Acne Marks, Scarring & PIH? Everything To Know!

Рет қаралды 49,682

4 жыл бұрын

I’m bringing my #AcneSolved series to a close with today’s instalment in which I cover the 3rd phase of acne management - you’re in the groove, your retinoid is doing the heavy lifting at night and you’re now looking to enhance your ‘canvas’ by tidying up those pesky dark marks and uneven texture. I highlight the key Actives that work in harmony to improve skin-tone, reduce uneven texture and deliver that grown-up glow.
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As always thank you so much for watching and for all your support!
Disclaimer: The content seen in this video is provided only for medical educational purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek professional help individually if you suffer from any dermatological condition. Due to the volume of patients seen in the clinic, and to the unique nature of skin, Dr Bunting is unable to respond to every query on these videos.

Пікірлер: 124

@Losshe 4 жыл бұрын

My tip for mentally dealing with skin imperfections is to see myself as how I see others. I have mild adult acne and some scars. I find that when I focus too much on the imperfections on my skin, I tend to magnify it and it becomes intolerable. But when I look at other people with skin issues, I don't find then to be "gross" or other harsh words that I'd use to describe my own skin. I tend to look at their overall features, their way of carrying themselves, their smiles and how they interact with others. So to everyone who's reading, at the same time that we treat our skin issues, we should also be less hard on ourselves. Acne and scars aren't all we are. They will get cured, so please don't bring yourself down for something that's temporary.

@DrSamBunting 4 жыл бұрын

Couldn't agree more!

@bushramajid4123 4 жыл бұрын

What a nice perspective🙂 I’m the total opposite. I notice all the small details in people (not on purpose- it’s just how I am) so when I see myself, I’m equally harsh on myself if not worse. When I look in the mirror, I notice every single mark and scar and it bothers me - becuz I notice it and hate it on everyone including me. But I’m not insecure about my appearance because of it. I’m quite comfortable with it. There are features of me (physical and otherwise) that I really like and others that I really don’t. It’s not something that affects self-esteem. But God acne is annoying! I can’t ignore it once I see it esp since it’s painful as well😣

@Fitriyani-qt7dh 4 жыл бұрын

2:43 skincare to use for long-term maintenance 1. Pigmentation treatment 2. Retinoid 3. Preventer, like azelaic acid 4. Occasional use of anti-inflammatory (like spot treatment) 5. Sunscreen 6. Niacinamide 7. Not using comedogenic makeups (change your cosmetics, like changing from long wear foundation to tinted moisturizer)

@dynamitedynamite2737 4 жыл бұрын

Hi anything to fade dark pigmentation on dark skin ?

@Fitriyani-qt7dh 4 жыл бұрын

Dynamite Dynamite niacinamide & vit c serum.

@rosestars3052 3 жыл бұрын

Does tinted moisturiser hide the red marks ? And the acne

@Fitriyani-qt7dh 3 жыл бұрын

Rose Stars it can.. but very light coverage

@rp3875 4 жыл бұрын

Great series, practical and structured, thank you!

@AslihanMG 4 жыл бұрын

I just want to say that I have been binge-watching Dr Sam since I discovered her a week ago, and before that, I was so overwhelmed with all the different beauty items available on the market. I had no idea where to start or how many things to put on my skin but Dr Sam has made things so simple and clear and I am obsessed with her videos. I have recommended her channel to everyone that I know and I remind myself to click ‘like’ on every one of her videos I watch. Thanks Dr Sam, you have helped me get rid of my skin anxiety and made me much more knowledgeable about skin!!

@mariadruk8650 4 жыл бұрын

what a perfect timing! I just started taking care of pih and I immediately found this video! it was really helpful! thank you!

@DrSamBunting 4 жыл бұрын

Wonderful!

@jetterasmussen6577 4 жыл бұрын

Hi Sam. Thank you so much for these series. My beautiful 17 year old daughter is battling with whiteheads, and also bad pimples. I will rush and buy retinoids and anti inflammatory products for her asap. And tell her to BE PATIENT, which I know will be a struggle.

