Scars (permanent): People who get acne cysts and nodules often see scars when the acne clears. You can prevent these scars. Be sure to see a dermatologist for treatment if you get acne early — between 8 and 12 years old. If someone in your family had acne cysts and nodules, you also should see a dermatologist if you get acne. Treating acne before cysts and nodules appear can prevent scars.
Isotretinoin has a high risk of inducing birth defects if taken by pregnant women. Women of childbearing age who take isotretinoin need two negative pregnancy tests (blood or urine) before starting the drug, monthly tests while they take it, and another after they are done. Those who are sexually active must use two forms of contraception, one of which is usually the oral contraceptive pill. Isotretinoin leaves the body completely when treatment is done; women must be sure to avoid pregnancy for one month after therapy is stopped. There is, however, no risk to childbearing after that time.
As the name suggests, ice pick scars are very deep acne scars that look like the skin has been punctured with… an ice pick. When the body produces too little collagen in response to an injury, depressed scars such as ice picks can form. “Ice pick scars represent the result of infected sebaceous gland openings on the skin. They are usually the most difficult to correct,” says New York City plastic surgeon Gerald Imber, MD.

Over-the-Counter Creams and Lotions. Retinoid creams or lotions can help clear your skin and also lessen wrinkles. Products made with sulfur can be good for the occasional spot treatment. Benzoyl peroxide is another acne fighter. Use benzoyl peroxide products only occasionally, because they can dry out your skin, Day says. You could also try a milder benzoyl peroxide product.
Exfoliate dead skin cells that can clog pores and lead to breakouts with the power of salicyclic acid. Mario Badescu's Acne Facial Cleanser was specially formulated to effectly target acne-prone or acne-erupted skin. A soothing blend of botanical extracts including aloe, chamomile, and thyme help to improve the look and feel of troubled skin, while leaving skin thoroughly refreshed.
Regular foundation can help smooth your skin and even out skin tone. Using the best foundation for acne prone skin can also provide much needed emotional boost from looking your best.. After cleansing and moisturizing, use a foundation designed for combination or oily skin to prevent acne. Make sure that it is labeled "non-acnegenic" and "non-comedogenic."

You can find it in many drugstore products—just take a peek at the label. Dermatologist Dendy Engelman, M.D. likes the Benzac line. "It's active ingredients are salicylic acid and East Indian Sandalwood oil—salicylic acid is a beta hydroxy acid that serves as a keratolytic agent (meaning it dissolves keratin). It unclogs pores by penetrating into the pore to dissolve dead skin cell accumulation and aids in shedding of the top layer of skin. East Indian sandalwood oil is a naturally occurring anti-inflammatory agent, which is new to the skin care scene. It soothes the skin and fights off inflammation that often accompanies breakouts."
Light treatments: Recent years have brought reports of success in treating acne using special lights and similar devices, alone or in conjunction with photosensitizing dyes. It appears that these treatments are safe and can be effective, but it is not clear that their success is lasting. At this point, laser treatment of acne is best thought of as an adjunct to conventional therapy, rather than as a substitute.
Experiment with aloe vera. The sap of the aloe vera plant is a soothing natural substance which can be used to relieve many ailments, from burns to wounds to acne scars. Aloe vera helps to rejuvenate and moisturize the skin, encouraging acne scars to fade. It is possible to buy aloe vera products in the drugstore, but the best thing to do is buy an aloe vera plant and use the sap from a broken leaf. This gel-like sap can be applied directly on the scarring, and there is no need to wash off.
Take an extra five minutes before hopping on the treadmill to completely wash your face and remove your makeup to minimize the risk of breakouts. "Sweat is released through visible pores in the skin," says dermatologist Dr. Janelle Vega. "When makeup covers those pores, that barrier doesn't allow the sweat to make it to the surface of the skin, which can lead to clogged pores. The trapped debris and bacteria are a perfect breeding ground for acne bumps and zits."
Take a fresh lemon and squeeze out its juice. Apply this juice directly on your scars with fingertips or a cotton ball, leave it for ten minutes and wash it off with water. Do this once a day for two to three weeks during which you can see your scars diminish considerably. If you want, you can also mix honey with your lemon juice to make it some more effective in reducing the acne scars.

