How to Treat & Fade Acne Scars like a Dermatologist! | Dr. Shereene Idriss
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- čas přidán 25. 06. 2024
- Acne scarring can be really difficult to treat, but it is possible! You just have to know how to approach it as not all acne scars are created equal! So let's jump in!
0:00 intro
1:08 types of acne scars
2:09 post inflammatory erythema (redness)
5:28 post inflammatory hyperpigmentation (dark spots)
13:24 post inflammatory hypopigmentation (white spots)
14:38 textural scars
15:09 atrophic (popping in)
17:29 hypertrophic (raised)
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For redness
1 - centella
2 - niacinamide
3- Azelaicacid
4- allantoin
For hyperpigmentation
1- sunscreen
2- aha, when not so oily and acne got resolved
3- tranexamic acid
4- tyronase inhibitors = kojic acid, alpha arbutin, licorice root extract
5- vit c = not so holygrail, in addition to other ingredients it work fine
6-retinol / retinoids
7- azelaic acid
8- hydroquionone with breaks
For hypopigmentation
1- in office treatment, steroids
2- latese
For scars / textured skin
Take 18 months to 24months
1- microneedling with prp
2- microneedling with rf but by an expert
3- tca for icepick scars
4- subcision with right and small amount of filler
5- fraxel laser, co2 laser
None of these work alone
Hypertrophic scars
1-Steroid injection
2-Silicone
3- vbeam laser
At last I am feeling bad due to acne scars 💔 maybe accepting them is the best option
Treat them, and you'll get better over time
thank you for the summary!
Thank you❤ I def have the post inflammatory erathyma one. Got all these samples from Sephora and my skin had spazz 😬
Thank you 😊
Hang in there. I suffered acne in the 70's when there were no effect treatments. I am going to save up for some sort of in office treatment to hopefully minimize my uneven texture due to scarring.
I completely agree about Microneedling. During the years I have tried almost everything to resolve my acne scars and look younger, anything from face exercises (That's for sagging), vitamin C serum, Fraxel, collagen supplements and of course Retin A (7 years straight). However, nothing made any real difference compared to the high-quality derma pen I purchased for under 100 bucks. Within 3 months of use, my skin has improved DRAMATICALLY. Acne scars from childhood gone by 90% which was the main reason I started doing it however, that's not the only benefit, My fine lines have disappeared completely, and my nasolabial folds are way less prominent. I don't look like I'm in my 20s again, but definitely not 56 either. People often underestimate the power of wounding and the revolutionary effects it can have on the skin.
What dermapen did you get?
can you share which derma pen brand please ? Thanks for the comment by the way!
Korabeauticals v2
Shhhh...don't tell everyone! (Joking)
Ive been microneedling for almost 10 years - most guess I'm @ 15 YEARS younger than my birth certificate says.
I DO it myself at home, quote aggressively in places, and lightly in others,,maybe 1x month. I am 63
+1 for kora beauticaIs. I've been doing microneedling since it started 12 or so years ago. Nobody believe I am 55. They all say I am in my 30's or early 40's. As you know, as we get old, our skin gets thinner therefore creating wrinkles. But the wounding kept my skin still thick and youthful. Your comment will help so many women to restore their skin..
Getting firehosed with quality information by Dr. Idriss hits like good therapy
😂🫶
@@shereeneidriss Please, could you talk about lipedema? I find your videos so educational and helpful, thank you so mucho Shereene.
It's how she calls us "little nerds" for me... I love it!!❤❤❤
It’s like you read my mind! I was just gonna leave a comment asking if you can talk about acne scars coloration and texture! Thank you so much! Super excited to try your tips out I’m so done with these scars
I was literally gonna comment the same thing lololol
Ditto on the subject of texture 🎉 I have little, if any, estrogen in my body. I’m noticing that the texture of my forehead seems to be getting a little “rough” … not scars, not acne
(but some of them look like they could be popped(kinda a sorta) and am wondering if this could be caused by lack of estrogen. It’s really starting to bug me because I’ve always been blessed with good skin.❤😮❤
You are by far my favorite dermatologist on CZcams. Thank you for being a real, no b.s. human being. You offer the greatest advice, and if I lived in your area I would absolutely want you as my dermatologist. You've given the best advice I've heard from any derm on here, and have the most amazing, honest personality.
