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Wednesday, March 2. 2011
By: A.David Rahimi,MD,FAAD,FAACS (www.foreveryoung.net)
I recently came across an article on howtogetridofstuff.com that addressed treating acne and acne scarring. The article started out sounding relatively reasonable, urging patients to see a dermatologist if they have “too many” acne scars, but then suggested the following remedies.
I will cover each suggestion and try to give you a more medical perspective. My comments with be highlighted at the end of each paragraph. The article is written by Marvin? – It is not clear what his medical qualifications are.
I spend over 15 minute on pubmed.gov looking for even a single article that definitively shows drinking water affects acne or acne scarring. Pubmed.gov is the definitive research source and has every scientific article written in over 40 languages since the 1960s. It is free and can be accessed from any computer or library. Drinking lots of water” is going to do little you for your acne and certainly nothing for the scarring. Too much water can cause can cause a variety of problems from electrolyte imbalance to very rare cases of CNS injury. I agree that drinking water should be part of a healthy diet but it won’t do much for your acne scarring.
Eating lots of fruits and vegetables is healthy but will not heal your acne scars; period.
Are they serious? Drinking several glasses of lemon juice will cause a big hole in your stomach and may seriously interfere with absorption of naturally occurring nutrients and vitamins. Once again-no scientific basis for this at all.
Eating lots of fruits and vegetables is healthy but will not heal your acne scars; period.
Are they serious? Drinking several glasses of lemon juice will cause a big hole in your stomach and may seriously interfere with absorption of naturally occurring nutrients and vitamins. Once again-no scientific basis for this at all.
Sound advice- but won’t help with acne or scarring.
No scientific basis.
No scientific basis.
No scientific basis.
Olive oil has shown to have some healing properties and can be very hydrating. In a patient with oily skin the application of olive oil can cause more acne and the occlusion of the pilosebaceous glands can trap bacteria and cause more inflammatory acne. Rubbing the olive oil on certain acne scars can improve them. Interestingly it is not the olive oil but the rubbing motion and massaging that stimulates collage synthesis and can lead to modest improvement of certain types of acne scars.
Pubmed.gov shows no article on beneficial effects of Honey and acne or acne scarring.
· Lather with lavender oil: Lavender oil is another natural substance that is widely used in many commercial cosmetic products. Apply lavender oil on your acne scars and gently massage your skin. The oil has regenerative properties that will make your skin look cleaner, fresher and younger.
Pubmed.gov shows no article on beneficial effects of Lavender and acne or acne scarring.
Pubmed.gov shows no article on beneficial effects of Rose Water and acne or acne scarring.
Ice is anti-inflammatory and I do tell my patients to use it on both active acne and scarring. The use of Carbon dioxide slush in treating acne and acne scarring is also well documented. This is the first recommendation that I do like and has scientific merit.
No scientific basis.
No scientific basis.
Here is a brief review of what is acceptable and effective when it comes to acne and acne scarring treatment.
Standard guidelines of care for acne surgery.
Mysore V, Savant S, Khunger N, Patwardhan N, Prasad D, Buddhadev R, Chatterjee M, Gupta S, Shetty MK, Krupashankar DS, Rao KH, Vedamurthy M, Oberai C, Lahiri K, Sachidanand S, Joshipura S.
Department of Dermatology, Safdarjung Hospital, New Delhi, India. drniti@rediffmail.com
Abstract
Acne surgery is the use of various surgical procedures for the treatment of post acne scarring and also, as adjuvant treatment for active acne. Surgery is indicated both in active acne and post-acne scars. PHYSICIANS' QUALIFICATIONS: Any Dermatologist can perform most acne surgery techniques as these are usually taught during postgraduation. However, certain techniques such as dermabrasion, laser resurfacing, scar revisions need specific "hands-on" training in appropriate training centers. FACILITY: Most acne surgery procedures can be performed in a physician's minor procedure room. However, full-face dermabrasion and laser resurfacing need an operation theatre in a hospital setting. ACTIVE ACNE: Surgical treatment is only an adjunct to medical therapy, which remains the mainstay of treatment. Comedone extraction is a process of applying simple mechanical pressure with a comedone extractor, to extract the contents of the blocked pilosebaceous follicle. Superficial chemical peel is a process of applying a chemical agent to the skin, so as to cause controlled destruction of the epidermis leading to exfoliation. Glycolic acid, salicylic acid and trichloroacetic acid are commonly used peeling agents for the treatment of active acne and superficial acne scars. CRYOTHERAPY: Cryoslush and cryopeel are used for the treatment of nodulocystic acne. Intralesional corticosteroids are indicated for the treatment of nodules, cysts and keloidal acne scars. Nonablative lasers and light therapy using Blue light, non ablative radiofrequency, Nd:YAG laser, IPL (Intense Pulsed Light), PDT (Photodynamic Therapy), pulse dye laser and light and heat energy machines have been used in recent years for the treatment of active inflammatory acne and superficial acne scars. Proper counseling is very important in the treatment of acne scars. Treatment depends on the type of acne scars; a patient may need more than one type of treatment. Subcision is a treatment to break the fibrotic strands that tether the scar to the underlying subcutaneous tissue, and is useful for rolling scars. Punch excision techniques such as punch excision, elevation and replacement are useful for depressed scars such as ice pick and boxcar scars. TCA chemical reconstruction of skin scars (CROSS) (Level C) is useful for ice pick scars. Resurfacing techniques include ablative methods (such as dermabrasion and laser resurfacing), and nonablative methods such as microdermabrasion and nonablative lasers. Ablative methods cause significant postoperative changes in the skin, are associated with significant healing time and should be performed by dermatosurgeons trained and experienced in the procedure. Fillers are useful for depressed scars. Proper case selection is very important
I look amazing thanks to Dr. Rahimi , I have two daughters 36, 28 when I go shopping with them people actually think we are sisters. My self esteem is back and I do better at work . When I look in the mirror I don't see this tired person I used to see, instead I see this still young person who feels energetic and full of life.. Dr. Rahimi has made a big difference in my life, let him change your life and the way you feel about yourself ^___^ I recommend all my friends !!!
Posted by: Leticia alvarado 2011-03-15 20:18