You can help keep rosacea under control by keeping a record of things that cause it to flare up. Try to avoid or limit these triggers as much as you can. Antibiotic lotions or gels can also help. Sometimes, you may need to take antibiotic pills. Your dermatologist may treat you with laser surgery. If you think you have rosacea, talk with your doctor about these treatments.


Ugh, I know. This is the first piece of advice every dermatologist, esthetician, and nutritionist has told me time and time again, yet I've resisted. I'm aware that dairy is known to cause inflammation and increased sebum production, but I just love cheese (and ice cream, and milk chocolate) so damn much, okay? Because I was at my most desperate, I decided to swallow my cravings and go dairy-free for a very doable three weeks. After just one week into the experiment, my cystic bumps died down significantly, and I cursed everyone for being right.
People who escaped their teen years almost pimple-free may develop persistent adult-onset acne as they get older. Despite the normal increase in androgen levels during puberty, some doctors believe that flare-ups of acne have less to do with androgen levels than with how a person's skin responds to an increase in sebum production or to the bacteria that causes acne. The bacteria Propionibacterium acnes occurs naturally in healthy hair follicles. If too many of them accumulate in plugged follicles, they may secrete enzymes that break down sebum and cause inflammation. Some people are simply more sensitive than others to this reaction. Sebum levels that might cause a pimple or two in one person may result in widespread outbreaks -- or even acute cystic acne -- in another person.
Acne scar treatment: “Treatment may include excising the scar with a small ‘punch,’ and suturing the defect closed, but this only works for isolated ice pick scars,” he says. New York City dermatologist Judy Hellman, MD, adds: “We can also do skin grafts and take skin from behind the ear to fill the scar, and then we can use a laser or radiofrequency device to smooth it out.”
You may have heard the age old question, "does makeup cause acne?". While wearing makeup can exacerbate acne flare ups, it is not necessarily the case. Some support the fact that that cosmetics can fill up your pores, worsen pimples, and prevent your skin from “breathing”. The truth is, whether or not makeup worsens acne is highly individualized. While excessive use of foundations, concealers, and other cosmetics can work their way into and block up your pores, making sure to clean your face of such products before working out or going to bed lessens the likelihood of makeup blockages.
Yes, it’s another pricey SkinCeuticals serum, but dermatologists absolutely love their products for treating acne marks. You’ll get more bang for your buck with the inclusion of glycolic and lactic acids, two alpha-hydroxy acids that Avram says help fade marks by exfoliating the top surface of the skin. Nagler says “vitamin C is helpful as an adjunct in preventing free radical damage, which helps with pigmentation.” It’s also worth investing in a high-quality serum since, according to Nagler, vitamin C isn’t stable — and is therefore less effective — in some other products.
Laser resurfacing. This procedure can be done in the doctor's or dermatologist's office. The laser removes the damaged top layer of skin and tightens the middle layer, leaving skin smoother. It can take anywhere from a few minutes to an hour. The doctor will try to lessen any pain by first numbing the skin with local anesthesia. It usually takes between 3 and 10 days for the skin to heal completely.
The redness in rosacea, often aggravated by flushing, may cause small blood vessels in the face to enlarge (dilate) permanently and become more visible through the skin, appearing like tiny red lines (called telangiectasias). Continual or repeated episodes of flushing and blushing may promote inflammation, causing small red bumps, or papules, that often resemble teenage acne. Acne rosacea and adult acne are other names for rosacea. One of the most unpleasant aspects of rosacea is the overgrowth of dermal tissues producing a "phymatous" change in the skin. This appears as a thickening and permanent swelling of the facial tissues. A bulbous nose called rhinophyma is an example of this change.
"Crushed aspirin, combined with a little bit of water, removes excess oil and exfoliates the skin," says Dr. Bank."Aspirin itself contains a salicylic acid in it which help dissolve dead skin and help reduce the possibility of clogged pores. It will help to dry out any acne lesion, and it also helps the redness and swelling that are often associated with pimples."
Laser resurfacing. This procedure can be done in the doctor's or dermatologist's office. The laser removes the damaged top layer of skin and tightens the middle layer, leaving skin smoother. It can take anywhere from a few minutes to an hour. The doctor will try to lessen any pain by first numbing the skin with local anesthesia. It usually takes between 3 and 10 days for the skin to heal completely.
When it comes to acne scars — especially difficult to treat indented or raised ones — the best offense is a good defense. If you’re still struggling with active acne and want to avoid future scarring, Avram likes this drugstore-staple Neutrogena wash because it contains salicylic acid, a beta-hydroxy acid that he says “exfoliates the skin, softens the appearance of the acne itself, and has some antibacterial properties.”
If you’ve made a concerted effort with over-the-counter regimens and/or diet and still aren’t seeing results, a dermatologist is absolutely worth it. There are many levels of care: Prescription retinoids (Retin A, Tazorac, Differin et al) and/or topical antibiotics are the mildest, along with blue-light treatments like Isolaze, which kill bacteria and clear pores, with virtually no downtime. Light lasers like Clear and Brilliant can clear pores and treat the red and brown tones left by old acne lesions. “Some patients think they’ve got a severe problem, when they really only have a few pimples, surrounded by red and brown marks from old breakouts,” notes Anolik. Oral antibiotics represent a more aggressive (and unsustainable long-term) solution; birth control pills and hormone-mitigating medications like Spironalactone and Deldactone can get many more-severe patients’ acne under control. Most aggressive is Accutane; while it can be severely drying and can cause birth defects if taken during pregnancy, it represents a cure for truly-severe acne cases, says Anolik. “Used correctly, it is something of a miracle for people who’ve tried everything and failed,” he says.
Cocoa butter is a fat and an excellent moisturizer as well as emollient. It can quickly melt due to the high body temperature. This quality makes the butter easily absorbable into the skin. In fact, it not only penetrates the top layer of the skin but it goes deep within the skin into the dermis. Thus, it enters the site where the skin can retain the moisture for a longer time. A well moisturized skin is the skin that makes spots and scars less visible!

