Best Treatment option for my acne scars? Pics inside

Started by alexander7 alexander7

18 posts in this topic

Hello all, I am mid twenties male who has had acne since about 16. It has been at times moderate, and at others I guess persitently mild. I used the regimen in the past with great success. Past year haven’t had to use regimen as just had occasional spot here and there, so put up with it. I just do cetaphil cleanser in shower, cetaphil moisturizer after, or spf neutropenia facial moisturizer if going outside now a days. 

My scars have become more apparent recently. Luckily I only have gotten acne in my cheeks, myforehead and temples were spared. But I have tons of what I believe to be ice pick scars in cheeks, also large/blown out pores etc. Also lucky for me I am having a bit of a breakout at the moment on top of this. I realize I have facial hair in pics..but my hair unfortunately doesn’t hide my scars so shouldn’t be an issue. Just wondering what my best course of treatment would be for this type of scarring? I am amazed by Dr. Lim, but don’t have money to go to Australia now. Could see derm in USA, particularly in NYC as I am in northeast. All these scars have been here for years, so I assume they’re here to stay. I wonder if micro needling would help them? My scars still look bad when i stretch skin...so whatever that indicates count me in. 

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!

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A180AE39-3FB3-4CD6-A13A-AA5FD910ECB2.jpeg

Edited by alexander7
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2 hours ago, 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 for more info.
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There is no life without water. Use it to your advantage.


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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.

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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. 

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** Please "Like" my response above; Capturedwdn.JPG  As a volunteer encouragement helps! |::wiggle:

I provide - (private) messaging to answer your acne scars. PM me to ask more.

[Thank You For Your Kind Understanding - I reply to individual PM's addressing your concerns as soon as I can, helping many people a day, please be patient.]
__________________________________________________________________________________________________________________________________________

 :smileys_n_people_116: CLICKABLE LINK: OFFICIAL ACNE SCAR SOLUTIONS; Q&A / FAQ :smileys_n_people_108:
TABLE OF CONTENTS:
1. SUCCESSFUL TREATMENT THREADS                                                                 7. HYPERTROPHIC / KELOID (RAISED SCARS)
2. WHAT IS ACNE & PREVENTING SCARS                                                              8. SUBCISION
3. DIFFERENT TYPES OF SCARRING                                                                      
9. FILLER FOR SCARS
4. TREATING SCARS AT HOME                                                                              10. LASER
5. SKIN: RED (PIE) BROWN (PIH), WHITE MARKS,                                               11. MICRONEEDLING
     TEXTURE, LARGE PORES,  DRYNESS, & COVERING UP SCARS                    12. TCA CROSS FOR ICEPICK SCARS & ACID PEELS                       
6. PUNCH GRAFTING & EXCISION                                                                        13.
LIST OF ACNE SCAR TREATMENT DOCTORS

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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.
 

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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.


 

Thanks for input everyone. I never thought of Folliculitis honestly...as I’ve 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. I’m 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 

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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.


** Please "Like" my response above; Capturedwdn.JPG  As a volunteer encouragement helps! |::wiggle:

I provide - (private) messaging to answer your acne scars. PM me to ask more.

[Thank You For Your Kind Understanding - I reply to individual PM's addressing your concerns as soon as I can, helping many people a day, please be patient.]
__________________________________________________________________________________________________________________________________________

 :smileys_n_people_116: CLICKABLE LINK: OFFICIAL ACNE SCAR SOLUTIONS; Q&A / FAQ :smileys_n_people_108:
TABLE OF CONTENTS:
1. SUCCESSFUL TREATMENT THREADS                                                                 7. HYPERTROPHIC / KELOID (RAISED SCARS)
2. WHAT IS ACNE & PREVENTING SCARS                                                              8. SUBCISION
3. DIFFERENT TYPES OF SCARRING                                                                      
9. FILLER FOR SCARS
4. TREATING SCARS AT HOME                                                                              10. LASER
5. SKIN: RED (PIE) BROWN (PIH), WHITE MARKS,                                               11. MICRONEEDLING
     TEXTURE, LARGE PORES,  DRYNESS, & COVERING UP SCARS                    12. TCA CROSS FOR ICEPICK SCARS & ACID PEELS                       
6. PUNCH GRAFTING & EXCISION                                                                        13.
LIST OF ACNE SCAR TREATMENT DOCTORS

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14 hours ago, alexander7 said:

 

Thanks for input everyone. I never thought of Folliculitis honestly...as I’ve 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. I’m 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. 

