Pimples

Dear Dr. Jen,

I have plenty of small pimples on my forehead. I tried every pimple cleanser there is but the pimples still keep on popping up.  What can be the cause?

Andy

Dear Andy,

Pimples on the forehead are usually blocked pores.  The common cause for them is wrong product use or excessive oiliness of the skin.  Hair products like pomade, gel, hair spray, and hair treatment can also aggravate the forehead area.  Using noncomedogenic cosmetics and makeup will help reduce clogging of pores.  Also, using a shampoo that prevents product build-up will be beneficial. Daily shampoo is necessary so oil from hair and scalp doesn’t go to the forehead.

Stress and hormonal changes can also lead to pimples.  Reduction of stress is easier said than done, though. It goes without saying that proper sleep, healthy diet and exercise are also good for the skin.  Application of pimple medication is necessary to unclog all the pores. Adapalene, benzoyl peroxide and salicylic acid can work wonders for mild acne.  However, when too much is applied, watch out for side effects like peeling and stinging.  You can ask your nearest PDS certified dermatologist if you need prescription medications.

Dear Dr. Jen,

My legs have old scars from injuries I had in my childhood. They are rough, white on the inside and dark in outline.  I don’t know if I should bleach or tan them.  What treatment can you recommend?

Claudine

Dear Claudine,

Irregular scars are tricky to treat.  With both hyper and hypo pigmented elements found in the same scar, you get confused whether to lighten or darken the scars.  I would recommend use of lasers for these kinds of scars.

Although topical agents can be effective, any bleaching ointment or serum or cream applied can run over to the light part of the scar.  And tanning the whole scar may lead to further darkening of the outline.

The fractional laser can elicit new skin to come out, especially in the central part of the scar.  New skin will come out normally pigmented and even out any irregular surfaces.  It can also lighten the dark edges of the scar. This can be done monthly until results are satisfactory to you.

Dr. Tan is a diplomate of Philippine Dermatological Society (PDS) and is affiliated with the Perpetual Succour Hospital (PSH). Information on PDS is at www.pds.org.ph. Questions or concerns regarding the skin may be sent by text to 0932 857 7070 or emailed to [email protected]; or coursed thru The Freeman – (032) 2531276, or thru PSH – (032) 2338620 and 2325929. Inquiries will be forwarded to Dr. Tan.