You haven't given us much details. Do you still have acne? If so, how serious? Or is it just scars left over? What's your skin type? What type of scars?
If what you have is pit-scars (which is what I suspect, since you were suggested laser resurfacing treatment), no topical treatment is going to help. Even if your acne stops and you skin recovers, you scarring is unlikely to heal. However, there's always a chance.
If you don't, and the scarring is really just surface scarring, you have a multitude of options. People here will tell you about benzoyl peroxide and antibiotics and retinol treatments, because that's all the dermatologist prescribes.
Going to the dermatologist probably won't help as much as you'd like, because your treatments aren't personalized. They'd first prescribe a benzoyl peroxide topical (or if you acne is really bad, one coupled with an antibiotic, like Benzaclin). If you go back to say it doesn't work, they'll step you up to oral antibiotics, and then next to suggesting Accutane. It's the same routine everywhere you go, and none of them will help your scarring except the Accutane (and even then, if you don't take perfect care of your skin, it'll make the scarring orders of magnitude worse).
Take a look at
this. If your skin is normal and your acne moderate, this may help. Look around the entire site; it has a lot of useful info, even if you don't plan on following the Regimen, You can get info on scar treatment and about laser therapy, and basically everything else you need to know.
Also, read with the aim of understanding. You don't want to just be putting a bunch of shit on your skin for the sake of putting shit on your skin. Understand your skin, you can probably tell if something's not going to work before you try it (like, is your skin really dry?) Also, when doing the Routine, actually follow the Routine. All steps. To the letter. Many of the little things included in it is key. Like not picking, or moisturizing, or how you dry your face, or shaving, and all that stuff.
Just some tips:
- The best non-medicated face wash for this probably Spectro for Acne-Prone Skin (purple bottle). Don't use Cetaphil; it clogs pores (both me and a multitude of other people have said the same).
- When shopping for products, don't take their word for it on comedogenicity. There is absolutely no regulations on that, and as a result, 99% of manufacturers lie about it. They can put 'Contain's Unicorn Blood' on the label and get away with it. Almost all of Neutrogena's, Oxy's, and Clearasil's products are comedogenic. All face-washes that lather are (they have sodium-laureth sulphate or a relation—a foaming agent that is comedogenic), which happens to be what almost all face washes do. Always look at the ingredients yourself. Here's a comprehensive list of comedogenics and irritates—take it with you when you go shopping. Print PDF it or something.
- For surface scarring, probably the only topical over-the-counter treatment is going to be AHA (alpha-hydroxy acid). They exist in about 2 or 3 forms. The only one I can remember is glycolic acid; and no, salicylic acid is not one of them. Salicylic acid is the biggest waste of time and money. When you read up on the site, you'll understand. You can probably ask your derm for an AHA-containing product. Remember to use it in conjunction with the Regimen, exactly how and when they say.
- Moisturize. You skin is going to get as dry as **** with the BP. You don't want to look crappy. Follow the advice on the Acne.org link I posted (really, read around the site. Click all those links) about moisturizers.
So, although going to the dermatologist definitely won't be the end-all-be-all of your acne, still go. It may be your best bet. But try and encourage conversation out of him/her. Hopefully he'll look further into what you have. Talk to him about your scarring and discuss your treatment options. If you have pit scarring, laser resurfacing may be the only option. However, you never know. If you begin a treatment, stick with it for at least 1 and a half months, no less. Even if your skin looks like it's getting worse (that usually happens for the first 2 weeks or introducing a new topical), stick with it. You skin needs time to acclimatize.
If the dermatologist puts you onto a benzoyl peroxide treatment, I highly recommend modifying it to the Regimen on Acne.org. It'll be the same BP treatment your derm prescribed, but you'll be taking a lot more care of your skin. Even if you get another topical, integrate it with the Regimen. Replace the BP with the prescribed topical, and try and take the same care and precautions.
Also know, everybody's different. BP and antibiotics are always the two 'go-to' generic treatments for everyone that have acne. And majority of dermatologists don't actually take the time to see whether you skin is any different and whether the treatment is right for you. It's a consultation already engraved in stone.
I had moderate acne with oily skin. I tried loads of stuff over the last 6 years: benzoyl peroxide, benzaclin (that's BP with an antibiotic climdamycin phosphate; they're supposed to be more effective together than by themselves), Retin-A Micro, sulphur, and oral antibiotics—tetracycl ine (made me feel nauseated for the two weeks I took it) and minocycline. Oh, and even the Regimen.
None of them produced any visible difference. Every single one of the topicals made my skin dry and tight and irritated and uncomfortable even with moisturizing. After prolonged use, it visible burnt my face (there was the burning sensation, but you could also see it was a lot darker that the rest of my skin). My skin-type actually permanently changed from oily to dry (till this day). And my acne wasn't going down.
Eventually (1 year ago), I stopped everything. I just washed my face with Spectro, and then moisturized, twice a day. Over time, I stopped getting any acne on my face, and I only get one or two a week on my hairline. My skin's still really dry if I don't moisturize, but it's back to it's normal sensitivity and colour. So that's all I do. There's still some scars, but they're fading slowly.
What it comes down to is this: no one can tell you what acne treatment is going or isn't going to work. All of those oft-prescribed treatments worked for someone or the other; not me. And you're going to find people who opted for not even washing their face, and it helped their acne (the caveman routine). Thing is, you gotta try. Everything. See which works for you. Or eventually, in your years of trying, you may just grow out of it. You never know.
/epicpost