If your acne have cleared and cured and dark acne marks are there, they can be removed by the application of Benoquin (Hydroxyquinone 2%) cream 2-3 times daily for 1-3 months,
This cream will remove darkness only restoring original skin colour without any effect on scarring if acne marks are scarred.
Scarring go by itself over years to some extent or you may consult some cosmetic plastic surgeon for scar treatment.
Scar Treatment
When the skin is in the process of recovering from an injury, whether the result of an accident, surgery, a burn, or acne, scarring will occur wherever multiple layers of the skin have been affected. Once a scar forms, it is permanent but may be made less visible or relocated surgically.
Is Facial Scar Treatment for You?
The goal of facial scar treatment is to disguise the scar, relocate it, or minimize its prominence.
Important factors to be discussed with your surgeon include:
Skin type and color
Ethnic background
Individual healing rates
Age
Different types of scars respond to different plastic surgery techniques. A person considering facial scar revision must understand that there is no way to remove scars completely.
Timing of surgery is another important choice. Some surgeons advise against any scar revision in cases of injury for a period that might extend up to a year after the injury. This interval allows the body enough time to heal fully.
Making the Decision for Scar Treatment
What you should expect:
Your surgeon will examine the scar in order to decide upon the proper treatment and inform you of outcomes that can be expected from facial scar revision surgery.
The agreement between you and your surgeon on how to proceed is a prerequisite for successful surgery. After you both decide to proceed with scar revision, your surgeon will inform you about:
a. Anesthesia
b. Surgical facility
c. Supportive surgery options
d. Costs
Because scars are highly individualistic and the patient's attitude toward scars is so personal, maximum improvement in facial scars may require more than one procedure. More than one technique may be employed.
Understanding Scar Revision Surgery
Following is a general description of the surgery. Remember, each patient’s individual needs and features are considered before surgery.
When a scar is of the contracture type, surgery generally involves removing the scar tissue entirely.
Skin flaps, composed of adjacent healthy, unscarred skin, are then lifted and moved to form a new incision line.
Where a flap is not possible, a skin graft may be used. A graft involves taking a section of skin tissue from one area and attaching it to another. Time must be allowed following surgery for new blood vessels and soft tissue to form.
Z-plasty is a method to move a scar from one area to another, usually into a natural fold or crease in the skin to minimize its visibility. While Z-plasty does not remove all signs of a scar, it does make it less noticeable.
Dermabrasion and laser resurfacing are methods a surgeon uses to make "rough or elevated" scars less prominent by removing part of the upper layers of skin with an abrading tool or laser light. Clearly, the scar will remain, but it will be smoother and less visible.
Keloid or hypertrophic scars are often treated first with injections of steroids to reduce size. If this is not satisfactory, the scars can be removed surgically, and the incisions closed with fine stitches, often resulting in less prominent scars.
Treatment of Pimples:-
Acne/pimples are easily treatable within 7 days to 1 month. Even dark spots would go away themselves within 3-6 months or you may use Benoquin (Hydroxyquinone 2%) cream for 1 month to get rid of black spots once pimples have got cured.
Salicylic acid should never be applied on pimples as it being acid would cause damage to nearby skin and may cause scarring and black spots.
Acne or Pimples result due to hypersensitive skin, arrested growth of sebaceous glands, high androgen production, high sebum production, frequent blocking of sebaceous glands with subsequent bacterial infection of sebaceous glands.
You are producing more androgens but that is good for your sexuality. Excess androgens may cause both hyper-sexuality or night-falls and pimples but we can't give you ant-androgens because they may cause feminization of your body and mentality.
Androgens cause more sebum production in sebaceous glands of your skin of face and cause pimples.
More sebum production causes oiliness and dust particles stick easily to oily skin closing pores of sebaceous glands and sebum is stuck inside causing enlargement of gland as pimple. If it gets infected, it may develop pus making white heads.
Some times skin is very sensitive and applying chemicals or drugs in the form of cosmetics and may result into pimples.
In some people, skin growth is slow or arrested along with being oversensitized or associated with high production of androgens. This result into development of reddish pink pimples which grow very slowly but new ones keep on erupting and the whole face is filled with hundreds of reddish pink pimples.
In some cases, pimples spread beyond face to neck, shoulder, back and even chest.
If you pinch pimples, nearby skin gets damaged and heals by growth of new skin that contains more melanin due to overgrowth of melanocytes resulting into blackish pigmentation with or without scar.
For pimples you do following things:
Wash your face with mild soap like Lux, Rexona etc 3-4 times in day time, at the time of sleeping, at least once in night if got awaken and just after getting up from sleep. You should keep your face free from oiliness due to sebum on your face.
Take AD capsules (containing fat-soluble Vitamin-A) 20 capsule every week. Vitamin A will diminish sebum production and enhance growth of skin and pimples and pimples will be shed off rapidly. (you get a bottle of 1000 AD capsules for around Rs100/-)
You can also apply local cream or gel of Adaptalene (marketed by the name of acnelene) on your face. If you apply they refrain from sunlight. Adaptalene is also a retinoid like Vitamin -A.
With Vit-A or adaptalene, pimples come outwards rapidly giving impression that problem of pimples is being enhanced. But keep patience. Pimples will shed off within a week.
Tretinoin is also used for pimples but don't use it as it causes hyper-pigmentation.
If the pimples get infected with pus, take Azithromycin 500 mg on empty stomach once daily for 5-days under medical supervision.
Never pinch pimples but let them shed off or fall themselves otherwise blackening will occur and scar may also be formed.
Do not apply cosmetics, cleansing lotions, sun-screens, chemical lotions or solutions or medicated soaps to already over-sensitized skin of yours.
Use mild soaps like lux, rexona etc or cetrim soap congaing cetrimide. Or you may use besan paste or multani mitti to remove oiliness from face.
Take less fats that provides triglycerides in blood which get converted into sebum in sebaceous glands.
Take plenty of water to keep you hydrated.
Consume green vegetables, salad and fresh seasonal fruits.
Consume Green tea regularly.
Divert your mind from sexual activities and pornographic literature or wash your face frequently during these activities as these activities increase androgen secretion in body which increase oiliness of face.
Take proper and regular sleep in a disciplined life.
Remain happy. Get rid of anxiety & tensions. Control your ambitions, envies and jealousies.
Do regular morning evening walks and/or exercises. Black spots or pigmentation of acne/pimplea may subside itself within 3-6 months after pimples have cured.
You may apply Benoquin (Hydroxyquinone 2%) cream for 1 month to get rid of them.