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Pores, Dark Spots On Face. Had Habit Of Pricking The Pimples. How To Get Rid Of The Scars?

Posted on Tue, 23 Apr 2013

Question: Hello Doctor,

I used to prick my pimples as a teenager. Now my face is embellished with large pores and dark spots. Can you please suggest how I could reduce the pores and get rid of the dark spots. I also have an uneven skin tone. Kindly help.

Answered by Dr. Praveen Rodrigues (2 hours later)

Hi there XXXXXX.
At the outset, thanks for writing in.
It is not particularly clear whether you have acne as yet.
Also i would be able to assist you best if you send me a clear digital photo or photographs of the affected areas & upload them onto this site using the upload data button to the right of your screen or you may contact the system administrators.
Await your response to take this further.
Best Regds,
Dr Praveen Rodrigues MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Praveen Rodrigues (1 hour later)

Hello Dr XXXXXXX

Thanks a lot for your reply.

I do have small boils all over my face. As requested, I have uploaded the photographs.

Looking forward to hear from you.

Thanks a lot.

Answered by Dr. Praveen Rodrigues (16 minutes later)

Hi there XXXXXX.
I did go through all the photographs.
It does appear that you still have active acne & that this needs to be addressed at first before you go in for peels & dermabrasion both of which are recommended for you once the active treatment is finished with.
For the active treatment, i recommend a low dose oral isotretinoin therapy that will require the services of a dermatologist to explain all the pros & cons & a series of blood tests (including Lipid profile, liver & kidney function tests) as per the drug protocol before starting treatment & at regular intervals while on this treatment to ensure safety. This may have to be taken for at least 4-6 mths for best results. The most common side effect will be 'drying' of the skin & mucous membranes & for this your doctor will prescribe good emollients & perhaps vaseline for the lips.
As this site prevents me from giving dosage schedules & prescribing online, this is the best advice i can render for the moment. The rest will be handled by your treating dermatologist @ ground 0. One can also surf the net for details on the medication but dont get scared by the many listed side effects. In my clinical practice, i have treated hundreds' with this medication safely with great results.
Good Luck & trust this has been useful information to take you forward. Cheers!
Dr Praveen Rodrigues MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Praveen Rodrigues (2 hours later)

Thanks a lot Dr XXXXXXX

Really appreciate your help. Can you please help me with the details of a good dermatologist. I am based out of Mumbai. Is it possible that I can visit your clinic??

Regards, XXXXXXX XXXXXXX
0000

Answered by Dr. Praveen Rodrigues (6 hours later)

Hi there XXXXXXX
Sadly i am Bangalore based.
To start the isotretinoin therapy, any decent dermatologist especially one in a medical college would be a safe bet.
Dr XXXXXXX Jerajani or Dr XXXXXXX Amladi are both from Mumbai in the XXXXXXX region & have retired from XXXXXXX Hospital but have their own clinics & are XXXXXXX doctors' that can be traced easily...you may use my name for a recommendation!
Good Luck & Godspeed!
Dr Praveen Rodrigues MD
St. Marthas' Hospital & XXXXXXX Hospital
Bangalore, India.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar