You've probably seen those tiny glass jars filled with liquid and some solid sediment at the bottom—sometimes it's pink, sometimes it's white, and (in the case of my favorite product) sometimes it's flesh-tone. The solid in the jar is usually a mix of drying ingredient like camphor, sulfur, and zinc oxide, but many brands throw in a few little extras. Cult-favorite Mario Badescu Drying Lotion adds calming calamine and exfoliating salacylic acid to their formula, while my favorite, End-Zit Acne Control Drying Lotion, keeps it simple, but comes in several shades so that it conceals your breakout while it treats it.
Scrubbing your face daily with grainy cleansers and exfoliating products can do more harm than good. When done too often, it can cause redness, inflammation, and irritation. “Exfoliating a pimple can pull away healthy skin cells and create an open wound and higher risk for scarring,” says Jessica Weiser, MD, from New York Dermatology Group. “Exfoliation should be done with caution, and not more than 2-3 times a week maximum.”
Apple cider vinegar has many properties. It is an astringent and a natural disinfectant that makes it a good natural antiseptic. It also balances the pH level of your body and of your skin when applied topically. And because it is anti-bacterial and anti-inflammatory, it is effective in the treatment of acne too. All of these properties of apple cider vinegar are granted by its beneficial components that include vitamins, minerals, carbolic acid, ketones, aldehydes, amino acids, anti-oxidant, acetic acid and many more. It is therefore a known remedy for acne. You can also heal acne scars considerably with apple cider vinegar. As this vinegar scrapes off the dead skin cells, it may fade away the acne scars to a great extent. You can either use apple cider vinegar with water or with honey.
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.
Lin says he recommends applying egg whites directly to a pimple to shrink a breakout. “The protein in the egg will help dry out the pimple,” he says. “You can also apply honey to a breakout to calm redness. Honey is a naturally soothing ingredient with anti-inflammatory properties that helps heal the skin. Leave it on for five to 10 minutes, then wipe away with a damp cloth.”
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.
Derived from the Melaleuca alternifolia plant of Australia, tea tree oil is an excellent antiseptic, antibacterial, antifungal and antiviral essential oil. As such, not only for acne scars, tea tree oil is, in fact, one of the best remedies for acne too. As far as scars are concerned, this oil is most beneficial in healing the hypertrophic scars that are generally raised and red, such as those we get after burn injury or a surgery. Raised acne scars too are not very uncommon. So if you have such raised or hypertrophic acne scars, you can effectively use tea tree oil to heal them. Tea tree oil, due to its anti-inflammatory effects would definitely help you in getting rid of such acne scars. This oil is also hydrating. It provides moisture and helps hydrate the scar which gradually diminishes the scar and make it disappear.
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.
Unfortunately, if you have a scar on the skin then it will for lifelong but the good news is that you can reduce its size, color and appearance on the skin by lightening them up to the point of undetectable. In general, there are 5 types of acne scars like an ice pick, boxcar, rolling, hyperpigmentation, and keloid scars. So, consult your dermatologist for proper treatment.
With the proper treatment, patients can control rosacea symptoms and signs. Popular methods of treatment include topical (skin) medications applied by the patient once or twice a day. Topical antibiotic medication such as metronidazole (Metrogel) applied one to two times a day after cleansing may significantly improve rosacea. Azelaic acid (Azelex cream, Finacea gel 15%) is another effective treatment for patients with rosacea. Both metronidazole and azelaic acid work to control the redness and bumps in rosacea.
When it comes to scarring, many doctors will tell you that prevention is key. Wearing sunscreen daily is critical, says Heidi Waldorf, a New York City-based dermatologist, and this one from Elta MD is her favorite. "It contains niacinamide, which reduces inflammation, and it's oil-free, which makes it excellent for daily use for acne-prone patients," she says.
Over-the-counter retinol or vitamin A can also help. Anolik says retinols can be incredibly effective, especially higher-strength prescription retinoids: “They’re the gold standard in acne and aging treatments.” The prescription versions, from Tazorac to Differin, are usually covered by insurance in the case of acne. Vitamin C can also treat pores and exfoliate; Tammy Fender’s System ($165, tammyfender.com) comes with a vitamin C toner.
Phase 2: My Torture Facial After two weeks of adhering to Shamban's strict regimen, I go back to her office for a facial. I'm thinking it's going to be the ultimate doctor visit, like a relaxing spa day with Enya playing and detox tea served at the end. But I hop into the facialist's chair and I'm immediately engulfed in a stringent smell that makes me choke -- a far cry from the lavender and eucalyptus I was expecting. And the process begins.
Wear sunscreen everyday and do not tan. Ultraviolet Radiation is the number one cause of premature aging. It also leads to skin cancer in high enough doses. Treat the sun like the death ray that it is. Exposing your skin to harmful UVA and UVB rays damages skin and prolongs post inflammatory erythema(PIE)--red acne marks, as the sunlight stimulates pigment-producing cells.
