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SoontobeMD

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About SoontobeMD

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  1. Hey there, You don't sound like an idiot at all. Its completely reasonable for someone to have low self esteem or feel depressed from acne, it happens to everyone. I would strongly recommend getting started on a regimen. Benzoyl peroxide creams and over the counter salicylic acid works well for mild acne. If that does not work I would visit your local derm. Theres no telling how long your acne will last and if uncontrolled could lead to scarring far worse than your very mild current scarring
  2. Not trying to debunk your methods here, but I really disagree. Washing your face more often is not a good solution. Your skin needs sebum on the surface as it's a natural lubricant. To continuously remove this from our skin would lead to more sebum production and irritation. I know you said you wash 4 times a day and that that works for you, that's wonderful and I'm glad it does. But, advising someone to do the same and promising this as the solution is a really bad call in my opinion. There is
  3. The easy solution is to wash your face more frequently. You are getting acne due to both an increase in sebum production and a bacterial infection. If you wash more frequently using a cleaner, then moisturize, you will reduce the amount of sebum clogging your pores and the acne will decrease. The more sebum that you allow to accumulate, the deeper the clog will be, and the higher the likelihood that the pimple will scar. It may take some trial and error, but you will find the correct number of w
  4. I enjoy reading things like this. Congratulations, I am happy for you! Good luck in finding a better trained doctor!
  5. While azelaic acid is different than hydroquinone in that it primarily works on hyperactive melanocytes, the fact is that EVERYONE of normal pigment has a tan of some sort, even if minor. This is especially true for darker complexions. I do not know what type of complexion you have, but any tan that you have will be removed where you place azelaic acid. It is temporary, but this may influence where you apply the gel. It is best to apply it to either a particular spot with an applicator, or evenl
  6. Finacea is just azeleic acid, 15% I believe. It wont do anything to your scar since it does not penetrate into the dermis in significant levels. It is used to treat rosacea, along with hyperpigmentation issues. I dont see it doing anything to your scar besides making it itch. Just be aware that anywhere you apply the gel you will see reduced pigment.
  7. If you have Fitzpatrick type III-IV skin and shallow rolling scars you will be taking an unnecessary risk by performing a laser treatment. While you may see results, you will be at higher risk of pigmentation issues, pay a higher price, and may not see as good of results than if you were to go with a surgical subcision from an experienced surgeon.
  8. Day 22 Thought I'd give everyone an update on where I am, and note some things I had forgotten to mention. Before the subcision I had almost exclusively rollings cars. Most of the pretty shallow, but 2 patches, 1 on each side of my face that were deep. These patches of scars were relatively new, one of them had appeared approximately 10 months ago, the other appeared about 6 months ago. Both due to deviating from my regimen. It is possible that part of the reason for my success with subcision
  9. Do you/have you smoked cigarrettes? Are you diabetic? Both of these could signficantly impair your healing process.
  10. If your acne was clear before you started using tretinoin, and you do not have any acne scars then it won't benefit you much, and it is obviously causing you distress. While in theory it would help you clear the hyperpigmentation, it could actually make things worse before they get better since the irritation could cause the dark spots to get worse. I can't tell you whether or not to use it, only what to expect, and you can make the decision from there. The hydroquinone should be sufficient, bu
  11. The tretinoin will make your face red through irritation. It will also likely to cause you to break out soon. If your acne is not a problem right now, and the redness is bothering you, stop using it. Hydroquinone can also cause your face to get irritated, I hope you are not using it all over your face because it will cause all of the skin you apply it to to lighten. Use it as a spot treatment ONLY on the areas you want to lighten. Thank you so much with the help and my face is red still. It de
  12. The tretinoin will make your face red through irritation. It will also likely to cause you to break out soon. If your acne is not a problem right now, and the redness is bothering you, stop using it. Hydroquinone can also cause your face to get irritated, I hope you are not using it all over your face because it will cause all of the skin you apply it to to lighten. Use it as a spot treatment ONLY on the areas you want to lighten.
  13. Subcision works on scars of any depth. You should find a new doctor. Plastic surgeons are best for excision, and laser treatments. They just don't often perform operations like subcision. Regular derms generally don't do very much subcision either, and are probably not very well trained in doing so if they are. You should try to find a dermatological surgeon with extensive experience in subcision. Target your search for those who specialize in acne scarring since many, maybe even most derms do n
  14. Relax. If your acne is not a problem anymore you can get away with just using the hydroquinone as a spot treatment. Apply it to the the dark spots using a pointed q-tip or other type of applicator. The tretinoin will accelerate the process, but if the possible initial breakout from it is not something you want to risk, just skip it.
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