Alcohol-based toners have been an anti-acne step since forever, but are so harsh and drying on skin that they can cause skin to produce even more oil, and they can irritate; as with benzoyl peroxide or any other irritant, they can further inflame a case of acne. But dabbing skin with witch hazel or non-alcohol toner (we love S.W. Basics’ toner with witch hazel and raw apple cider vinegar, $9.99, swbasicsofbk.com) can serve as a mild exfoliant, to unclog pores and deposit ingredients like tea tree oil or salicylic acid. Tea Tree Oil Facial Cleansing pads from Desert Essence ($7.99, desertessence.com) are particularly brilliant, combining both ingredients.
Comedo (whiteheads or blackheads) or papules. The comedo is the basic acne lesion, which is a plugged pore. If the plugged pore stays under the skin, it's called a closed comedo and forms a white bump or whitehead. Blackheads are comedos that open up and appear blackish on the surface of the skin. This black color is not due to dirt, but because the air reacts with the excess oil.

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.
Ablative lasers deliver an intense wavelength of light to the skin, removing thin outer layers of the skin (epidermis). In addition, collagen production is stimulated in the underlying layer (the dermis). Patients are typically numbed with local anesthetic and the ablation is done as an outpatient procedure. CO2 and erbium are the ablative lasers most often used for acne scar treatment.
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.
Skin care clinics and dermatologists across the country offer laser skin treatments for acne scar removal, but is it worth it? The best way to determine which laser acne scar treatment is right for you is to get different professional opinions about which type is best for your skin, and compare pricing, expected recovery time, and reviews. Here's how a few laser treatments work for acne scar removal:
If you're looking for suggestions on how to get rid of acne overnight, using toothpaste for acne spot treatment has probably come up. But does it work? Toothpaste contains ingredients like baking soda, alcohol, hydrogen peroxide and menthol that can dry out acne. However, some experts warn that using toothpaste for acne can actually cause over-drying and even skin peeling, so it should be used with caution. Here's how:
There is also a role for Bellafill and other injectable fillers, including fat, for some depressed scars. Bellafill is currently the only filler that’s approved by the U.S. Food and Drug Administration to help raise depressed scars. It packs a one-two punch by adding volume, and also encouraging collagen formation beneath the surface by creating a supportive scaffold. “Bellafill and other injectables can fill in scars but these tend to be better for one scar,” adds New York City facial plastic surgeon Jennifer Levine, MD. Filler results can last up to 18 months. “If you have a cheek full of depressed scars, it’s better to resurface the face with laser, radiofrequency, or another energy-based treatment,” she adds.
But, sometimes a particularly aggressive blemish is truly on a mission to leave its permanent mark. "Acne scars occur when normal tissue in the skin is destroyed and replaced with fibrous tissue. You can think of an acne lesion as a wound. When the damage caused by acne is severe, the body can respond by creating too much tissue or too little tissue. The production of too much tissue forms a keloid or a hypertrophic scar, and too little tissue leads to that depression in the skin, or atrophic scar. The deeper and more inflamed the acne lesion, or the more that it is picked or squeezed, the more likely it is to scar," says Dr. Bowe.
Acne scars are most often the product of an inflamed lesion, such as a papule, pustule, or cyst. Inflamed blemishes occur when the follicle, or pore, becomes engorged with excess oil, dead skin cells, and bacteria. The pore swells, causing a break in the follicle wall. If the rupture occurs near the skin's surface, the lesion is usually minor and heals quickly. More serious lesions arise when there is a deep break in the follicle wall. The infected material spills out into the dermis and destroys healthy skin tissue.
There are simple things you can do on your own to help prevent adult acne and keep it from getting worse. First, wash your skin once or twice a day with a non-drying, non-comedogenic cleanser that won't clog your pores. Look for cosmetic products labeled oil-free, non-comedogenic and non-acnegenic (unlikely to cause acne breakouts). In addition, avoid heavy skin creams or hair products which may aggravate your skin condition.
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.
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