@georgialee4409 4 жыл бұрын

In terms of feedback on the acne solved series - amazing & informative. Gave me structure to all the products I've been dipping in and out of for years, I like many have an awful habit of not sticking to things if I don't see results in a couple of weeks. My skin looks the best it has done for 5 years. Cannot thank you enough.

@andanothermayo 4 жыл бұрын

Thank you so much for this Dr. Sam! ☺️❤️ btw, I just wanna ask if it’s okay to use the Cetaphil cleanser for oily acne prone sensitive skin? Thank youuuu again! 😘

@ricktimmons458 4 жыл бұрын

absolutely beautiful.

@angelamarshall4744 4 жыл бұрын

Excellent video!

@coldplayfreak1235 4 жыл бұрын

Great tips, Dr. Sam! Perfect timing as I've added azelaic acid into my routine recently to help treat PIH

@DrSamBunting 4 жыл бұрын

Hope you find it helpful.

@coldplayfreak1235 4 жыл бұрын

Dr Sam Bunting I do! Thanks😊

@JM-ov2wp 4 жыл бұрын

Thanks Dr. Sam! 😊

@amyhall8917 4 жыл бұрын

Love this! 🙏

@StephanieRZ 2 жыл бұрын

This was absolutely well done & absolutely helpful, thank you a tremendous amount, very much! ❤️❤️ Any product tips for Azelaic Acid & Niacinamide?

@Fifje 4 жыл бұрын

Hi dr Sam.. thanks for these great series.. I would love to know if it's ok to layer niacinamide, tretinoin and azelaic acid.. thanks in advance 🌹

@Kate-pv2rx 4 жыл бұрын

Love these videos they are so helpful. Sunscreen always seems to give me spots though, is there one you would recommend? I’m using la Roche posay at the moment

@juliad.5298 3 жыл бұрын

Try Paula’s Choice. I have acne prone skin and that sunscreen does wonders :)

@priyankasengupta3862 4 жыл бұрын

❤❤ best one

@Keapix 4 жыл бұрын

I’m fair-skinned and have had the same PIH marks for years... I’ll definitely give these tips a shot!

@DrSamBunting 4 жыл бұрын

Good to hear.

@udontknowme154 6 ай бұрын

is it gone now?

@luciagarcia5272 4 жыл бұрын

I wish you did a rosacea series...

@nuraanvollenhoven 4 жыл бұрын

Thank you so much Dr Sam, love to you from South Africa 💗

@DrSamBunting 4 жыл бұрын

So kind! I'm visiting in Jan. So excited to come to your beautiful country!

@nuraanvollenhoven 4 жыл бұрын

@@DrSamBunting 😁 that's exciting! I hope you are coming to Cape Town

@DrSamBunting 4 жыл бұрын

Nuraan Vollenhoven yes! And Franschoek and safari!!!

@nuraanvollenhoven 4 жыл бұрын

@@DrSamBunting 😁That's wonderful, I hope you'll see many of the main attractions and have a fantastic time. Please let me know if there is anything I can do to make your stay extra special, if there is anything you'd like to do or need any suggestions. Looking forward to having you ☺️😁

@fatimabibihoosen 4 жыл бұрын

Omw I'm seeing this now. I stay in Pietermaritzburg (it's near Durban) Hope you like and enjoy your stay in SA 😁

@cricketlala 4 жыл бұрын

Thank you, Dr. Sam. I am using azelaic acid instead of a retinol. Over time, will it achieve the same results for getting rid of acne? I’m not sure I want to go the retinol route.

@desililaccorner614 3 жыл бұрын

I have been following dr Sam's suggestion on using Azelaic Acid on the morning and Retinoid Acid at night. My skin healed faster than using retinoid acid alone and i can see the dark spots fading too (compared before using Azelaic Acid). I also use CeraVe AM for the sunscreen/moisturizer because i'm after the niacinamide on it too :D best combination ever

@eve2000daley 3 жыл бұрын

What type of retinoid have you used? I'm torn between adapalene and CeraVe resurfacing.

