Dr. Suvash Sahu
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have a sensitive and oily skin. I used to have a really bad acne. After a lot of research, I finally found out what was best for me. I use a facial wash, toner, and acne cream of a reputed brand and Tea Tree deep cleansing facial mask. I use a hydrating and exfoliating face wash of another brand once a week, which dries out my skin. I already lost the big pus-filled pimples I would usually have, but now I have small but numerous slightly reddish bumps all over my face. Every night, I try to apply ice on affected areas to speed up the healing process and potentially close pores. I also stopped using facial moisturizer because it clogs my pores and gives me more acne. Also unlike before, I started working out as much as I could, I avoided fast food, dairy, and chocolates and started drinking a lot of water. Unfortunately, I could not completely change my diet, but I try to eat as many greens as I can and avoid oily food as much as possible. I also noticed that my skin becomes gross and oily, and I get really visible pores and irritated skin during the day. I am very worried about when school starts, being in public during the day, and spending so much time on my skincare routine daily. What could I do to improve my skin more? Please help.
Thank you.
Hello,
Welcome to icliniq.com.
Your first query consult is on us!
From your description and pictures provided (attachments removed to protect patient privacy), it seems your active acne has reduced a lot, and your main concern is oily skin and acne scars. Acne is a chronic problem; it has a variable course with medication. It requires regular follow-up and long treatment. It usually occurs up to 25 to 28 years. Once the acne lesions heal, they leave acne scars, but these acne scars heal with post-inflammatory hyperpigmentation (PIH) for a short duration in a light-skinned individual. However, in darker individuals, these PIH persist for a longer duration, for two to three weeks; this duration can be curtailed by depigmenting cream and sunscreen. I suggest using Depiwhite cream or Adaplene gel 0.1% daily at night. Also use noncomedogenic sunscreen like Face guard (Diethylamino hydroxy benzoyl hexyl, Bemotrzinol, Octinoxate, Oxynex St, Silicone elastomers blend, Cyclopentasiloxane, Dimethicone cross polymer, Titanium dioxide, Diethylhexyl butamido triazone, and C12-15 Alkyl benzoate) or Suncros soft gel (Octinoxate 7.5 percent, Avobenzone 2 percent, Oxybenzone 3 percent and, Zinc oxide 2 percent) with SPF 50+ during morning hours all over face after taking bath. Repeat once after four hours. Please consult your doctor and start it accordingly. It would be best to continue dietary restrictions like avoiding oily and spicy food, junk food, milk products, and non-vegetarian food. Keep your skin hydrated by drinking a lot of water. Also, use good quality face wash to clean your face twice daily. I suggest avoiding hair oil as it aggravates forehead acne. For deeper scars, you can use a carbon dioxide fractional laser or Dermaroller with platelet-rich plasma (PRP).
I hope this information will help you. Please revert in case of further queries.
Thank you.
Thank you.
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Dermatology
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