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the-good-doctor
the-good-doctor, Board Certified Physician
Category: Medical
Satisfied Customers: 65765
Experience:  Medical Doctor
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Disgusting strange look white tiny bumps on my face

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Dear doctor, two days ago, on my face there were several white small bumps, gathering together, appeared. This is not the first time I have them. I notice if I sleep on a (just a bit) dirty pillow, those pumps will appear. There is always a biggest one in the centre and smaller tiny ones surrounding, which looks really disgusting to me. They hurt when I touch, and from past experience, they will disappear by themselves (disappear more quickly if I apply a hot wet cotton pad on, I'm not sure if this is a right way to do, please advise too), but leave a red mark which will take ages to fade. I would like to know what they are. And also I want to know if the red marks on my face are acne scar or Post-inflammatory Hyperpigmentation. Those marks have been there for more than a year. For other people, it only take a couple of weeks for post acne mark fade, but it would take me a year. I wonder what's wrong with my skin. Thank you very much.

still need help?
Customer: replied 4 years ago.

Yes, please. No one has answered my question.

do you have a pic of the white bumps?
Customer: replied 4 years ago.

I think this is acne. No more no less
I recommend you get on some prescription therapy for this
I would use retin-A or clindamycin gel
if that doesn't work then oral minocycline
Customer: replied 4 years ago.

Most of white tiny bumps have disappeared. It used to have one biggest one and 7,8 tiny ones surrouding. And 1 or 2 tiny bumps here and there on my face. And I only get it if I sleep onto an unclean pillow.

So acne can be like this? I mean it's pretty strange look to me as they appear gathering like that.

Yes, absolutely it can be
I'm quite sure that is what it is
the-good-doctor and other Medical Specialists are ready to help you
Customer: replied 4 years ago.

Ok, thank you very much. I feel quite relieved as I thought it could be some kind of virus.

Here two photos of my two cheeks. Can you have a look please? Are the marks on my face acne scars or just post inflammatory hyperpigmentation. They have been there for a year. Even though they do get better over time, but the rate is very slow. May I ask the treatment for quicker result? Thank you.

It is actually a mix
you have some acne scars, some post inflammatory hyperpigmentation and some active acne
I would get the acne under control first and see what is remaining.
please don't forget a positive rating. I appreciate it
Customer: replied 4 years ago.

Is glycolic acid peel 10% a good way to deal with them? Can I use vitamin c serum too? I'm having a skinoren tube, rarely use it as it irritates my skin, should I use it regularly to clear acne?

I don't think those things will work
you need prescription strength medicine
Customer: replied 4 years ago.

Can you suggest the medicine please?

I suggested it a few posts ago
retin-A or clindamycin gel or both
Customer: replied 4 years ago.

Sorry about that.

what is the streng of retin-A should it be?

.05%
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