Is Retino-A effective for cystic acne scar?

Question

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.

Answer 1

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

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. Fractional CO2 laser will also give wonderful results for your type of scars. 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).

Thank you for consulting me.

You can always reach me at icliniq.com.