@desililaccorner614 3 жыл бұрын

Eve Daley hello, i’m using Adapalene 0.1% 😄 it’s a game changer! it’s more potent and effective on my acne skin.

@maeerickajeanpicar2051 3 жыл бұрын

What azelaic acid do you use?

@victoriakunetsky 2 жыл бұрын

@@desililaccorner614 what azelaic acid do you use ? I have also started adapalene 0,1% but just one week ago so hopefully to start seeing effects

@julianapadilla9926 4 жыл бұрын

More content like this, please! Why are oils not good for acne-prone skin?

@martaxo1625 4 жыл бұрын

they can clog it - as simple as that

@1naturalbeauty 4 жыл бұрын

What are your thoughts on niacinamide in cleansers? Can you benefit at all from it that way? My skin always breaks out if I use a leave-on product with niacinamide in it, but I haven’t had any issues with it in the cleanser I just started using.

@kaystary 4 жыл бұрын

What type of retinoid have you found works best on hormonal acne, topically speaking?

@ema_2923 4 жыл бұрын

I couldnt understand the part where dr Sam talked about rolled scars.. they will improve over the course of three years? :)

@jebinrahman6538 4 жыл бұрын

Hello Dr. Sam Bunting I am having PIH. I use tretinoin and glycolic acid toner and BHA facewash. Should I use azelaic acid or continue with these products ? Thank you

@bushramajid4123 4 жыл бұрын

Hi Dr Sam! Love this series!❤️ I’ve incorporated changes in my routine as per your recommendations in the previous parts of the series. I have adult acne mainly on my jaw and along the jawline. It seems to have started to purge after I started the Effaclar Duo by LRP. Planning to start PC’s BHA liquid Exfloiant soon to replace it. What’s your opinion on that? Also what % of Azelaic Acid do you recommend? I’m currently on 10% (alternating with Tretinion in the PM). I have been on Tretinoin for over a year now and also used Azelaic acid but still continue to have marks ☹️

@DrSamBunting 4 жыл бұрын

Bushra Majid try to build up to tret every night and use azelaic acid in the morning for optimum results.

@bushramajid4123 4 жыл бұрын

Ok great thanks! Is it ok to use Azelaic Acid with Salicylic Acid in the AM?

@cosmic_lotus_eater 4 жыл бұрын

Hi Dr. Sam, what do you think of using Vitamin C in the morning and differin and azelaic acid in the night or alternating some of them every other day? This is for acne scarring. P.S. I have Sensitive acne prone skin, I would like to know how to safely use strong ingredients without burning the skin. My second query is, if my skin has purged due to differin, can it still do so after Vitamin C?

@RutujaDicholkar 4 жыл бұрын

Can we use azelaic acid and tretinoin in same routine?

@danagodfrey2979 4 жыл бұрын

Hi there wots a good treatment for scars on the face after spots with a teenager many thanx

@FayhaMullaji 4 жыл бұрын

I love this series. I was already on Differin (using alternate days or 2-day gaps) but I am going to incorporate all the other tips and products you have suggested. I do love Azelaic acid, it helped my acne (a little) and pih marks (a lot) when nothing else did but it itches a lot so I stopped. However, I am going to start using it again. Thanks Dr. SAM! 😊

@riannrobbins9182 4 жыл бұрын

Quick question- I have a prescription strength 15% azelaic acid gel that I am unsure how to use it. I think I was told to mix a pea size with my cleanser but isn’t it suppose to be left on the skin? Can I just use the gel directly, do I need to buffer it with a moisturizer or do I mix it with my cleanser?

