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Acne Blemish Treatment

How Do We Manage Acne Spots or Acne Pigmentation?

Acne blemish treatment requires lots of patience on the part of both the patient and the dermatologist. Acne Pigmentation, acne blemishes or acne spots: Whether brown, red, or later black, pigmentary or color changes caused by acne should not be classified as acne scars, as actual scarring does not occur in such cases. The deposition of iron pigment and stimulation of melanin pigment as a secondary response to dermal inflammation are the reasons for acne pigmentation or acne blemishes or acne spots. These are temporary color changes and are completely reversible. As expected, the acne blemish treatment differs from the acne scar treatment in a number of ways.

There are two types of acne blemishes:

  1. Pseudo-scars: Flat, reddish or brown spots, which remain when inflamed lesions regress after treatment. This flat discoloration of skin, known as macule, may remain upto 6 months. When the macules disappear with or without treatment, no mark will remain.
  2. Post inflammatory pigmentation: When the inflammation is severe and deep, even after the inflammation disappears, there is a dark pigmentation in the skin for a prolonged time. This is specially evident in dark skinned individuals. Sun exposure will further darken the acne spots.

Acne Blemish Treatment:

  1. Medical Acne Blemish Treatment

    • Vitamin C 1000 mg daily for 3 months

    • Tretinoin 0.05% cream/gel

    • Hydroquinone or non hydroquinone lightening creams with or without Tretinoin

    • Alpha Hydroxy Acids like Glycolic Acid, Lactic Acid etc

    • Azelaic Acid

  2. Surgical/Cosmetic Acne Blemish Treatment

    • Chemical Peels

      • Trichlor acetic acid(TCA:10-35%)          : Full Face

      • Glycolic Acid (GA:20-70%)                    :  20-70% Spot/Full Face

      A combination of chemical peels followed by medical treatment(after healing) with a combination of tretinoin plus lightening creams gives the best results in acne blemish treatment.

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