April 16, 2018
Does glycolic acid and isotretinoin help acne scars?
Isotretinoin is an oral medicine which is prescribed by a dermatologist in controlling active acne lesions. Glycolic acid is a topical cream, which causes chemoexfoliation of skin. It is available in different strength like 6 % ,10 % ,12 % in cream or lotion base form . You can use glycolic acid for exfoliation of skin & be controlling blemishes. Glycolic acid cream can give textural improvements on skin & may help to reduce the size of pores up to certain extent.
But if have deep scars like ice pick scars, rolling scars, box scars, then only application of glycolic acid cream will not give the best outcome. You may have to undergo a laser treatment like a fractional co2 laser, Microneedle rf, Erbium glass laser, Dermapen, Surgical excision, Subcision, platelet-rich plasma (PRP) depending upon your scar type & your level of expectations. Once you consult a board-certified dermatologist, Doctor can guide you your treatment plan as per your skin requirement.
Isotretinoin is an oral medicine which is prescribed to have good control on new acne lesions by controlling the activity of sebaceous glands. This medicine has to be taken under the supervision of an expert dermatologist, a few patients are not a good candidate to take isotretinoin, few may not tolerate its dose, few may get photosensitivity, dryness, irritation, redness on the skin. Patient with abnormal LFT levels can not take isotretinoin. It is strictly contraindicated in pregnancy. Again not every patient with Acne will need oral isotretinoin. Due to this, it is always better to consult your doctor to know whether you really need isotretinoin or your problem can be improved without oral isotretinoin & only with topical medicine.
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Dr. Dhananjay Chavan