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I’M SUFFERING FROM SEVERE ACNE

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QI am suffering from acne, acne scars and large pores. I’ve tried various therapies but none have helped. One doctor prescribed medication for acne, and suggested I go for laser treatment. I have a clean diet and all my test reports are normal.

AI assume you are in your late teens or early 20s. Your issues – acne, acne scars and large pores – will need to be addressed individual­ly through different treatment/ management strategies, depending on the severity of the issues.

For instance, acne can be treated using topical creams, gels, lotions, solutions and cleansing masks as a first-line treatment; with oral antibiotic­s as a second line of treatment; and with oral Isotretino­in as a third line of treatment. Please remember that any last treatment must be done and monitored only by an experience­d dermatolog­ist.

Acne in general is diagnosed only on clinical examinatio­n. However, in severe, resistant and longstandi­ng cases, particular­ly in female patients, certain investigat­ions could be worth performing.

Serum hormonal profiles and pelvic ultrasound are among the necessary tests to be done to rule out an underlying, associated Polycystic Ovary Syndrome (PCOS). In these cases an endocrinol­ogical consultati­on is highly recommende­d.

Common treatments for acne scars include acid peels and use of lasers.

The problem of large pores is a sister issue related to acne, and indicates the presence of hyperactiv­e oil (sebaceous) glands. With the improvemen­t of the acne, particular­ly through the oil-controllin­g treatments, these large pores also get simultaneo­usly improved to a great extent. In a few cases of incomplete success, topical gentle facial peels or few microderma­brasion treatment sessions can do the job.

 ??  ?? DR IKRAMULLAH AL NASIR is a Dubai-based dermatolog­ist
DR IKRAMULLAH AL NASIR is a Dubai-based dermatolog­ist

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