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

If you suffer from nodules or cyst, instead of trying out any over the counter solution, you better get assisted by a dermatologist. This is because for this kind of acne you will not find any relief or comfort trying out any over the counter acne solution.

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

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

Even though isotretinoin is efficient in offering a treatment for acne, it can cause birth defects in the fetus. This is why it is very important that women in child bearing age take care not to conceive a child while taking isotretinoin.

It is crucial that women use two safe forms of birth control for a month before using isotretinoin, during treatment and for a month after stopping isotretinoin. In fact, it is better to consult your doctor when it is believed safe to get pregnant before getting off isotretinoin.

It has also been observed that people using isotretinoin tend to get depressed by the changes of their skin's appearance. In fact, many cases of suicides and suicide attempts have been registered by people on isotretinoin.

Other side effects of isotretinoin are muscle aches, nosebleeds, changes in blood and liver function and hypersensitivity 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 starting 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 fade eventually but are visible enough to cause embarrassment. Macules are like pseudo- scars, which are sometimes produced by an inflamed acne lesion. A macule is nothing but a flat, red spot that is the final stage of any inflamed lesion. Unlike a scar, a macule can take time to disappear, but once it vanishes, it leaves no trace behind.

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

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