Will acne with pustules leave scars?

Written by Liu Jing
Dermatology
Updated on February 02, 2025
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Pustular acne is considered a relatively severe type of acne. Without standardized and effective treatment, coupled with poor management such as scratching with hands and other adverse stimuli, it can lead to facial scars or acne pits. Therefore, it is necessary to enhance skin moisturization and sun protection, avoid spicy and irritating foods, and use medical skincare products such as acne clearing and scar diminishing creams, and acne repair serums. Oral medications such as Tanshinone IIA sulfonate capsules, Icariin tablets, and Vitamin A acid capsules, along with topical applications of Fusidic acid cream, Vitamin A acid cream, or Adapalene gel, are used. Additionally, physical treatments like fruit acid peeling and phototherapy with red and blue light are employed to provide anti-inflammatory effects and improve abnormal keratinization. (Note: Medication should be used under the guidance of a physician.)

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Written by Liu Gang
Dermatology
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Can acne scars be removed?

If acne is not treated properly or promptly, it may worsen and develop into cystic acne. Additionally, if individuals frequently scratch, squeeze, or pick at the acne during treatment, infections can form and ultimately result in residual scarring. Once scars have formed, they are not easily fully repairable. If the scar proliferation is not too severe and is relatively flat, fractional laser treatment can be temporarily used for repair. If the scar proliferation is more pronounced and protrudes significantly, it is necessary to seek treatment in a proper hospital with medications and injections for closure therapy. However, these methods can only temporarily soften or shrink the scars, and cannot completely remove them. Therefore, the most fundamental approach is still to manage the treatment effectively to prevent residual scarring. Upon detection, it is crucial to follow standardized treatment protocols and avoid scratching or bursting the acne.

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Written by Liu Gang
Dermatology
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Is acne the same as pimples?

Acne is a medical term, commonly known as pimples or acne. These two are the same disease, caused by the infection of Propionibacterium acnes, and are related to one's own active sebaceous glands, eating spicy and stimulating food, or frequently staying up late. Once diagnosed with this condition, it is important to receive systematic and formal treatment to prevent recurrence. Treatment can include oral and topical medications from a dermatology department in a formal hospital, and combining this with red and blue light therapy may yield better results. Avoid scratching or popping the acne, as this can lead to scarring or pits. After recovery, it is crucial to maintain a proper diet and lifestyle over the long term, avoiding staying up late and consuming spicy and stimulating foods to prevent the condition from recurring.

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Written by Liu Gang
Dermatology
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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.)

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Written by Liu Gang
Dermatology
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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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Written by Liu Gang
Dermatology
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What department should you go to for acne treatment at the hospital?

Acne, also commonly known as acne vulgaris, falls under the scope of dermatology for treatment at formal medical institutions. This condition is associated with excessive secretion of sebum, consumption of spicy and stimulating foods, or frequent late nights. The skin surface infection is caused by Propionibacterium acnes. Once acne occurs, it is essential to seek formal and active treatment to prevent long-term issues such as facial scarring, acne pits, or hyperpigmentation. Effective treatments available in dermatology departments of formal hospitals include oral medications, topical medications, and adjunct therapy with red and blue light, which can hasten recovery. After healing, it is crucial to continue avoiding spicy and stimulating foods, refrain from staying up late, avoid misuse of cosmetics, frequently wash the face with warm water, and prevent recurrence of the condition.