I am about to be 30 and have all the scars. I’ve been dealing with acne almost nonstop since I was 20 and at this point I don’t think I’ll ever get rid of my scars bc the acne will just not stop!
I honestly recommend just going on accutane. I had acne from 10 -29. Accutane was the only thing that worked. I experienced clear skin for basically the first time in my life. I really wish I’d gone on it sooner and not been so afraid of it. I didn’t realize how much of the marking on my skin was permanent until I stopped getting pimples.
I’m 33 and still have acne. My scars have almost disappeared since using vitamin c, spf and retinol.
I used Accutane when I turned 30 (I’m now 60) and it definitely did clear up the acne for good. My skin, nose, eyes became very dry, red and uncomfortable and there was some nasty purging that left a few mild indented scars but no real texture. These side effects could have been much less had I been given instructions on how to care for my skin while on the medication. Looking back, if I had been given the option, I would have used prescription tretinoin first. I’ve had some professional micro needling which has made some improvement.
@@NatalieZii This is why we all need a permanent cure for Acne to prevent it from starting in the first place, and then curing it for the other cases!
This sounds like Hormonal Acne to me! Have you seen a dermatologist to get a definite diagnosis? Spironolactone might help you, a derm could tell you for sure!
Thank you for being so thorough and comprehensive! I can tell you really take time to do your research and prepare before doing these videos!
I love you because I can trust you. I learn sooo much from you. Can’t tell you how much I appreciate you, thank you for being there for us all. I love, your products. You bring confidence and happiness to all.
Heiii, Dr. Idriss! U should read this. It is represent many of us
Your hair looks so pretty this day.
Thank you for responding to our requests!! You are amazing!
Yes!!! This video is just in time, perfect! Thank you so much 🫶😍 You are the best, our nerd mama!
So what you're saying is... these acne scars need to get a job and support themselves.
Thank you Shereene. TCA is new info to me and I plan to look into that further for my icepick scars. Much appreciated.
When one of my red marks finally disappears, I get a huge pimple right next to it 😂😢
Noooooo! 😭 I get that too.. temples & between brows... I recently found out I'm not washing/ applying product evenly in those areas. 🤦♀️ I'm 35! Been doing this FOR 35 YEARS. 🤦♀️🤦♀️🤦♀️
Lol you are 35 and acting like me im 25@@AutumnElaine
@@similitude2341 LOL I should have known by this age, right?! Where has Dr Idress been my whole life?! She's a wealth of information. So good that people of all ages have access to this information now!
A thorough and well-informed video. My brain was engaged through the whole thing!! I really adore a patterned video where it discusses the topic part by part and break it down.. Enjoyed watching and learnt alot today so thank you❤❤❤❤❤
thank you for showing examples on different skin tones! It's really tough to identify pie vs pih on darker skin
Out of nowhere I had a acne breakout, I haven’t have one since I was 15, I was very worried about scars, thanks for this vid, my self esteem is on the floor right now, but I hope it heals fast
I know that my comment will probably go unnoticed, but I just thought I’d share what worked for me.
I had both superficial, pink/red/ dark brown hyperpigmentation and a little bit of scarring aswell. I only used ONE product and it completely disappeared in a few months. All I used was tamanu oil ✨ I watched a video from liah yoo where she recommended this product. I am so so thankful for her for teaching me about this. Truly transformed my skin. It’s only $12 too!!!
I just heard someone else mention this in a different video yesterday! I’m definitely going to try it now. Do you have to mix it with a carrier oil or do you use it directly on your skin?
