What is the treatment for the fistulous tract in my face that gets reactivated now and then?

Hi,

Welcome to icliniq.com.

Thanks for writing in, and I understand your concern.

For a better assessment of the condition, kindly send a picture of the affected area of the face. Do you have any pain in that area?

Hi,

Welcome back to icliniq.com.

I had gone through the photographs attached (attachments removed to protect the patient's identity). The left side of your face, most likely the area over the angle of the left mandible, does appear slightly swollen compared to the right. I hope the appearance of inflammation is intermittent. Kindly confirm. When it gets inflamed, do you have any altered taste sensation? Is there any collection of pus or liquid in it? Does it turn red? Do you suffer from acne? Kindly reply.

Hi,

Welcome back to icliniq.com.

I had gone through the photographs attached (attachments removed to protect the patient's identity). You seem to have two problems—first, the acne and ingrown hairs. I suggest getting a complete shave. Razor to be used in the proper direction and not the other way round. I also recommend applying Clindamycin skin cream and Niacinamide cream once daily at night for a couple of weeks. Clean shave every three or four days.

The second is the abscess issue. It appears that there is a fistulous tract that is getting reactivated now and then. After you do a clean shave, take a clear picture of the area and send it again. If such a tract is there, it might have to be surgically excised. Sometimes there might be an incompletely healed acne inside, which is periodically getting activated and discharges and then goes back to its dormant state. In such a case, when it is discharging, we will have to do hot fomentation and try to break it out and release all of its contents.