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How can I treat my cystic acne scars?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been struggling with cystic acne since I was 15 and I am 21 years old now. My breakouts are getting much much better but they hurt. I do not pop my pimples, but they turn into little stubborn keloid-like scars. It will either be a keloid or just a discolored spot that is dark with a light center. I do not get the dip scars they are always additional skin or just discolored spots that take months to fade.

How can they be treated?

I can send pictures if you like. I am a white, athletic woman who can tan but has freckles if that narrows down skin type for you. I guess that I have dry skin, but I drink a lot of water.

Kindly help.

Thank you.

Answered by Dr. Suvash Sahu

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

With your description, it seems that you have cystic acne with hypertrophic acne scars.

I suggest you follow the below-mentioned instructions:

  1. Start your treatment with Isotretinoin after consulting a dermatologist because it requires proper monthly evaluation and counseling regarding potential side effects ( teratogenicity is the most important adverse effect in this, if a female on Isotretinoin gets pregnant it can lead to malformation in the fetus like cranium, and face, cardiovascular and CNS defects so prescribers of isotretinoin must be registered with I pledge) it is a wonder drug for nodulocystic acne.
  2. Before starting the medication, get the liver function tests and lipid profile done.
  3. It acts basically by inhibiting sebum production by inhibiting sebaceous proliferation, and differentiation, decreasing sebaceous gland size, and also down-regulates the hormonal receptors in the skin which are responsible for increased oil production along with it also have antibacterial action (indirectly) and anti-inflammatory actions.
  4. Revert after six weeks as acne is a chronic disease and will take time to resolve.
  5. Kindly consult a specialist, talk to them, and take the medications with their consent.

I hope this information will help you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 22, 2024
Reviewed At June 19, 2026

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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