@@courtneyblue15 I use it directly on my skin , if you search her “liah yoo hyperpigmentation” you’ll find her video with lots of useful information. She’s the woman behind leave beauty 🩷🩷
tamanu is that great 😊❤ and be careful if you have oily skin cuz if I'm not mistaken it's an oleic one and can clog the pores
Gracias Dr Idriss, que buena información de las marcas de acné ahora las entiendo y podré tratarlas . Le compré a mi mamá hace una semana The Depuffer y le ha ayudado bastante y usamos Mayor Fade Flash Mask 🤩🙌 gracias gracias gracias y feliz fin de semana ❤
your channel has transformed my skin (and my confidence). My skin is far from perfect, but it has dramatically changed over the past year. Thank you so much for your content
What do you using? I just started to learn about skin from de.sherene I have dry sensitive skin with acne scars. I would get breakouts sometimes. Not sure where to start what to use m. I am 33 y old
I'm so happy you're sharing this! ❤
Aw so happy you found it helpful!
Could you please do a video about how we can best deal with active acne, so that the risk of scarring is minimised? Thanks for the consistent expert advice. xoxo A little nerd
best way: moisturise and sunscreen. my holy grail is a lightweight moisturiser ( i use invity microemulsion ) and then i use spf 50 sunscreen! try not to use any harsh acids if it is active. stay away from tret, or retinol or retinoid. focus on healing acne first and then the scarring. it is hard to do both at the same time.
After microneedling, peelings for two box acne scars, i decided to take an operation to get the scars removed in hope they would recover better. Unfortunately the scar got bigger and my skin texture didnt improve. Please be carefull with threatments, and check your mental health before undergoing any kind of treatment. It causes a lot of mental health issues if it doesnt work out and you only have skin. Be carefull💖
Thank you for an informative video, Dr. Idriss! I am working on clearing hyperpigmentation acne scars and this is just what I needed.
🙌🙌🙌
Dr. Iriss you are a great and knowledgeable doctor and such a wonderful, kind, thoughtful, beautiful inside and out human being. I am constansly enlightened and inspired by you. I feel greatful because you take all the platforms available to educate us. Thank you very much Dr. Idriss!
Thank you so much! 🫶❤️
Dr Idriss love your videos, the more I watch the more I learn and my skin looks much better. May you create a morning and night skincare routine for rosacea prone skin. Please 🙏🏼💜
I think I saw Cotz sunscreen in the bag you held up. I've been using that the last few years & love it. Takes a while before I can apply any makeup over it, but love how it leaves my skin & works well for me. Since pandemic I rarely use foundation & this is tinted. Can't wait to hear your thoughts on this product.
Thanks for all your great info
Dr., would you ever do a video about first aid and skincare for people with dermatillomania? I don’t see many qualified professionals talking about the skincare aspect of this condition. I’m in therapy for the psychological part, but I wish I knew what to do after I did some bad picking at my skin to help wounds heal and avoid scarring/hair loss while also dealing with the increased sensitivity .
By the way, this video is INCREDIBLE! thank you so much. Saving for future reference and taking notes.
I second this comment so much! I hope she does one day, it would be such a huge help 🙏🏼
Can you share the lip color you use? I love it. Looks so good on you
Thanks for talking about PIE! This is the main struggle with my acne scars, and I feel it is so ignored :/ Loads of products and treatments to specifically treat PIH, but barely any for PIE.
Thank you, Dr. Idriss!!!
Finally i've been waiting for this, i have acne scars for long time, i want to get rid of it but i don't have money to buy expensive products or do laser treatment
Just received yesterday my order of complete skincare. Id rather have you tell me which steps to follow. I dont want to start without your expert advice on the steps to start a new regimen.
Appreciate your response .
Thank you.
Thank you for talking about Hypopigmentation because that's what I have. I asked you about it on a previous video so thank you Dr. Idriss
🙌🫶
So intelligent, Shereene!
My acne isn't even bad, my problem is that even if I have ONE pimple on my skin, it will scar without fail.. as a result I have so many keloids and hyperpigmentation. I'm honestly torn between getting derm treatments on them or getting some tattoos to just cover them lol both would be expensive either way
Thank you for the multiple reccomendations.
🙌🙌🙌
I'm in my 40. Took me 30yrs to find out what I'm doing wrong to get acne. Over 10yrs now of no more acne just mini red scars. What I did that works: It all comes down to what you consume. Stay away from bad oil specially hydrogenated oil like vegetable oil; dary products and process food. (Read your food labels of ingredients) Stay hydrate, exercise and eat clean. Check your liver. Clean your colon. Clog colon leads to build up of toxins coming out to the surface. (Look it up) All the products will only help from the outside but the main cause is within. I pray for everyone get theough this stressful battle. Keep fighting and never give up!