Since there is some overlap between acne and rosacea, some of the medications may be similar. Acne and rosacea have in common several possible treatments, including (but not limited to) oral antibiotics, topical antibiotics, sulfa-based face washes, isotretinoin, and many others. It is important to seek a physician's advice before using random over-the-counter acne medications since they can actually irritate skin that is prone to rosacea. Overall, rosacea skin tends to be more sensitive and easily irritated than that of common acne.

Even if you have amazing willpower—like the willpower of a Girl Scout with a full inventory of Thin Mints under her bed—and never, ever mess with your acne, you can still scar. "Acne scars result from damage to the skin following repeated inflammation from acne cysts," says Judith Hellman, M.D., a board-certified dermatologist in New York City. "Pimple popping can make the process worse, but acne can cause scarring even without pimple popping."
Washing your face with regular soap is not enough to make acne better. The best face wash for acne is effective at removing oil and dirt, but still gentle enough to use regularly without overdrying your skin. Look for topical acne medication ingredients salicylic acid and/or benzoyl peroxide in your face wash and use gentle, nonabrasive cleansing techniques.
Cleansing . Create a cleansing routine, washing your face each morning and before bed. This alone can significantly reduce acne breakouts. Wash your face for at least a minute to ensure that all bacteria are killed. Make sure to wash away any makeup before going to bed as these products can increase acne outbreaks while damaging the skin. Use oil free products that will not clog the pores during this step. Also wash any other areas where acne appears during this ritual such as your chest, back or shoulders.
Who likes scars and that too on the face! Getting rid of acne scars is a little tougher than eliminating acne actually. Pimples can be naturally treated with many ingredients having anti-inflammatory or antibacterial properties which are in abundance in nature. However, pimple scars are a little stubborn as they don’t go easily. However, as the saying goes, nothing is impossible. It may take some time but your regular efforts using certain natural bleaching agents as well as other ingredients may lighten your acne scars and gradually remove them permanently.
Exfoliating cleansers and masks: A variety of mild scrubs, exfoliants, and masks can be used. These products may contain salicylic acid in a concentration that makes it a very mild peeling agent. These products remove the outer layer of the skin and thus open pores. Products containing glycolic or alpha hydroxy acids are also gentle skin exfoliants.
×