Extraction of whiteheads and blackheads. Your doctor may use special tools to gently remove whiteheads and blackheads (comedos) that haven’t cleared up with topical medications. This technique may cause scarring.
Isotretinoin, more popularly recognized through its brand name, Accutane or Roaccutane, is a potent oral medication used in the treatment of severe acne that is resistant to conventional methods such as topical or oral antibiotics and creams. An overwhelming number of patients reported dramatic decrease in acne symptoms and a prolonged drug-free improvement in just 15 to 20-week isotretinoin course. Learn more…
Standard microneedling with dermarollers is more for superficial scars, while motorized microneedles pens (dermapen, micropen) and microneedles combined with radiofrequency can treat more severe acne scars.
Honey: you can make a thick paste of honey and cinnamon, or you may use the honey on its own. Use a clean swab to dab onto pimples and leave overnight. Wash off in the morning with cool water. Honey is a natural disinfectant with known healing properties.
Antibiotic resistance in C acnes (formerly P acnes) is common and is a significant threat to acne treatment.  Antimicrobials should be combined with a topical retinoids for greater clearing of lesions and to increase the potential for shortened antibiotic treatment. They should be used with benzoyl peroxide to reduce the likelihood of resistance.  Concurrent use of oral and topical antibiotics should be avoided and should not be used as monotherapy. If acne relapses, use the same antibiotic if it was previously effective. It may also be helpful to use benzoyl peroxide for 5-7 days between antibiotic courses to reduce resistance in organisms on the skin. 
After cleansing the face, and the use of some local anesthesics, a needle is into the scar. The sharp end of the needle will break the fibrous strands that connect the skin’s upper layer to its lower layer. This releases the connection and stimulates the production of new collagen to improve the scar’s appearance.
Antibiotic + medicine you apply to the acne: This is often the first treatment recommended for severe acne. Taking an antibiotic can reduce the redness and swelling of acne. The medicine you apply to your skin works on reducing bacteria and clogged pores.
^ Jump up to: a b Sánchez Viera, M (July 2015). “Management of acne scars: fulfilling our duty of care for patients”. British Journal of Dermatology (Review). 172 (Supplement 1): 47–51. doi:10.1111/bjd.13650. PMID 25597636.
Antibiotics, such as clindamycin solution (Topicil™, ClindaTech™) or erythromycin solution (Stiemycin™) and gel (Eryacne™), which are best used with benzoyl peroxide or azelaic acid to reduce the chance of antibiotic resistance
10. Check your diet. Diet has a small part to play in certain individuals suffering with acne. Not everyone’s acne is driven by diet and usually the problem comes down to genetic and hormonal factors, however, the following methods can be considered:
drinking warm water with freshly squeezed lemons really helps to cleanse out toxins and you lose weight! I have lost 10kg in the past month by drinking this daily. as for the lemon on the face, it also brightens your face.
No waxing, please. Waxing can cause permanent scars in people taking isotretinoin. To avoid scarring, you must not wax while taking isotretinoin and for 6 months after you stop taking isotretinoin. This applies to hot wax and cold wax.
Diet: Being older and hopefully a little wiser or maybe due to the appearance of belly fat, you are probably trying to eat healthier. If you are experiencing menopause acne, you will need to be a little more attentive to your diet. Higher fibre and calcium is required with lower fat and carbohydrates. Experts in the field state that your daily calorie intake should be made up of the following:-
An unintended effect of limiting access to isotretinoin was an increase in health disparities due to the limited access to publicly funded and private Dermatologists in New Zealand.25 The result was that a person living in the least deprived socioeconomic area was 2.5 times more likely to be prescribed isotretinoin than a person living in the most deprived area, and that Māori and Pacific peoples were five times less likely to be prescribed isotretinoin than people in other ethnic groups, largely New Zealand Europeans.25 This is despite the fact that there is no significant evidence of an association between the incidence of acne and deprivation level or ethnicity.25, 26 One of the primary reasons for widening access to isotretinoin was to reduce this disparity.
While acne usually affects teenagers and 20somethings the most, anyone of any age can get acne, even babies. Our instinctual response — picking at it, rubbing it and canceling our social engagements — doesn’t help in the least, but fortunately, there are some treatments available that can.
Keep your hands away from your face. Think about all of the things you touch throughout your day. When you touch your face, you spread germs and bacteria to your face. This can lead to flare-ups and breakouts.
After cleansing the face, and the use of some local anesthesics or sedation if necessary, a round knife is used to cut and remove the portion of the scarred area of the skin. It is usually limited to one scar.
Acne remedies benzoyl peroxide and salicylic acid are key ingredients in body washes designed to get rid of acne. Choose an oil-free body wash with acne medication like benzoyl peroxide or 2 percent salicylic acid. Apply the body wash to the affected areas and leave on for a minute or two to allow the acne medication to work its magic. Rinse well. Remember that products that contain benzoyl peroxide bleach fabric and may ruin towels, clothes and sheets/pillow cases. Change to white or something you don’t mind bleaching.
PCOS can cause irregular periods, weight gain, depression, mood swings, acne, excess facial and body hair growth, and ironically, hair loss. It can also cause the absence of ovulation, which can prevent a woman from conceiving.
Home remedies work great for hyperpigmentation marks in the long run. Yet, keep in mind, they won’t remove your scars overnight, they will help fade the marks but that will take some time to get results.
Jump up ^ Brandstetter, AJ; Maibach, HI (August 2013). “Topical dose justification: benzoyl peroxide concentrations”. The Journal of Dermatological Treatment (Review). 24 (4): 275–77. doi:10.3109/09546634.2011.641937. PMID 22103743.