If you have already pick on your pimples already PIH and PIE are the least of your worries. Textured skin and scars will be the primary concern and they are way more difficult to treat not to mention expensive too.
Would be great to see a video where you talk about an inflamed pimple, then what to do if you were horrible to your self and pop it , and how to look after this the days after ‘attacking ‘ your face
Very thorough video. Thank you 🙏🏼 how can you heal or get rid of tiny white comédons on the chest? I was told by various dermatologists that there was no possible treatment. Is this possible? Thank you for keeping up all informed and educated 🙏🏼
Loved the video! Would love some tips about hyperpigmentation on body skin ❤
Thank you! Making note 📝
please can you make a video on fungal acne?? specially what causes it and how to avoid it
Love your channel! Can you please do a video involving treating acne scars when you have rosacea?
sunscreen, not drying out my skin with stripping products, retinoids and 2% salicylic acid has done wonders for my spots and PIH. Dr Idriss speaks the truth ❤
Love your top!! Where did you get it??
Thanks, Dr Idriss. I asked about this a few weeks ago and I am thankful to you for addressing the textural scarring issue. I will start saving my money for an in-office treatment (microneedling, laser, etc.) I had my acne as a teenager in the 1970's and there were little to no treatments. They used to put me into something like a tanning booth! Thanks so much for giving me dark spots, with no positive effect on my acne. 🤷♀️ 😖 😢
So informative. Ty!! Can you feature a video for pre-teens and acne. Im thinking some of these formulas are not appropriate for them but yet there is a desire to prevent dark spots and scaring. Appreciate it.
Also firstttt!!!
I love your videos 🫶🏽🫶🏽🫶🏽
I normally don't comment but I just wanna say I really love your vidoes and I feel like you're the only person on youtube who is trustwhorthy when it comes to skincare and that we can really relay on your knowlegde without having a second thought I feel like I know more now and Im not scared anymore trying on new skin care products or skin care products in general I grew up with a mother
saying products using on your face is gonna make acne worse lool old generation
Request :) :
And Im not sure if this comment will get seen but would you maybe think about making a video of which type of make is good for the different skin types make up is also a struggle imo
Dr Idriss can you please do a video on thigh hyperpigmentation and blackheads? I feel like it will really help a lot in summer 😊
Hi dr sheeen ifinally bought your skincare products but i didnt use it yet . I like how you give other peoducts recommendation ,thanks for sharing and you know every one is badget
Loved this!
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This looks like such a great video! Dr. Idriss, could you please suggest how can we avoid having atrophic and hypertrophic scars at the first place? Those look the most dangerous considering the treatment process and permanency. Precaution is definitely better than cure!
I just found u and absolutely loving your content ❤️💯 how would I go about treating hormonal acne around my jaw and chin?
Please do a episode on best treatment for acne scar
Thank you so much Dr shereen 💙💙💙💙💙💙💙
❤️❤️❤️
What do you think of the brand Biossance in general? And in particular, their vitamin c rose oil product (minus the dropper packaging which I know you hate lol!)? I am new to your channel and already a big fan!
Good morning Dr!
Question please. What are the percentages of the highlighted ingredients in the Hyper Serum and the Active Seal? Ex. Kojic acid, the Vit C ester, Niacinamide, etc. I would much appreciate the information. I'm excited to try your skin care line!
Hi! I am a big fan of yours and fully agree with every view of yours about the today’s cosmetics! That’s why I am starting my own cosmetics company right now. Will be in Connecticut, close to New York next week with my family for a week and I will be really grateful if you have the time just to meet and speak. I am with a car and can come to your clinic. Thank you for your time. Wish you a wonderful week :)
i think i’ve already listen to a similar video of yours BUT ITS IMPORTANTO
please do on active acne and fillers for acne scars too❤ please❤
Thank you for all this information on acne scars….could you give us information on keloids? I have a few acne scars that formed keloids and I’d like to know what could help for this…by the way I just started to use your products the minute they were available in Canada and I really like the results as of now! Thank you again for all your videos … you’re a great teacher ….I’ve learned so much since I discovered your blog! 🦋🌸❤️🦋🐈⬛
Thank you for another great and informative video. Would be great if you could also make a video about the in-office treatments with the latest technology and what are they good for, how efficient they are, etc. For example Morpheus, CO2, Velashape, etc.