@Lele-er9xt 4 жыл бұрын

Hi Dr Sam..I'm 55, I've always had good skin until last 2 years..breakouts and acne scars on my cheeks..Any recommendations for cleansing, toning and hyperpigmentation for black American sensitive skin? New subscriber today. Thank you! I'm presently using Cetaphil, rose water for toner, and 2 products from the ordinary skincare line and ambi for dark spots from acne..I'm still getting breakouts! I drink 4 to 6 bottles of water. ..I'm so unhappy with the way my skin looks at my age.

@Poeticdyme 4 жыл бұрын

I like you so much better than Dr. Dray lol so glad I found you

@LolaRage 4 жыл бұрын

Hey Sam can you please do a video on treatments that are for deeper scarring? I have small acne scars embedded in the skin and want to try and smooth them out somehow. X

@dynamitedynamite2737 4 жыл бұрын

You got pigmentations with it ? What skin type are you !

@LolaRage 4 жыл бұрын

@@dynamitedynamite2737 no I don't have any pigmentation. My scars are minor but obviously just being particular about it. I have combination skin so normal and oily t-zone.

@evapriest 4 жыл бұрын

I’ve been prescribed Epiduo which has Adapalene and Benzyl Peroxide - do I need a anti-inflammatory for the morning? Thanks x

@AlineSeiler 4 жыл бұрын

Eva Priestley Hi Eva, BPO is anti Inflammatory. 😊

@nicolasmith365 4 жыл бұрын

Is the niacinamide in EltaMD UV Clear at a high enough concentration to help or would you recommend a separate product? I'm already using azelaic acid AM and tretinoin PM. Thank you!

@dynamitedynamite2737 4 жыл бұрын

You using for hyperpigmentation? Has your skin improved with what you are using ?

@paprincess13 3 жыл бұрын

If using bha and benzoyl peroxide in the morning and a retinol or azelaic acid in the evening (I’m rotating), one, is it ok to use the bha daily (I’ve been using azelaic acid in the morning, but wanted to incorporate my bha back into my routine and replace my morning azelaic acid), and two; where would you recommend the niacinamide? With retinol? With azelaic acid? Ok to pair with benzoyl peroxide and the bha?

@gemmatyrrell7354 4 жыл бұрын

I am using duac in the morning and differin in the evening, can I also incorporate azelaic acid in the am? And would it be better before or after duac? :)

@MaggieMay061 4 жыл бұрын

I personally wouldn't use duac in the morning as it makes the skin more sensitive to the sun. I used duac and differin on alternate evenings, I've now changed duac for azelaic acid as they are pretty similar, so I do differin one night and azelaic acid the other night. Don't use too many of the same products as it can dry out the skin too much 😊

@Lilabsolue 2 жыл бұрын

I have mild acne, but with horrible scars (red then brown) that last for weeks and months. I'm now on tretinoïne and purging so bad, with constantly 7-8 really bad brown marks on my face... I'll try azelaic acid and hope that it will be ok to use it with tret on my sensitive/irritating skin 🙏🏼

@homama2551 4 жыл бұрын

Love your Videos, they are so helpful and clear on point ❤️ i had those ice pick scars left from my teenie time on my cheeks, does retinoid help in long term using? Thank you very much ❤️

@DrSamBunting 4 жыл бұрын

Ice-pick scars are challenging as they're narrow but deep. See a dermatologist who treats lots of acne scarring for an opinion - laser, TCA and punch excision are all used.

@saralobue807 2 жыл бұрын

When you say box scars need urgent attention what do you mean? I know you mentioned scarring can take up to 3 years to heal. But if you’re saying it needs urgent attention what is needed?

@jenniferadams9914 4 жыл бұрын

It says on the how to use to not use vitamin c and azelaic acid. Is that true? I use vitamin c every morning

@jellilang 4 жыл бұрын

Do you have any recommendations for azelaic acid and niacinamide products we could use without seeing a dermatologist?

@brittanyg6796 4 жыл бұрын

Look into Curology or The Ordinary.

@DrSamBunting 4 жыл бұрын

@@brittanyg6796 Azelaic Acid can be found in Paulas Choice products, The Ordinary and also our Flawless Nightly Serum, as is niacinamide.

