Hello doctor, I am 23 years old, I have very sensitive oily skin with big pores and I am suffering from white pus pimples on my upper lips area and I have chicken pox scars on my face, help me to get rid of it.

Dr. Abhishek VijayakumarCosmetic/Plastic Surgeon4yrs exp

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For people with severe acne oral retinoids helps control sebum production and pimples. You may need actibiotics to control active acne like oral doxycycline and local clindamycin creams. Once the acne is under control then you can start treatment for pimple marks which may be pigmentation or scars. There are various treatments for acne scars which include creams, chemical peels, microdermaabrasion, microneedling, radiofrequency, surgery, fat fill laser etc. Creams work only for superficial pigmentation not for scars. You can start initially on milder depigmentation creams which contain kojic acid, arbutin, niacinamide like Melaglow at night and use sunscreen three times a day. And depending on type of skin whether oily or dry you can choose a face wash. Acne and chicken pox scar can be depressing sometimes as it requires prolonged and laborious treatment. Co2 laser helps only in superficial scars not deep and rolling type scars. A long term use of tretinoin helps improve the scars. Subcision, microneedling are other options. One good option is combining these with Fat graft it not only elevates the scars it also rejuvnates the skin with growth factors. You can consult with pictures for better understanding of your concerns. It need examination and personalized plan. You can consult in private with photographs.  

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