LAM FACIAL PLASTICS

Hi Dr. Lam,
Thanks so much for the info. I wanted to address a really big problem I have...acne! I am in my late twenites and never had acne as a teen. I started getting zips frequently when I turned about 23 and now, nonstop. My face is full of scars and I have tried every kind of acne cleansers, acid, gels, tonors out there, even prescription medicine but that dries out my skin bad. ranging Nothing has helped and I am getting so many scars rom the zits or acne. I wash my face twice a day and do everything I am supposed to but still continue to get them. Some are huge others medium. Some are large and bubble like and very painful. Those leave the worst scars and I never pick at them, I wait for them to go away on their own. I have thought about lasar or chemical peels as my only option but the lasar may get rid of scars but the acne will come back. I also have a sweating problem. I sweat under my arms excessivily and my hands and more so when nervous. Do I have a hormonal problem? Also, I am using witch hazel, is that a good product for me to use? Any advice helps me.

hi,
first you need to ask a dermatologist these questions. you might need something as strong as Accutane but hopefully not. they should advise you. i would not treat your scars until your skin is stabilized. as you get into your thirties also there can be some hormonal balance issues which my anti-aging center can help with. obviously, skin care and other treatments are important too.

sweating can be handled temporarily with Botox treatments at $1000. usually it lasts 6 months or so. that is if all else fails (salts, deodorants). if you want a permanent solution a surgical sympathectomy by a thoracic surgeon may be a more definitive and lasting solution. however, i don't know much about the procedure. you can start with your family doc to refer you to someone.
best,
sml