Q. Is Retino-A effective for cystic acne scar?

Answered by
Dr. Jyotisterna Mittal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 10, 2018 and last reviewed on: Oct 09, 2018

Hi doctor,

I suffered from cystic acne. I used Clindamycin and Epiduo gel. It cleared my acne, but left black and red marks. I have attached the pictures. Which type of scar is this? Is there any topical cream to remove the marks? Is a chemical peel or Retino A effective for this? I also have some holes in my face. Suggest me some treatment.

#

Hi,

Welcome to icliniq.com.

I have read your query in detail and do understand your concern. I have also viewed the attached pictures (attachment removed to protect patient identity).

  • These are ice pick and boxcar scars (the big ones) of acne.
  • Treatment for the small ice pick (hole-like) scars may be started with 50% to 100% TCA CROSS (Trichloroacetic acid), which involves application of a chemical to these scars by your dermatologist.
  • This method is relatively cheaper, but there is a downtime of about two to four weeks with this method as post procedure spots will be visible.
  • Dermabrasion can also be done, but not much in use now. Chemical peels will not work for this type of scars.
  • Retino-A will not be much effective. At the most, you will be able to see 5-10% improvement over small ice pick scars with Retino-A (Tretinoin).

For further doubts consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist


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