LAM FACIAL PLASTICS

Hi Dr. Lam. Thank you so much for taking this time to make this forum up and share your medical knowledge with us.

1. Does asian skin tend to scar longer than non-asian skin? For example, does acne/pimples scar tend to appear/ visible on the face longer on asian skin?

2. Does laser treatment, chemical peel or microdermasion really help to fade away acne scars? Is asian skin suitable for these treatments?

3. Does whiten facial products or renewing skin care products help fade away scar faster?

4. Is there any medical procedures/ injections that will help controlling acne? Given that i wash my face twice daily, my skin is not extreamly oily, but pimples keep appearing on cheek / jaw / chin and sometimes forehead area. Please help.

Thanks .

It is my pleasure to share some of my knowledge. To make it easier, I have reproduced your questions and provided answers following each question:

1. Does asian skin tend to scar longer than non-asian skin? For example, does acne/pimples scar tend to appear/ visible on the face longer on asian skin?

Yes, generally that is the case for two reasons. First, Asian skin whether pigmented or not behaves like a Fitzpatrick IV (a grade of skin coloration) that leads to prolonged pigmentation problems after acne or picking at acne. Also, it can stay red longer. I have had scar corrections that should have faded in 2 to 3 months in Caucasians appear still dark up to many many months in Asians with one case over a year and a half. That is unlikely but possible. Sun avoidance will help minimize the duration and intensity of post-inflammatory hyperpigmentation.

2. Does laser treatment, chemical peel or microdermasion really help to fade away acne scars? Is asian skin suitable for these treatments?

Not really. Microdermabrasion does nothing for acne scars. Most lasers really don't do that much in my opinion but new lasers are coming out all the time so I can't recommend any particular laser at this time. Regular chemical peels at an aesthetician office or spa do nothing. Even physician-strength peels do nothing. My 100% acid treatments can help the tiny holes but not the big ones. Read the related blogs where I discuss this.

3. Does whiten facial products or renewing skin care products help fade away scar faster?

Bleaching products can help fade darker color of scars faster if they are hyperpigmented. However, they won't help redness and can actually worsen them. Bleaching products like 4% hydroquinone will only work after several weeks of use AND sun avoidance AND sun block. You must follow the prescribing information from your physician as these products are dangerous if applied over large areas of the body or if used and you go out into the sun. Skin care products have so many different things in them. I can't and should not recommend any brands in this forum. Suffice it to say: consult with your dermatologist.

4. Is there any medical procedures/ injections that will help controlling acne? Given that i wash my face twice daily, my skin is not extreamly oily, but pimples keep appearing on cheek / jaw / chin and sometimes forehead area. Please help.

When you wash your face, make sure you are not using alkaline soap which can dry your skin too much then create oil overdrive. You should use a pH balanced cleanser from your physician/dermatologist or skin care specialist. Also, do not over wash your face. A big problem I see is if you think your face is even mildly oily, you will wash it then that will cause more oil production. Wash your face no more than twice daily, which you stated you are doing already. Beyond that, you need to consult with your dermatologist. I am not a dermatologist, but a facial surgeon. If you do live in Dallas, we have blue light therapies that can help with acne in addition to basic skin care. More aggressive medical options should come from your dermatologist.

Best,
SML

Thanks .

Hi Dr. Lam
Thank you very much for replying.

Talking about asian skin in general:
1) I find that some asian tend to have yellowish skin tone. Is there any way (bleach, laser, etc etc) to correct that? When i was born, my mom said the doctor put me (naked, but eyes covered for protection) under this light for 10 days due to the yellowish skin. But I still have the yellowish skin tone (I'm 20 yrs old now).
2) I find that asian in general have larger pores size comparing to other races. Is there any way to reduce the pore size (especially on the cheeks area)?

Thanks

1) I find that some asian tend to have yellowish skin tone. Is there any way (bleach, laser, etc etc) to correct that? When i was born, my mom said the doctor put me (naked, but eyes covered for protection) under this light for 10 days due to the yellowish skin. But I still have the yellowish skin tone (I'm 20 yrs old now).

The yellow you had a birth was most likely jaundice that can affect newborns and needs to be treated. That goes away after you were treated and does not last the remainder of your life. Asian skin is naturally olive color which may be interpreted as a yellowish tint but that is something you should not get rid of. I do not do it and would not. That is part of your race and your identity.

2) I find that asian in general have larger pores size comparing to other races. Is there any way to reduce the pore size (especially on the cheeks area)?

I think Asians have thicker skin in general but not everyone does. Pore size varies, and there is no consistent treatment for it. Many treatments by an aesthetician really do not help that much. Although certain fractionated lasers and even "micro botox", extensive micro injections of Botox performed in the Philippines, can help, I would tell you that these are overkill for a young lady like yourself. Try to stay away from close inspection of your skin. That is only natural for a woman who puts on makeup for example.