What would you recommend for red acne scars?

Question

Hello doctor,

I am very light complected with dark red acne scars that I have had for a few years. I have some acne on my cheeks, but the acne scars are more noticeable. I have combination skin I believe because my forehead tends to be super dry to where it peels, and my nose gets oily. After using any cleanser, my face gets very dry. Which soap do you recommend and could I use castor oil or coconut oil for the dryness? I heard they are good face moisturizers.

Kindly advice.

Answer 1

Hello,

Welcome to icliniq.com.

It is essential to avoid oily preparations on the face for acne with combination skin. It tends to develop seborrheic dermatitis. I would not advise any oil for dryness here. It is also advisable to avoid harsh soaps and cleansers. As they remove oil, they can also lead to skin irritation. Acne spots can be reduced by using creams like Biluma (Octinoxate, Propylene glycol, light liquid paraffin) at night and sunscreen during the day. Creams do not effectively treat depressed acne scars. You may require chemical peels, micro-needling, or lasers. Here are my suggestions:

Investigations to be done: None

Differential diagnosis: Acne or seborrheic dermatitis.

Treatment plan:

1. Clindamycin gel twice a day for acne.

2. A mild cleanser or soap-like Cetaphil 1-2 times a day

3. Aloe Vera containing moisturizer as required.

4. Oral medicines may be required depending on severity.

Regarding follow-up: Would like to see a picture of the acne and scars for further advice.

Preventive measures:

1. Do not overdo face cleansing.

2. Wet wipes can be used if face washing is required more than two times a day.

I hope this helps you.

Take care.