Can hypertrophic acne scars be treated?

Written by Liu Gang
Dermatology
Updated on September 22, 2024
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Acne, during its onset and treatment period, due to non-standard treatments or severe cases, coupled with some patients liking to pick or squeeze them, might lead to hypertrophic scarring later. Once hypertrophic scars form, they are not easy to treat, especially if they are very prominent, they generally cannot be completely cured. If the symptoms are mild, fractional laser treatment can be used, but the ultimate repair effectiveness is uncertain. If the prominence is especially noticeable, one can go to a dermatology department in a regular hospital for localized drug blockade treatment, but this only improves the symptoms and cannot eradicate the condition completely. Therefore, it is essential to follow standard treatment protocols during the onset of acne to prevent the formation of hypertrophic scars.

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How to reduce redness from rosacea

Rosacea mostly occurs in middle-aged people, more often in women, and can be accompanied by acne or seborrheic dermatitis. The most commonly seen type in clinical settings is erythematotelangiectatic rosacea, primarily appearing in the central parts of the face, especially on the nose, cheeks, forehead, and chin, with symmetrically occurring erythema. Different stimuli, such as environmental changes, temperature fluctuations, consuming hot beverages, alcohol, spicy foods, exercise, and bathing, can all cause persistent blushing and erythema, often accompanied by dry skin, a burning sensation, or a stinging feeling. To reduce erythema, it is first important to protect against the sun to avoid damage to the facial skin barrier by ultraviolet rays. It is also necessary to avoid excessive cleansing, enhance moisturizing and skin-nourishing treatments, and avoid extreme heat or cold, as well as the adverse stimulation of mental stress. Alcohol consumption and spicy or irritating foods should be avoided. Local cold compresses may be appropriate, and for severe and recurrent cases, internal administration of Chinese herbal medicine is recommended to clear heat, cool the blood, and reduce redness.

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How to treat acne scar bumps?

Acne scars and keloids are often caused by improper treatment of acne or by scratching, squeezing, and breaking the skin during the treatment process, leading to infection and the subsequent formation of these scars and keloids. Once formed, it is impossible to completely remove them. If the keloid scars are not particularly prominent, you can visit a dermatology department at a standard hospital to repair them with fractional laser treatment. If the keloid scars are very noticeable and proliferative, you can also visit a dermatology department at a standard hospital for drug injection treatment, but it is not possible to completely remove them, only to temporarily relieve the symptoms. If the scars are relatively small, cosmetic surgery to excise them can be an option. Therefore, during the treatment of acne, it is crucial to follow standard practices and timely treatment, and to avoid scratching or squeezing the skin to prevent the formation of keloid scars.

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Can rosacea erythema fade?

Rosacea redness can subside, and the appearance of rosacea is a common type of skin disease in clinical practice. Rosacea can indeed be cured, but it is essential to use medications in a standardized manner and ensure the treatment duration. When presenting with rosacea, one can choose topical medications under the guidance of a doctor, such as metronidazole or clindamycin phosphate gel. It is also necessary to complement with oral medications, options include doxycycline hydrochloride capsules, minocycline hydrochloride capsules, or isotretinoin soft capsules. In cases of rosacea, it is also important to pay attention to diet, opting for a light diet. Avoid eating spicy, stimulating, or greasy foods. (Use medication under the guidance of a doctor)

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Can acne scars heal by themselves?

Generally, scars formed from acne are impossible to heal naturally. Most acne scars are due to improper or untimely treatment, or scars formed from infection due to squeezing or scratching during the treatment process. These scars do not heal by themselves, and common topical medications are not particularly effective in repairing them. Generally, treatment is needed from a dermatology department in a formal hospital. If the scar is not particularly noticeable, fractional laser treatment can be used for repair. If there is significant hypertrophic scar tissue, local medication injections can be used for treatment, but they can't completely remove the scar, only temporarily shrink and soften it. Therefore, it is essential to follow proper treatment protocols during acne treatment to avoid scratching or squeezing and prevent scarring.

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Can acne be squeezed?

Acne mostly occurs on the face, varying from mild to severe. Generally, there are some red, painful papules, and some may have white pustular papules. In such cases, try not to squeeze them. For some people with poor skin, acne scars or pits may form in the later stages, making treatment more troublesome. After the onset of acne, it is crucial to seek proper treatment at a dermatology department of a formal hospital. Oral and topical anti-inflammatory medications along with agents that clear internal heat should be used. Local treatment may involve red and blue light therapy. If there are indeed many pustules, a comedone extractor can be used to clean them appropriately. After recovery, it is important to avoid spicy and irritating foods, avoid staying up late, exercise regularly, and enhance immunity. (Specific medications should be taken under the guidance of a physician.)