Fading Acne Scars
Commonly, a mild form of acne occurring in most people doesn't produce scars, or if it does, the scars heal naturally over time. But patients suffering from severe forms of acne like nodular cystic acne could be left with deep scarring in the skin.
If you have nodules or cyst, rather than trying out any over the counter medication, you better get assisted by a dermatologist. This is because for this form of acne you won't find any alleviation or comfort trying out any over the counter acne medication.
A dermatologist will usually prescribe isotretinoin and a retinoid to alleviate an episode of nodular or cystic acne. With the help of isotretinoin, the size of oil glands that produce oil is reduced. With this, there is a diminution in the growth of microbes too. It is usually prescribed once or twice a day, with food, for about 15- 20 weeks.
Isotretinoin is a great choice in helping you cure acne as it basically avoids scarring. And once your treatment has been completed, you will most likely be healed of your acne condition. However if there is a reappearance of acne after your course of isotretinoin, the doctor may either prescribe some other medications or institute another course of isotretinoin.
Even though isotretinoin is effective in the treatment of acne, it can cause birth defects in the fetus. This is why it is very important that women in child bearing years take care not to conceive a child while taking isotretinoin.
It is crucial that women use two safe forms of birth control for a month before, during, and after stopping medication of isotretinoin. In fact, it is better to consult your doctor before stopping medication of isotretinoin.
It has also been observed that people using isotretinoin tend to get depressed by the variations of their skin's aspect. In fact, many cases of suicides and suicide attempts have been registered by people on isotretinoin.
Other side effects of isotretinoin are muscle aches, nosebleeds, changes in blood and liver function and hypersensitivity to the sun. Consult your dermatologist if you observe that you are experiencing any of these side effects. The doctor may test blood before actually starting treatment, and during the treatment itself.
Pigmentation and Post Inflammatory Acne Spots
There are also marks and pigmentation related with acne that aren't exactly scars but resemble them in appearance. These fade eventually but are visible enough to cause shyness. Macules are like pseudo- scars, which are sometimes left behind by an inflamed acne lesion. A macule is simply a flat, reddish spot that is the product of any inflamed lesion. Unlike a scar, a macule might take time to disappear, but once it disappears, it leaves no trace behind.
Then there is the discoloration of skin following the healing of any inflamed acne lesion. It is more usual in dark skinned people, but might appear in white skin also. This is known as "Post inflammatory pigmentation." It may need treatment by a dermatologist.
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Published December 31st, 2007