@charlenek11 4 жыл бұрын

CeraVe moisturizers and sunscreens have niacinamide in them, too.

@jellilang 4 жыл бұрын

Dr Sam Bunting thank you!

@bayleecohan6185 4 жыл бұрын

Do you think niacinamide topically or orally works better?

@DrSamBunting 4 жыл бұрын

Topically.

@Makeupcraze87 4 жыл бұрын

Thank you SO much for these series! Have started following the routine you’ve suggested in the first video and my acne has stopped for now, its now time to treat the pigmentation. Just to clarify, are these the correct steps for morning routine? Cleanser, preventor (Azelaic acid OR AHAs OR BHAs), targeted anti-inflammatory, niacinamide, moisturiser, SPF?

@viviennechew2839 4 жыл бұрын

can I use both Azelaic Acid and Retinoid in the PM?

@eve2000daley 3 жыл бұрын

I wouldn't recommend that, as it can lead to lots of irritation. Try using Azelaic Acid in the morning, or alternating days.

@dodgeball28 4 жыл бұрын

Azelaic acid cannot be used in the PM if i'm using Tretinoin?

@DrSamBunting 4 жыл бұрын

Yes they can - use azelaic acid AM and the retinoid PM.

@adellaoconnor156 4 жыл бұрын

Could we have product recommendations please

@nmextra 4 жыл бұрын

yes like what are the pigmentation treatments?

@robbsia4083 4 жыл бұрын

currently using the ordinary’s niacinamide. hope this helps.

@wsd2456 4 жыл бұрын

Any suggestions on how to treat hypo -pigmentation as a result of blemishes?

@DrSamBunting 4 жыл бұрын

Sun protection and patience - no specific treatments that I'm aware of influence the course.

@wsd2456 4 жыл бұрын

@@DrSamBunting Thank you. Sun protection is the easy part.... patience, not so much. Appreciate your response.

@dokitodokitoons 4 жыл бұрын

Fiirsst!!

@firnheledien 4 жыл бұрын

How long does azelaic acid take to fade PIE? I find it extremely slow.

@martaxo1625 4 жыл бұрын

6-9 months

@SweatyBaconYt 4 жыл бұрын

Loving this series, currently using the entire flawless line. I will be coming up on my skins first 6 week cycle using the retinoid nightly serum. I am noticing changes in my skin already. I can’t wait 😊 to see how my skin improves by next year. Patience is defiantly the key. Anyone know about how long their flawless nightly serum lasts? Using about 1/2 pump nightly. Just want to reorder before I run out.

@DrSamBunting 4 жыл бұрын

Around 6-8 weeks.

@SweatyBaconYt 4 жыл бұрын

Thank you 🙏 so much!

@alicedsouza2528 4 жыл бұрын

can adaplene 0.1% be helpful for MILD ice pick scars

@DrSamBunting 4 жыл бұрын

Yes, we think so. But it takes at least 6 months.

@alicedsouza2528 4 жыл бұрын

@@DrSamBunting Thanks for replying Dr Sam...wish to see you in person one day

@dynamitedynamite2737 4 жыл бұрын

Dr Sam Bunting hi doctor I been using adapalene 0.1% past 7 months for old post inflammatory hyperpigmentation, I have not seen any improvements re lightining to the PIH , I have ethnic skin type 4-5 , was using a tyrosinase Inhibitor until I stopped for two years and all the PIH came up dark . Should I continue to use the same tyrosinase inhibitor which got arbutin , kojic dipalmitate, liquorice root extract , moras Alba mulberry . Or is it good to switch to different tyrosinase inhibitors ? Also should one apply only on dark pigmentation or apply all over the face , can melanocytes move to another non pigmented area if you don’t apply tyrosinase inhibitor all over your face ?

@beautybritter 4 жыл бұрын

Would you recommend Vit C for pigmentation (in the AM) or would it be too much for acne-prone skin?

