Acne scars, loss of self-confidence, hesitant nature, communication difficulty. Treatment options?
Patient: Hey , i m 16 years old , i have a problem communicating with other people . I don t talk to people a lot , i m a very shy person , i don t go out a lot .. I usually sit at home alone in front of my computer .. This wasn t serious for me until now , i lost my self confidence (i have acne scars which makes me even less confident about myself) , i became very hesitant , i m afraid of going out and talking to people and showing my face .. I m not sure if what i m saying is clear , because i have an idea but i don t know how to tell anyone ! Doctor: Hi,  Thanks for writing in.   Acne is caused by hormonal imbalance. Hormonal work up may be necessary.  Blockage of sebaceous glands causes papules and pustules.White substance is secretion of sebaceous glands.   Acne is treatable now.With correct treatment all your pimples ,  scars and dark spots can be treated.   To start with you have to apply Brevoxyl cream twice daily .  Also you can use anti acne face wash like Brevoxyl face wash.   Avoid any hair oil to hairs.Avoid any other moisturizers or cosmetics.  Use good quality sunscreen like SUNCOTE gel daily while going out.   Discuss the option of Isotretinoin with your dermatologist.It will have rapid effect.  There is nothing to be depressed about.Once you start medication there will be rapid effect and you can mix with people with confidence.  Hope this helps.  Best of luck.  Regards.  dr Sudarshan.  MD  dermatology.