Post-inflammatory hyperpigmentation is not an acne scar, but a red, pink, brown or tan skin discoloration where acne has previously flared up. It will usually disappear on its own in a year or so. Many skin lightening products claim to help reduce the visibility of these acne “scars." Their active ingredient, hydroquinone, works to slow melanin production and can reduce dark brown marks, but melanin isn't the cause of red and pink acne discolorations. A better option is to use the best foundation for acne prone skin you can find to hide the marks until they naturally fade away.
You've probably seen the Proactiv clear skin system advertised on television at some point over the last several years, but does it work? Proactiv is one of the better acne remedies out there for mild cases of inflammatory and noninflammatory acne, hormonal acne, and adult acne. The basic kit comes with a gentle glycolic acid and benzoyl peroxide exfoliator, a benzoyl peroxide pore cleanser, and an oil-free moisturizer that contains both glycolic acid and salicylic acid. Prices and shipping rates vary by location but Proactiv typically starts at $30.
8. You can't stop picking at your pimples. It's tempting in the moment, but it's never a good idea to play dermatologist, because it's impossible to pick your own pimple and not make a red mark that could turn into a scar. Even worse, when you try to press the plug or oil or puss out of your pore, you run the risk of pushing the bacteria deeper or spreading it around underneath your skin, multiplying your pimples.
It starts when greasy secretions from the skin's sebaceous glands (oil glands) plug the tiny openings for hair follicles (plugged pores). If the openings are large, the clogs take the form of blackheads: small, flat spots with dark centers. If the openings stay small, the clogs take the form of whiteheads: small, flesh-colored bumps. Both types of plugged pores can develop into swollen, tender inflammations or pimples or deeper lumps or nodules. Nodules associated with severe cases of acne (cystic acne) are firm swellings below the skin's surface that become inflamed, tender, and sometimes infected.
With a blend of potent antioxidants, this serum is loved by beauty editors and dermatologists alike. Vitamin C plays a leading role: "The powerful ingredient has been shown to brighten dull skin and lighten brown spots. It may also be helpful in lightening a dark scar," says Joshua Zeichner, the director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York City. The formula also includes vitamin E. "Vitamin E is a fatty vitamin that has both antioxidant and skin-protecting properties. It helps seal cracks in the outer skin layer and may help repair a damaged skin barrier and improve the appearance of scars after the initial wound has healed," Zeichner says.
Avoid creams with vitamin E. Creams with vitamin E may actually do more harm than good. Because it's a vitamin, we're tempted to think that it will be either beneficial or harmless. In fact, one University of Miami study reported that vitamin E treatment had no effect or worsened the appearance of scars in 90% of subjects, with improvement in only 10% of cases.
7. You smoke. Every time you light up a cigarette, you decrease the amount of oxygen that goes to your face. This not only predisposes you to cancer, and causes the breakdown of collagen and elastin that leads to wrinkles and increased pore size, but the carcinogens in the smoke also irritates your skin and dries it out, triggering your skin to produce more oil and possibly more breakouts. (Tip via Dr. Downie.)
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.
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.”
Treatments like radiofrequency microneedling, lasers, and fillers can be effective to treat acne scars, but they can run you hundreds of dollars per treatment. And Hellman says you'll need six to eight treatments and a good amount of time before seeing results. "The process takes a good part of a year," she says. (Her office does offer some package options to help offset some of the cost.)
Breakouts can come and go, but the scars they leave behind can linger for years (or more). You've probably been told, "Don't pop your pimples, or you'll end up with a mark." But recently, I learned that the most common acne scars have nothing to do with your tendency to squeeze zits. "Popping pimples doesn't cause scarring," Mark Karolak, D.O., a board-certified facial plastic surgeon at Reflections Center for Skin and Body, tells SELF. "If it's just a whitehead and blackhead on the surface, it can be popped without creating any scarring."
If you look in the mirror and see a pimple, don't touch it, squeeze it, or pick at it. This might be hard to do — it can be pretty tempting to try to get rid of a pimple. But when you play around with pimples, you can cause even more inflammation by popping them or opening them up. Plus, the oil from your hands can't help! More important, though, picking at pimples can leave tiny, permanent scars on your face.
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Some skin advocates suggest foregoing this method. The pH of baking soda is 7.0, which is far too basic for skin's pH. Optimal skin pH occurs between 4.7 and 5.5, which is an inhospitable environment for p. acne (the bacteria responsible for causing most acne). By raising the pH to a more basic level, p. acne is able to survive longer and cause more infection and inflammation. So try this method with care, and stop using it if it's not effective for you.
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Your doctor might recommend an injectable treatment called a filler. "Mainly, I treat acne scars with hyaluronic acid fillers, such as Restylane, but not all acne scars respond to this sort of treatment," Schlessinger says. "Additionally, I personally find that Accutane has a remarkable effect on acne scars if it is prescribed early on in the course of a scarring acne."