By Bhadresh Bundela
Moderate to severe cases of acne may result in scarring. In its most grievous form, acne can leave permanent, deep scars. Acne scars can take different shapes, as pitting or ice pick scars, raised scars, depressed crater-like scars or discolorations on the skin. The best protection against the ravages of acne scars is early treatment. Even if you already have experienced some scarring, the quicker you get help the less likely you are to develop more scars. - For moderate to severe cases of acne it is important to seek the advice and care of a specialist early on and for as long as needed. Together you may reduce the risk of permanent scarring with an acne treatment specially formulated for your skin type and condition. - Severe acne cases may cause extensive damage to your skin and in some cases disfigurement. The deep, inflamed cysts and nodules that characterize this ailment are more likely to result in permanent scarring. Treatment by a specialist is needed to treat existing scars and to avoid the appearance of new ones. Preventing the formation of new scars The treatment approach for severe cases of acne is to avoid the formation of new scars. A specialist might suggest one or a combination of the next skin care treatments. Surgical Extraction and Drainage: When medication can't cure cysts, it can become necessary to surgically extract and drain them. The procedure reduces the pain that can be generated by larger cysts and reduces the chances of scarring. This acne surgery is performed under aseptic conditions in the dermatologist's office. Intralesional Corticosteroid Injection: Strongly inflamed acne lesions can rupture and result in scarring. To avoid this occurrence, dermatologists may inject a well-diluted corticosteroid into the inflamed cyst. The corticosteroid reduces the cyst over a period of 3 to 5 days, decreasing inflammation and promoting healing. Systemic Antibiotics: Oral antibiotics are usually recommended for moderate to severe and stubborn acne cases. As with local antimicrobials, oral antibiotics reduce inflammation by attacking Propionibacterium acnes, the microbe responsible for the redness, heat and pain that can accompany acne. Isotretinoin: A powerful retinoid, this prescription medicine is taken orally. It is only used in grievous cases of cystic acne, and for strong inflammatory acne that has shown no response to other medications. It is taken once or twice a day with food for 4 to 5 months, and can produce a noticeable improvement of acne. Remissions can vary from many months to many years. Sometimes only one course of isotretinoin treatment is necessary to produce relief from severe acne. However, isotretinoin also can produce a number of possible side effects, some of which can be highly dangerous like birth defects. You must not use isotretinoin if you are pregnant or may become pregnant during treatment.
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