There is a lot if misleading info online and I would like to be more educated about this topic.
Thank you!
Could you put together both an OTC and a Rx version of an ideal week of a hyperpigmentation routine? Having all these ingredient and product recommendations are cool, but when and how to use them all within a routine is overwhelming.
Maybe like a “skin cycling for hyperpigmentation” detailing which ingredients can/should be used twice a day, which ingredients synergize vs which should be used on separate days, and then example routines for each day of the week with products and how you’d layer them!
Even low tech little handwritten sticky notes or notecards with the products or routines with ingredient frequencies for visuals would be helpful 😊
Yes I would love to see a video like this!!
Please talk about treating back acne and the dark spots
Please discuss options for under chin fat. Thanks. You’re awesome.
Hi, Dr. Idriss! How do you feel about La Roche-Posay’s latest ingredient Melasyl? Their claims are pretty promising, do you think they’re superior to other anti-pigmentation ingredients in the market?
thank you for being so informative💗 I am 18 and have seen you talk about not products from your brand on young skin. can you tell what I should and shouldn’t use for redness and pigmentation? I struggle with severe acne and have been prescribed medications which include topical tretinoin 0.05%
I started having post acne brown spots ever since I started using retinol and I don't really have that much acne in general, it eventually goes away but I didn't have this issue before is that normal Doc? I love your content thanks for educating us, I became a derm nerd thanks to you😊
Doctor Idriss! Love your videos and your wealth of knowledgeable paired with an engaging way 😊 would you share your thoughts on how VL (visible light) contributes to PIH especially in skin of color or discoloration prone skin and how we can combat against the Visible Light spectrum
Good morning!!!!! 🌞
Hi Dr.Idriss. Thank you for sharing your knowledge with us. Could you please make a video how to address comedons (open and closed) when you have a hypersensitivity skin. My skin clogging worsens when I use salicylic acid, my skin isn’t oily and acids dry it out even more.
Hi Dr Idris! I Would love to know more about skin lifting treatment whether is it from products or in office treatments. Hope you can share this topic in one of your video :)
Thanks sheree
Old little Lebanese nerd here. I look much younger than my 60+ years but the box car scars on my cheeks have always made me self conscious. Acne scars more than just your skin. So I'm intrigued by the post below. I've used Tretenoin on and off for many years and have really seen no difference. So I'm going to order one and try it. Hopefully it works as well for me as Daniellemcdd states below.
thank you. I suffered from horrible cystic acne and had to do three courses of Accutane over a period of about 20 years. I’ve been using tretinoin nine often on, but consistently over the last five years. I stopped producing excess amount of oil and getting acne at about age 42 and I’m now almost 47. The scars have improved, although they are still extremely visible. I have both types. They are mainly in the areas where a man would grow a beard, lol I am thinking about going to a cosmetic dermatologist, and I am going to show them this and ask them about each type oftreatment
I could have written this! Accutane 3 times over 20 yrs as well. Each time it was great for about 7 yrs: I’m 56 and Still get the odd cyst that scars…it’s so frustrating
Hi @shereeneidriss, I have texture sun damage to my forearms (rolling style perhaps? It’s like my arms are one long Pringles chip). Would these tips, tools & techniques work on my arms? Thanks for an informative video! ❤
Please do another video on exfoliant acids and what order to use them in especially advice for long time users of Tretinoin. I have occasionally, at night, used Tretinoin, waited 20 min then used 5% glycolic acid serum, wait 30 min. and then moisturizer with no problems; but is this ok? I am still having trouble with Milia.
