Skin Republic

Dear Dr. Jen,

I've been using a salicylic acid-based cleanser for my pimples which really helps.  But I noticed that my skin gets so sensitive and red.  What is another option for pimples that won't make my face so sensitive?

Ria

Dear Ria,

It depends on what type of pimples you do have. If it is just mild acne, then chances are, you may still respond to your current cleanser but with less frequency in usage. Other effective treatment options are adapalene or benzoyl peroxide or even a combination of both.  Clindamycin or tretinoin paired with retinoic acid can also be used.

It should be noted that most anti-acne medications do cause sun-sensitivity and redness.  Ways to avoid these side-effects include using sunscreen, moisturizing adequately and using minimal amount of medicine for each application.

Dear Dr. Jen,

I have a growing wart on my finger.  I've had it for 3 years.  The doctors I've been to say that it needs surgery or cautery and will definitely need some anesthesia.  I am terrified of scalpels and injections.  Can you suggest other less painful methods of treatment?

Jessa

Dear Jessa,

Cautery, surgery and laser are the least expensive methods of wart removal.  However, some options are available but aren't used that often due to lack of familiarity.

One of the least complicated mode of treatment for warts is liquid nitrogen.  This is simply cold therapy sprayed to the wart and it causes injury to the wart by freezing it off.  This lasts for seconds and isn't painful at all.  You may need to come back for a quick second treatment if it doesn't completely fall off the first time. However, this is not widely available and may also cost more due to lack of availability. 

Another option is for your PDS derm to administer a type of medicine directly to the wart (injection or topical).  This will kill the wart from within.  Again, this is costly as the price of the medicine itself is a little high. 

Dr. Tan is a diplomate of Philippine Dermatological Society (PDS) and is affiliated with Perpetual Succour Hospital (PSH). For information on PDS, check http://www.pds.org.ph/. For questions or concerns, please text to: 0932 857 7070; or email to: [email protected]; or call The Freeman: (032) 2531276, or PSH: (032) 233 8620 and 232 5929. Your inquiries will be forwarded to Dr. Tan.