Hypo-pigmentation is characterized by the light spots that result from a lack of melanin. With this type of skin damage, melanocytes are depleted from the injured area or lose their ability to produce melanin. This occurs when healthy skin has been replaced with scar tissue. Because scar tissue has a light pink color, it’s more noticeable on people with darker skin tones.
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.
A BHA product often cited includes salicylic acid, it must be between a pH between 3 and 4 to work. A BHA works to slough (to get rid of) off dead skin cells and encourage new skin growth. As a result, you may experience dry skin and scaliness around your acne, but this will dissipate over time as your skin begins to regenerate faster. Use this in a cleanser or spot treatment daily on the acne-affected areas of your skin.[6]
In order to treat acne marks and scars, it's helpful to learn how to distinguish between the two. "What many people don’t realize is that a dark or pink mark on the skin is not actually an acne scar. Inflammation in the skin often leaves behind a stain as part of the natural healing process. The inflammation revs up pigment production, creating the mark that fades on its own over several weeks to months," says dermatologist and 2018 Acne Awards judge Dr. Joshua Zeichner. Unlike scars, these are smooth to the touch (AKA, not raised or indented), and signify that there is no permanent collagen damage to the skin.
Patients with moderate rosacea may have periodic flares that require treatment with oral antibiotics, lasers, and other therapies. They may require oral antibiotic therapy for years. Some patients complain of looking like they have been drinking alcohol when in fact they don't drink at all. Although rosacea is not a grave medical situation, severe cases may damage some patient's lives. It is important for these patients to express their concerns with their physician and to get professional help in treating their rosacea.
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.
Acne removal: Your dermatologist may perform a procedure called “drainage and extraction” to remove a large acne cyst. This procedure helps when the cyst does not respond to medicine. It also helps ease the pain and the chance that the cyst will leave a scar. If you absolutely have to get rid of a cyst quickly, your dermatologist may inject the cyst with medicine.

The inflammation caused by your breakout can cause more than just the pimple you see on the surface, it can also cause damage below the skin. "The inflammatory response produces a loss in collagen and the overlying skin will collapse and leave a depression," Howard Sobel, M.D., a NYC dermatologist and founder of DDF Skincare, tells SELF. To get rid of these tiny pockmarks, Dr. Karolak relies on a TCA Cross chemical peel. TCA stands for trichloroacetic acid. "We use a little applicator and go into the hole with chemicals to cause a burn. That causes the wall of that ice pick to heal itself and close in on itself," explains Dr. Karolak.


Potentially the easiest and cheapest option, "Clay masks help draw out impurities such as dirt and oil at the surface level of the skin which helps with acne breakouts. It will help to dry up the acne," says Dr. Bank. You can usually find a large tube (meant for your entire face) at the drugstore, and using it as a spot treatment will make it last forever. Just look for a mask with kaolin or bentonite clay as the primary ingredient.
What you do when a pimple dies down is just as important as what you do when it's just beginning its life. When my zits came to the surface as whiteheads, I'd carefully, gently pop them using two clean cotton swabs (not fingers!) and immediately apply one of these dots. I know popping is the number one sin for skin care, but these dots work best when the zit is punctured because it's made with hydrocolloid, which extracts debris out of the pore (so there needs to be an opening). It also infused with salicylic acid and vitamin A to treat and ease down redness. When the stickers are worn overnight, pimples totally flatten out by morning.
I wear a full face of full coverage makeup every weekday for work. To get it all off, I used to rely on makeup wipes before face wash. I later realized the wipes, while convenient for nights you're ready to PTFO and must, were kind of just sliding product around my face instead of truly cleaning it. Thankfully, a facial with celebrity esthetician Renée Rouleau introduced me to the idea of double cleansing.
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."
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Drink plenty of water and follow a balanced diet. Although eating healthily and staying hydrated isn't going to magically make acne scars disappear, it will allow your body to perform at its best and help skin to heal itself. Water will flush toxins from the body and keep skin looking plump and firm, so you should aim to drink 5 to 8 glasses a day. Vitamins such as A, C and E will also help to feed the skin and keep it hydrated.
Lemon juice is an excellent skin lightening agent. It is the acid in lemon juice that helps brighten your skin and make the scars less visible. It can, in fact, fade away freckles and lighten the dark scars faster. Not only scars, if you have swollen pimples, lemon juice can help reduce its redness too. And it is probably the most easily available ingredient lying there in your fridge. So, you just need to get it from there and squeeze out some of its fresh juice to apply to your acne scar, every day! However, just do not step out in sun after applying lemon juice to your skin. It makes your skin sensitive to sun’s rays. Even hours after when you step out of your home, do not forget to apply sunscreen to shield your skin.
Treating acne requires patience and perseverance. Any of the treatments listed above may take two or three months to start working (even isotretinoin). Unless there are side effects such as excessive dryness or allergy, it is important to give each regimen or drug enough time to work before giving up on it and moving on to other methods. Using modern methods, doctors can help clear up the skin of just about everyone.
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