Thank you Doc! Got to tell you that I am one of those rare unicorns 🦄 with good skin 😊 I’m in my mid 50s and have always moisturized myself but it has only been a year of using SPF daily and a face care routine & I can see the difference in my fine lines 😊 I am 2nd generation Polish and Turkish…my question is do deep dimples cause extra wrinkles? TYSVM 💖🙏☮️
Ah! Thank you for this! I thought I had rosacea but it’s PIE!
Can you share about dealing with hyperpigmentation on lips please? Brown skin xx
I am not an acne girl and never been one when I was a teen BUT I did experience few pimples throughout my 20s (few breakouts) and 1-3 of them turned into a red spot. So I believe you don't need to have had a face full of acne for years to develop few acne marks, just one pimple can become a mark. Also, I am the type who seriously enjoys to pop them so don't do that since it"s majorly because of that it can leave a nice mark 😉
Thoughts on the cream otc called Faded? I am in the process of using it, was curious your thought on product
Can you do your next video on growth factors? ❤❤
Hello. I love your content. I have learned so many things from you. I have 2 questions:
- are there ingredients that you can not use on tattoos? Or are there ingredients that are recommended for tattooed skin? Except spf :)
- which are the ingredients that you have to take a break from? For ex: i can use tranexamic acid for eternity or i have to use it 2 months and then take a break? Or retinol, glycolic acid? I imagine antioxidants can be use without taking a break but actives?
Please excuse my english 😢.
Dr I removed my acne scars ( boxscar plus rolling scars) from 8 aggressive sittings of micro needling and then two times c02 fractional laser (2.5 depth) it was painful however scars have faded away in four years 😢 omg what a relief 🎉🎉🎉🎉🎉
I've struggled with acne scars (ice pack and boxar scars) and did tca peel + subcision + dermapen treatment. Now after 2 weeks I can already see 90% of improvment. I think I would need to do one more of this treatment and my scars will be all gone. So if you think what to do, I would suggest this. Microneedling, peelings (that I did few times) it self did not help me with scars, and I don't think I would have this results without subcision combined with tca and dermapen. Hope that I helped someone to, at least, make research about this treatment. Good luck everyone✨️
Hello Dr. Idriss! I am really curious how can I incorporate tranexamic acid mixed with any AHA’s like glycolic/mandelic acid just like your product mentioned in the video, in my routine? I have acne prone skin fighting with brown hyperpigmentation. Should I stop using 2% BHA twice a week and replace Tranexamic+ AHA serum mix????
What do you think about PURITO Centella Green Level Buffet Serum for post inflammatory erythema?
On the nights you're not doing FULL SKINCARE ROUTINE, what are you scaling back to? I'll cleansing with my glycolic acid exfoliant 2-3 times a week but what should I then do on the other days? 😊
Does GOODAL Green Tangerine Vitamin C Serum can be used as an alternative?
I would like to see a video about damaged skin barrier. I've ruined my skin about 10 months ago (more is more principle, especially with the ordinary products) and still have big trouble with my face 😞
Dr. Idriss, you have talked about laser treatment and skin of color. what are your thoughts on technologies like skin mapping? Will they work on dark skin?
I LOVE YOU!!! I HAD A FRIEND WHO HAD A "TINTED WRINKLE BLURRING SUNSCREEN" CAN YOU DO A PRODUCT COMPARISON ON DIFFERENT BRANDS OF THIS "BLURRING SUNSCREEN" PRETTY PRETTY PLEASE 😇😇
Dr Shereen, I am your big fan and admirer from India. I watch all your videos. I just wanted to tell you that the sound of your voice in your video is generally very low. Do something about it. And please educate and advise us like this🙏 lots of love from India🇮🇳 Thank you👏Keep it up 👍
"Exfoliate skin with glycolic acid 3 times a week."
Can I know which one Dr. Idriss does or which one gets better efficacy for hyperpigmentation? To exfoliate every other night for 3 times a weeks or continuous 3 nights? I use retinol the other nights.
THANK YOU!🙏
I did co2 laser three times. Helps a lot!! Too bad it’s expensive
Can you pls tell us about kids and their skincare. At what age do we start kids with sunscreen? And some are very sensitive and have itchy skin. Please do make a video on this.