In unusual cases, a skin biopsy may be required to help confirm the diagnosis of rosacea. Occasionally, a dermatologist may perform a noninvasive test called a skin scraping in the office to help exclude a skin mite infestation by Demodex, which can look just like rosacea (and may be a triggering factor). A skin culture can help exclude other causes of facial skin bumps like staph infections or herpes infections. Blood tests are not generally required but may help exclude less common causes of facial blushing and flushing, including systemic lupus, other autoimmune conditions, carcinoid, and dermatomyositis.
If this sounds like you, and you’re constantly wondering “Can you get rid of acne scars?”, don’t abandon hope just yet: clearing your complexion is possible. True, the leftover vestiges of your blemish battle is frustrating, painful, and for some, embarrassing—but there is relief. This post offers some insightful tips on how to get rid of acne scars once and for all. A few of your scars will fade on their own, but other raised and depressed sections of your skin will need a little extra work.
This article was medically reviewed by Hilary Baldwin, MD. Baldwin, medical director of the Acne Treatment Research Center, is a board-certified dermatologist with nearly 25 years of experience. Her area of expertise and interest are acne, rosacea and keloid scars. Baldwin received her BA and MA in biology from Boston University. She became a research assistant at Harvard University before attending Boston University School of Medicine. She then completed a medical internship at Yale New Haven Hospital before becoming a resident and chief resident in dermatology at New York University Medical Center.
Rena Levi is known for her sensitivity towards clients with severe acne and problem skin. In 1968 she moved from Israel to the U.S. and studied with Christine Valmy at the European Esthetic Skincare Institute. In 1975, she opened the Rena Levi Skin Care Salon in New York City. In 1980, she moved to Albuquerque, NM, where she managed the skin care center for Eleganza Salon and further developed and refined her practice. It was there that she became well known for her ability to treat what many considered impossible skin, while also teaching budding estheticians and skin practitioners at the same time, including the then-president of the New Mexico Board of Cosmetology. Here, Levi shares with us one of her most popular facial protocol treatments for treating clients with moderate to severe acne.
Unwashed sheets and pillowcases lead to cross contamination which leads to pimples. Aim to wash your bedding once or twice a week to prevent bacteria from building up and affecting your complexion, suggests Dr. Papantoniou. If that seems overboard, at least aim to wash your pillowcase once a week since that's where your face rests while you snooze (and dream of flawless skin).
Birth controls can affect hormone levels, and some women may be finding that their birth control is causing acne due to increases in sebum production. This rise in sebum can affect the skin, clogging up pores and leading to acne. According to The Huffington Post, birth control pills that contain androgen-based progestin have been indicated as the most likely offender.
Those big, painful zits will leave a scar if you pick and prod at them—"the only way to reduce it quickly is to drain it, and that's not a DIY deal," Dr. Schultz warns. The reason they're painful is because quick expansion stretches the nerves. "Drinking good red wine is often helpful [to numb the pain]," he jokes. Take Advil, apply a warm or cold compress (whichever feels better to you), and go see your derm. "Cortisone shots are the true 'spot treatments' for painful cystic acne lesions," Dr. Tzu says.
Medications prescribed for mental illnesses can have the unfortunate side effect of causing acne. Some antidepressants have been purported to trigger acne breakouts, including brands like Wellbutrin and Lexapro. Those diagnosed with bipolar disorder are often prescribed lithium to help handle their condition. Unfortunately, lithium can cause acne breakouts. Often the benefits of these types of drugs outweigh the negative onset of acne, but it’s important to look into various options to determine what might have the minimal amount of side effects.
Scars are varied and complex, and learning how to get rid of acne marks requires trial and error. There are a variety of ways to get rid of acne scars and each corner has a different proponent. However, before you go jumping on the bandwagon for the latest cure-all, we suggest breaking down the various treatments methods into their disparate parts.
Doctors infrequently prescribe isotretinoin for severe and resistant rosacea. Often physicians prescribe it after multiple other therapies have been tried for some time and have failed. Patients take a daily capsule of istotretinoin for four to six months. Typically, isotretinoin is most commonly used in the treatment of severe, common acne called acne vulgaris. Close physician monitoring and blood testing are necessary while on isotretinoin. Generally, at least two forms of birth control are required for females using this medication, as pregnancy is absolutely contraindicated while on isotretinoin.
Even if battling zits is a distant memory, filed away with high-school gym class and algebra tests, acne marks and scars can annoyingly linger long after pimples are gone. “If someone gets a very large pimple or cyst, the natural healing process of the skin will create a scar,” says David Avram, M.D., of Heights Dermatology and Laser. “The more intense the inflammation, the more likely it will leave a scar.”
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.