@monicabagonamarkande 4 жыл бұрын

Are Niacinamide and Salicylic acid safe for pregnancy?

@DrSamBunting 4 жыл бұрын

Monica Newna I like Niacinamide and azelaic acid, rather than salicylic acid for pregnancy.

@monicabagonamarkande 4 жыл бұрын

Dr Sam Bunting thank you Dr. Sam. You’re beautiful. ❤️

@anitahadley2871 4 жыл бұрын

I’m 55 and I feel like I have scarring on my chin that has been showing up and is more noticeable then when I was younger. It just seem so much more textured. Is that something that happens as we age? And is here anything to be done about it now?

@DrSamBunting 4 жыл бұрын

Anita Hadley it can happen as we lose a little volume, especially in the little triangle under the lip at the corner. I think that can create more of a shadow in context of scarring.

@joycem2795 4 жыл бұрын

I had some filler injected into the chin area and that has helped with volume loss and makes my skin look much smoother. I’m 58 and have always had acne scarring on my chin under the corners of the mouth. The filler really helped.

@anitahadley2871 4 жыл бұрын

Dr Sam Bunting yes, I have lost volume around the mouth as I now have some lovely little jowls! Caroline Hirons said something recently that got me thinking, that she had filler in her cheeks to lift up and help with the jowl situation. I never really thought of filler in my cheeks to help the lower parts.

@anitahadley2871 4 жыл бұрын

Joyce M I may have to look more into fillers.

@laluna5548 Жыл бұрын

I am as fair skinned as it gets, but my hyperpimentation is through the roof. I get maybe I pimple every 2 days, but that adds up cause of the hyperpigmentation…

@emilio9425 4 жыл бұрын

Would you recommend hydroquinone for PIH? I’m currently using Retin-A 0.1 along with Tranexamic Acid at night. I was wondering if I should use 0.1 Adapalene in the morning or Azelaic Acid? Does Niacinimide affect any of these ingredients when used together?

@rosestars3052 3 жыл бұрын

Hey have you figured a cure ? I’m using adaplene for my acne but half of my face has red marks , and I use niacnimde the morning after and moisturse with a hyaluroinc moisturser ! I don’t know how to get rid of it

@emilio9425 3 жыл бұрын

Rose Stars I’m in a different situation now and have gone on accutane so my routine has changed completely. You might have PIE (red scars) instead of PIH which is mostly brown scars. I know people recommend Azelaic Acid for PIE, so you could maybe try that?

@rosestars3052 3 жыл бұрын

Emilio but how do I use it? Bc I’m already using adaplene for my acne I realised half my face is just red marks on my both cheeks it just small And big typa eee marks like dots Of Red Marks ? How do i add it into Mh rohrine ?

@emilio9425 3 жыл бұрын

Rose Stars I would add it into my morning routine, before applying sunscreen. Good luck!

@rosestars3052 3 жыл бұрын

Emilio I cleanse , put niacnimde , moisturse with a hyaluronic acid moisturser ( which I ran out from so u don’t know what to use now ). And put sunscreen on after. Then normally prime my face and put on foundation ! !! So if I was to get azelsic acid woukd I cleanse , serum, moisturse , azaelic acid theb sunscreen ,

@priyankasengupta3862 4 жыл бұрын

When i went to my derm for 1st time he suggested me azleic acid 10%,but my skin was breaking out,then after 1 mnth he changed my routine and suggested a gel contains clindamycin and niacinamide,within 2 mnth my skin was clear but not problem free. Can i switch to azleic acid??

@PrissyHippie 4 жыл бұрын

What if you have pitting and scarring where a woman would normally contour...right under the cheekbone and some on the cheekbone. Would anything help the appearance of those type scars?

@DrSamBunting 4 жыл бұрын

A mix of treatments is often needed - micro-needling and lasers are good options to consider. See an expert who can assess your scar types and make a bespoke plan.

@PrissyHippie 4 жыл бұрын

@@DrSamBunting thank you Dr. Sam. You are so lovely!