What to Know Before Treatment: How to Care for Comedones and Inflammatory Acne, Plus Post-Treatment Acne Scar Care

Many people believe that acne is caused by “dirt” or “hormones” alone. However, there are actually many types of acne, and the causes for each vary, which affects the choice of an appropriate treatment approach. By clearly understanding your specific type of acne, treatments can be more effective, helping to reduce the likelihood of future acne scars.

Understand Each Type of Acne Before Deciding on a Treatment

Before starting any acne treatment, the first thing to understand is “What type of acne are you currently experiencing?” To choose the most appropriate treatment method.

• Comedonal Acne

Caused by the buildup of sebum and dead skin cells in the pores without inflammation. It includes both open comedones (blackheads) and closed comedones (whiteheads), commonly found on the forehead, chin, and nose. Suitable treatments include comedone extraction combined with exfoliating cosmeceuticals.

• Inflammatory acne

Caused by bacterial infection in comedones, leading to inflammation, redness, swelling, and pain. It often develops into pustules if left untreated. Treatment should focus on reducing inflammation promptly through methods such as acne injections, targeted topical medications, or reducing bacterial buildup with antibacterial lasers.

Proper Acne and Acne Scar Care Guidelines by Doctors

At Nititham Clinic, we prioritize personalized skincare. Since each patient’s skin concerns are unique, we do not offer fixed “acne treatment courses.” Instead, we focus on proper assessment and customized planning for each individual.

The acne care guidelines at Nititham Clinic can be summarized into the following main steps:

1. Consultation and Assessment by a Doctor

The first and most crucial step is to consult with the clinic’s doctor. This allows the doctor to assess your skin condition, acne type (such as comedones or inflammatory acne), and the severity of the issue, leading to a proper and personalized treatment plan promptly.

2. Patient Guidelines (Recommendations During Treatment)

Patient cooperation is highly important in the acne treatment process. The main recommendations are as follows:

• Avoid picking or squeezing acne. This behavior can cause dark spots, redness, and may lead to acne scarring, delaying the overall treatment process.
• Using Skincare Products It is highly recommended to strictly follow the doctor’s instructions. You may need to temporarily stop using certain skincare products, while others may be continued as advised by the doctor.

3. Light and Laser Acne Treatments

After evaluating the skin, the doctor will consider using light or laser technology to assist in acne care, particularly for comedonal acne. The doctor’s approach focuses on reducing inflammation and preventing new blockages to lower the chances of acne recurrence.

4. Acne Mark and Scar Care (After Acne Subsides)

An important part of the process is managing the marks left behind by acne. At Nititham Clinic, we offer various laser technologies to address different concerns, including:

• Lasers for Reducing Post-Acne Redness and Dark Spots
  • Pico Laser
  • Spectra Gold
  • ProYellow
  • Sylfirm-X
  • MiiN laser
• Laser for pore tightening and oil reduction (to prevent new acne)
  • Sylfirm-X
• Laser treatment for acne scars
  • Pico Laser
  • MiiN laser
  • eMatrix
  • Sylfirm-X

All these approaches will be tailored to each patient’s skin condition under the supervision of a medical doctor.

How to Care for Acne Scars at Home After Treatment

After acne heals, it leaves behind “acne marks”Left behind, whether they are red marks, dark spots, or even acne scars, these marks can be managed to fade or improve if treated correctly from the start.

1. Sun Protection (Most Important) Sunlight is the main factor that triggers post-inflammatory hyperpigmentation (PIH) to darken and slows down the healing of post-inflammatory erythema (PIE). Therefore, it is essential that “Sunscreen is a must.” Apply sunscreen with an appropriate SPF daily, even on days when staying indoors.
2. Avoid irritating the skin. Touching your face is strictly prohibited, especially “Do not pick, scratch, or squeeze.” areas with acne or acne marks, as repeated skin irritation may trigger new inflammation or cause existing marks to darken and take longer to fade.
3. Choose suitable skincare products Look for skincare products containing ingredients that have been studied for their potential to help reduce dark spots and redness, as well as provide antioxidant benefits, such as:
   • Tranexamic Acid
   • Vitamin C
   • Niacinamide
   • Astaxanthin
4. Cleanse your skin gently During the skin’s recovery period when acne scars are present, special attention should be paid to cleansing. It is recommended to use A very gentle facial cleanser For example, use products free from potential irritants to prevent damage to the skin barrier.
5. Nourish skin health from within Always strive to keep your skin healthy and resilient. Additionally, avoid factors that can easily trigger skin inflammation; for instance, some individuals may need to be extra cautious. “Dairy products… or high-sugar foods” because they may be associated with new acne breakouts or inflammation.

However, for “Acne scars” (Atrophic Scars) This is caused by damage to the skin tissue. Self-care is often insufficient, and medical procedures are required to stimulate repair and new collagen production, such as laser treatments, subcision, or the use of collagen stimulators.

If you are feeling concerned about persistent acne, consider consulting a doctor to create a treatment plan tailored to your skin. Because effective acne care begins with “understanding your own skin” and receiving direct advice from a doctor at Nititham Clinic. In addition to the Phitsanulok branch, Nititham Clinic also offers servicesacne treatment in Bangkok By our clinic’s medical team, equipped with technology specifically designed for acne care.

For more information or to book a consultation with a doctor, please contact:
Nititham Clinic Phitsanulok
Tel: 055-303899, 097-251-3390
Line: https://lin.ee/mxQAzch
Facebook: Nititham Clinic
Nititham Clinic Bangkok (Silom)
Tel: 095-289-9998
Line: https://lin.ee/kUu8NAt
Facebook: Nititham Clinic, Silom Branch (BTS Sala Daeng)