Q: I am 19, and I have severe acne. Some of them have left a scar behind. Can you please advise on how best to treat this?

I think this is the best time to understand your acne problem and know methods to minimise scar formation. You are undergoing hormonal changes and hence it is natural that your skin will produce excessive sebum. The oil glands are very hyperactive at this age. The glands often get blocked by skin debris leading to accumulation of sebum inside the glands. No it’s not dirt as many people think. This sebum retention leads to black and white heads that I am sure you are well aware of.

[I have wrinkles but don’t want to use Botox]

Now, skin carries a bacteria called acnebactrium that can infect the sebum gland forming small pustules. No don’t get tempted to burst it... these grow bigger and form pus pockets. If not treated they keeping digging in your skin and finally burst leaving craters and pits in your skin.

If you squeeze it, the acne will rupture overlying skin and form a bigger scar.

A skin specialist will help drain these pus points gently. Special antibiotic lotions reduce the infection. There are medical treatments such as alpha hydronic acid, salicylic acid that help reduce the sebum in your skin. But most important is to get to the root cause – the black and white heads. They are time bombs waiting to get infected and burst out.

For scars that have already occurred, don’t be disheartened there are special treatments to fix your scars. A special treatment worth mentioning is nanofat grafting. Ask your skin specialist about it.

Dr Sanjay Parashar is a plastic surgeon at Cocoona Centre for Aesthetic Transformation, Dubai. Our fantastic panel of renowned experts is available to answer all your questions related to fashion, well-being, nutrition, finance and hypnotherapy. Email your queries to friday@gulfnews.com.