Reconstructive Surgery

Acne has a tendency to heal with scarring either like a deep /superficial scar that appears like a pit  or as a pigmented scar. This is particularly true for pustular and comedonal acne . Hence it is advisable to treat acne at the earliest for teenage acne also .

Premenstrual acne occurs in 44%of women and acne is mainly present around the chin and mouth region.  This occurs at these sites  because sebum glands  are present in increased numbers  here  .

 Skin undergoes a change during the menstrual Cycle ,

There  is  a reduction  in the size of the opening of the sebum glands  after ovulation leading  increase in acne  lesions , this is combined with change in skin microflora and increased sebum production following release of estrogen 

Moisturising plays a very important role to prevent premenstrual acne. It helps  to improve the reduced  skin   barrier function .

In addition, ensure to remove comedones prior to your ovulation cycle, this prevents increased sebum production, blockage of pores , bacterial growth and inflammation. Medical creams like retinoids can be helpful but this is not much use of systemic medicine .

Adult acne affects 14% of women between  the ages of 25 -50 years 

It can happen due to various reasons. One of the most common reasons is loss of oil and water balance of the skin. That causes oil glands to become overactive. Our skin has a very delicate oil water balance. There is constant loss of water happening through the surface of the skin with this excessive loss when not compensated leads to overactivity of oil glands for the purpose to prevent more water loss from skin surface

Think of it as if you apply a layer of oil on a wilting flower This will prevent loss of remaining water from the surface. 

Adult acne is definitely  very  challenging to treat . A comprehensive  medical history helps to remove the supporting causes.

In addition local treatments like Lasers, Chemical Peels go a long way to treat acne . this has to supplemented with home care including moisturisers and sunscreens

PCOS is PolyCystic Ovarian Syndrome and PCOD is PolyCystic Ovarian Disease 

​​PCOD (Polycystic Ovarian Disease) is a condition where the ovaries release a lot of immature or partially-mature eggs which eventually turn into cysts. Some of the common symptoms are abdominal weight gain, irregular periods, male pattern hair loss and infertility. In this condition, the ovaries usually become enlarged and secrete large amounts of androgens that can cause havoc with a woman’s fertility and her body. The best treatment for PCOD often looks at reducing the severity of such symptoms through exercise and diet .

PCOS is a condition in which the ovaries produce higher levels of androgen than usual, which interferes with development and release of the eggs. Some of the eggs develop into cysts, which are the little sacs filled with liquid. Instead of being released during ovulation, these cysts build up in the ovaries and at times even get enlarged. PCOS is a metabolic disorder

Due to the increased production of androgens , there is an increased production of acne due to increased sebum production , the acne are usually seen in the lower face and jawline area .

Since PCOS  is a complex disorder a comprehensive treatment is established using  detailed history , lab tests .  The severity of the problem the treatment for the hormonal issues and acne can be done simultaneously 

Treatment options vary from chemical peels , lights , Laser, etc along with diligent home care .