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31 minutes ago, 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: 
 folliculitis_1_high.jpg
 

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@CLOOD What 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. 

Image Library - pityrosporum folliculitis

Image Library - pityrosporum folliculitis
Image Library - pityrosporum folliculitis
Medical Pictures Info – Folliculitis
Image Library - pityrosporum folliculitis

Source Wikipedia:

Signs and symptoms[edit]

  • rash (reddened skin area)
  • itching skin
  • pimples or pustules located around a hair follicle; may be confused with chicken pox
  • spreading from leg to arm to body through improper treatment with antibiotics

Causes[edit]

Most carbuncles, boils, and other cases of folliculitis develop from Staphylococcus aureus.

Folliculitis starts with the introduction of a skin pathogen to a hair follicle. Hair follicles can also be damaged by friction from clothing, an insect bite,[1] blockage of the follicle, shaving, or braids that are too tight and too close to the scalp. The damaged follicles are then infected by Staphylococcus. Folliculitis can affect people of all ages.

Iron deficiency anemia is sometimes associated with chronic cases.

Bacterial[edit]

Fungal[edit]

Viral[edit]

Non-infectious[edit]

  • Pseudofolliculitis barbae is a disorder occurring when hair curves back into the skin and causes inflammation.
  • Eosinophilic folliculitis may appear in persons with impaired immune systems.
  • Folliculitis decalvans or tufted folliculitis usually affects the scalp. Several hairs arise from the same hair follicle. Scarring and permanent hair loss may follow. The cause is unknown.
  • Reaction to Demodex mite infestation may occasionally be misdiagnosed as folliculitis.
  • Folliculitis keloidalis scarring 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.
  • Malignancy may also be represented by recalcitrant cases.[4]

Treatment[edit]

  1. Topical antiseptic treatment is adequate for most cases
  2. Topical antibiotics, such as mupirocin or Neomycin/polymyxin B/bacitracin ointment may be prescribed. Oral antibiotics may also be used. Could need probiotic treatment.
  3. Some patients may benefit from systemic narrow-spectrum penicillinase-resistant penicillins (such as dicloxacillin in US, or flucloxacillin in UK)
  4. Fungal folliculitis can worsen with antibiotics and may require an oral antifungal such as Fluconazole. Topical antifungals such as Econazole Nitrate may also be effective.

Folliculitis may recur even after symptoms have gone away.


** Please "Like" my response above; Capturedwdn.JPG  As a volunteer encouragement helps! |::wiggle:

I provide - (private) messaging to answer your acne scars. PM me to ask more.

[Thank You For Your Kind Understanding - I reply to individual PM's addressing your concerns as soon as I can, helping many people a day, please be patient.]
__________________________________________________________________________________________________________________________________________

 :smileys_n_people_116: CLICKABLE LINK: OFFICIAL ACNE SCAR SOLUTIONS; Q&A / FAQ :smileys_n_people_108:
TABLE OF CONTENTS:
1. SUCCESSFUL TREATMENT THREADS                                                                 7. HYPERTROPHIC / KELOID (RAISED SCARS)
2. WHAT IS ACNE & PREVENTING SCARS                                                              8. SUBCISION
3. DIFFERENT TYPES OF SCARRING                                                                      
9. FILLER FOR SCARS
4. TREATING SCARS AT HOME                                                                              10. LASER
5. SKIN: RED (PIE) BROWN (PIH), WHITE MARKS,                                               11. MICRONEEDLING
     TEXTURE, LARGE PORES,  DRYNESS, & COVERING UP SCARS                    12. TCA CROSS FOR ICEPICK SCARS & ACID PEELS                       
6. PUNCH GRAFTING & EXCISION                                                                        13.
LIST OF ACNE SCAR TREATMENT DOCTORS

