and no nodules and papules. This is a good example of folliculitis: 
 [Media removed]
 

@CLOODWhat are your qualifications to make this determination, are you his derm, are you a derm, or did you do a biopsy on him?

Oh Look I can paste pictures too of Folliculitus, infection of the hair follicle. OP don't listen to me if you want, goto the doctor and discuss. Armchair specialists who know nothing will not help your situation of infection in your hair follicles. Hence get a swabbing / biopsy done.

[Media removed]

Source Wikipedia:

Signs and symptoms[edit]

• rash(reddened skin area)
• itching skin
• pimplesorpustuleslocated around a hair follicle; may be confused withchicken pox
  • may crust over
  • typically occur on neck,armpit, orgroin
  • may present asgenitallesions
• spreading from leg to arm to body through improper treatment with antibiotics

Causes[edit]

Mostcarbuncles,boils, and other cases of folliculitis develop fromStaphylococcus aureus.

Folliculitis starts with the introduction of a skinpathogento a hair follicle. Hair follicles can also be damaged byfrictionfromclothing, an insect bite,^[1]blockage of the follicle,shaving, orbraidsthat are too tight and too close to the scalp. The damaged follicles are then infected byStaphylococcus. Folliculitis can affect people of all ages.

Iron deficiency anemiais sometimes associated with chronic cases.

Bacterial[edit]

• Staphylococcus aureusfolliculitis.
• Hot-tub folliculitisis caused by the bacteriumPseudomonas aeruginosa.^[2]The folliculitis usually occurs after sitting in a hot tub that was not properly cleaned before use. Symptoms are found around the body parts that sit in the hot tub: the legs, hips, chest,buttocks, and surrounding areas. Symptoms are amplified around regions that were covered by wet clothing, such asbathing suits.
• Sycosis vulgaris,Sycosis barbaeorBarber's itchis astaphylococcusinfection of the hair follicles in the bearded area of the face, usually the upper lip. Shaving aggravates the condition.
• Gram-negative folliculitismay appear after prolonged acne treatment with antibiotics.^[3]

Fungal[edit]

• Tinea barbaeis similar to barber's itch, but the infection is caused by thefungusT. rubrum.
• Malassezia folliculitis, formerly known asPityrosporum folliculitis, is caused byyeasts(fungi) of thegenusMalassezia

Viral[edit]

• Herpetic folliculitismay occur whenherpes simplex virusinfection spreads to nearby hair follicles - mostly around the mouth.

Non-infectious[edit]

• Pseudofolliculitis barbaeis a disorder occurring when hair curves back into the skin and causes inflammation.
• Eosinophilic folliculitismay appear in persons with impaired immune systems.
• Folliculitis decalvansortufted folliculitisusually affects the scalp. Several hairs arise from the same hair follicle. Scarring and permanent hair loss may follow. The cause is unknown.
• Reaction toDemodexmite infestation may occasionally be misdiagnosed as folliculitis.
• Folliculitis keloidalisscarring on the nape of the neck. Most common among males with curly hair.
• Oil folliculitis is inflammation of hair follicles due to exposure to various oils and typically occurs on forearms or thighs. It is common in refinery workers, road workers, mechanics, and sheep shearers. Even makeup may cause it.
• Malignancymay also be represented by recalcitrant cases.^[4]

Treatment[edit]

1. Topicalantiseptictreatment is adequate for most cases
2. Topicalantibiotics, such asmupirocinorNeomycin/polymyxin B/bacitracinointment may be prescribed. Oral antibiotics may also be used. Could needprobiotictreatment.
3. Some patients may benefit from systemicnarrow-spectrum penicillinase-resistant penicillins(such asdicloxacillinin US, orflucloxacillinin UK)
4. Fungal folliculitis can worsen with antibiotics and may require an oral antifungal such asFluconazole. Topical antifungals such as Econazole Nitrate may also be effective.

Folliculitis may recur even after symptoms have gone away.

1 hour ago, beautifulambition said:

@CLOODWhat are your qualifications to make this determination, are you his derm, are you a derm, or did you do a biopsy on him?

Oh Look I can paste pictures too of Folliculitus, infection of the hair follicle. OP don't listen to me if you want, goto the doctor and discuss. Armchair specialists who know nothing will not help your situation of infection in your hair follicles. Hence get a swabbing / biopsy done.

3

There is no need for this condescending tone. I was just giving myopinion based on the pictures. I just finished my dermatology rotation in medical school and our professor just made the point about the absenceof inflamed comedones in folliculitis. But anyway, go to the doctor and get a bacterial swap done. It can never hurt.

Hi guys wanted to upload some pics of me freshly shaven..so you could have better look at my scars. Thanks for all your input! I have derm appointment for next week...so will ask about folliculitis and the scars.

 @Control Panel I'm gonna take your advice and STFU this time. 

Do me a favor, see your derm and get confirmation swab/culture but also trynizoral shampoo (pretty cheap) use as face wash and see if it helps (must sit on for several minutes) do a google search for "fungal acne". You mainly have icepics and need tca cross and a tca peel for the textural bumps. Do not peel till you clear papuals.

28 minutes ago, beautifulambition said:

Do me a favor, see your derm and get confirmation swab/culture but also trynizoral shampoo (pretty cheap) use as face wash and see if it helps (must sit on for several minutes) do a google search for "fungal acne". You mainly have icepics and need tca cross and a tca peel for the textural bumps. Do not peel till you clear papuals.

Ok I will try the Nizoral...I had read it can eliminate yeast based folliculitis. If bacterial would just BP work? Of course Im gonna see what the doctor says as well. Thanks

Sure try BP, thought you already did that, most common acne treatment ;-). But the Nizoral is worth a try.