Usually, a mild form of acne occurring in most people does not leave scars, or if it does, the scars heal naturally over time. But people suffering from severe forms of acne like nodular cystic acne might be left with deep scarring in the skin.

If you suffer from nodules or cyst, rather than trying out any over the counter medication, you better get assisted by a dermatologist. This is because for this type of acne you won't find any relief or comfort trying out any over the counter acne medication.

A dermatologist will commonly prescribe isotretinoin and a retinoid to alleviate an episode of nodular or cystic acne. With the aid of isotretinoin, the size of oil glands that produce oil is reduced. With this, there is a decrease in the growth of bacteria too. It is commonly recommended once or twice a day, with food, for about 15- 20 weeks.

Isotretinoin is a great choice in helping you cure acne as it literally avoids scarring. And once your treatment has been completed, you will most likely be healed of your acne condition. However if there is a reappearance of acne after your treatment with isotretinoin, the specialist may either prescribe some other drugs or institute another course of isotretinoin.

Even though isotretinoin is effective in controlling acne, it can provoke birth defects in the fetus. This is why it is very important that women in child bearing years take care not to conceive a child while taking isotretinoin.

It is crucial that women use two safe types of birth control for a month before starting isotretinoin, during its use and for a month after leaving isotretinoin. In fact, it is better to ask your doctor before stopping medication of isotretinoin.

It has also been noted that people using isotretinoin tend to get depressed by the variations of their skin's aspect. In fact, many cases of suicides and suicide attempts have been carried through by people on isotretinoin.

Other side effects of isotretinoin are muscle aches, nosebleeds, changes in blood and liver function and sensitivity to the sun. Consult your dermatologist if you notice that you are experiencing any of these side effects. The doctor may test blood before actually initiating treatment, and during the treatment itself.

Pigmentation and Post Inflammatory Acne Spots

There are also marks and pigmentation related with acne that aren't exactly scars but resemble them in appearance. These disappear eventually but are visible enough to cause shyness. Macules are such pseudo- scars, which are sometimes left behind by an inflamed acne lesion. A macule is nothing but a flat, reddish spot that is the product of any inflamed lesion. Unlike a scar, a macule might take time to disappear, but once it disappears, it leaves no trace behind.

Then there is the discoloration of skin after the healing of any inflamed acne lesion. It is more frequent in dark skinned people, but might take place in white skin also. This is called "Post inflammatory pigmentation." It may need treatment by a specialist.

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