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1 hour ago, beautifulambition said:
@CLOOD What 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 my opinion based on the pictures. I just finished my dermatology rotation in medical school and our professor just made the point about the absence of inflamed comedones in folliculitis. But anyway, go to the doctor and get a bacterial swap done. It can never hurt. 

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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.

5AD5C29D-F92A-4BC8-9F33-DAB52D3C9AFC.jpeg

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9A2BC49E-F34C-4522-BBE8-94DEB4513C1C.jpeg

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Do me a favor, see your derm and get confirmation swab/culture but also try nizoral 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.  


** Please "Like" my response above; Capturedwdn.JPG  As a volunteer encouragement helps! |::wiggle:

I provide - (private) messaging to answer your acne scars. PM me to ask more.

[Thank You For Your Kind Understanding - I reply to individual PM's addressing your concerns as soon as I can, helping many people a day, please be patient.]
__________________________________________________________________________________________________________________________________________

 :smileys_n_people_116: CLICKABLE LINK: OFFICIAL ACNE SCAR SOLUTIONS; Q&A / FAQ :smileys_n_people_108:
TABLE OF CONTENTS:
1. SUCCESSFUL TREATMENT THREADS                                                                 7. HYPERTROPHIC / KELOID (RAISED SCARS)
2. WHAT IS ACNE & PREVENTING SCARS                                                              8. SUBCISION
3. DIFFERENT TYPES OF SCARRING                                                                      
9. FILLER FOR SCARS
4. TREATING SCARS AT HOME                                                                              10. LASER
5. SKIN: RED (PIE) BROWN (PIH), WHITE MARKS,                                               11. MICRONEEDLING
     TEXTURE, LARGE PORES,  DRYNESS, & COVERING UP SCARS                    12. TCA CROSS FOR ICEPICK SCARS & ACID PEELS                       
6. PUNCH GRAFTING & EXCISION                                                                        13.
LIST OF ACNE SCAR TREATMENT DOCTORS

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28 minutes ago, beautifulambition said:

Do me a favor, see your derm and get confirmation swab/culture but also try nizoral 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 I’m gonna see what the doctor says as well. Thanks

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


** Please "Like" my response above; Capturedwdn.JPG  As a volunteer encouragement helps! |::wiggle:

I provide - (private) messaging to answer your acne scars. PM me to ask more.

[Thank You For Your Kind Understanding - I reply to individual PM's addressing your concerns as soon as I can, helping many people a day, please be patient.]
__________________________________________________________________________________________________________________________________________

 :smileys_n_people_116: CLICKABLE LINK: OFFICIAL ACNE SCAR SOLUTIONS; Q&A / FAQ :smileys_n_people_108:
TABLE OF CONTENTS:
1. SUCCESSFUL TREATMENT THREADS                                                                 7. HYPERTROPHIC / KELOID (RAISED SCARS)
2. WHAT IS ACNE & PREVENTING SCARS                                                              8. SUBCISION
3. DIFFERENT TYPES OF SCARRING                                                                      
9. FILLER FOR SCARS
4. TREATING SCARS AT HOME                                                                              10. LASER
5. SKIN: RED (PIE) BROWN (PIH), WHITE MARKS,                                               11. MICRONEEDLING
     TEXTURE, LARGE PORES,  DRYNESS, & COVERING UP SCARS                    12. TCA CROSS FOR ICEPICK SCARS & ACID PEELS                       
6. PUNCH GRAFTING & EXCISION                                                                        13.
LIST OF ACNE SCAR TREATMENT DOCTORS

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