Acne Marks, Scarring & PIH? Everything To Know! #AcneSolved – Part 3 | Dr Sam Bunting

Acne Marks, Scarring & PIH? Everything To Know! #AcneSolved – Part 3 | Dr Sam Bunting

I’m bringing my #AcneSolved series to a close with today’s instalment in which I cover the 3rd phase of acne management – you’re in the groove, your retinoid is doing the heavy lifting at night and you’re now looking to enhance your ‘canvas’ by tidying up those pesky dark marks and uneven texture. I highlight the key Actives that work in harmony to improve skin-tone, reduce uneven texture and deliver that grown-up glow.

Watch my Retinoid Revelations series here:

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As always thank you so much for watching and for all your support!

Disclaimer: The content seen in this video is provided only for medical educational purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek professional help individually if you suffer from any dermatological condition. Due to the volume of patients seen in the clinic, and to the unique nature of skin, Dr Bunting is unable to respond to every query on these videos.



41 thoughts on “Acne Marks, Scarring & PIH? Everything To Know! #AcneSolved – Part 3 | Dr Sam Bunting”

Thank you so much Dr Sam, love to you from South Africa 💗

Emilio says:

Would you recommend hydroquinone for PIH? I’m currently using Retin-A 0.1 along with Tranexamic Acid at night.

I was wondering if I should use 0.1 Adapalene in the morning or Azelaic Acid? Does Niacinimide affect any of these ingredients when used together?

Fayha M says:

I love this series. I was already on Differin (using alternate days or 2-day gaps) but I am going to incorporate all the other tips and products you have suggested.
I do love Azelaic acid, it helped my acne (a little) and pih marks (a lot) when nothing else did but it itches a lot so I stopped. However, I am going to start using it again.
Thanks Dr. SAM! 😊

Nicola Smith says:

Is the niacinamide in EltaMD UV Clear at a high enough concentration to help or would you recommend a separate product? I'm already using azelaic acid AM and tretinoin PM. Thank you!

Bushra Majid says:

Hi Dr Sam! Love this series!❤️
I’ve incorporated changes in my routine as per your recommendations in the previous parts of the series. I have adult acne mainly on my jaw and along the jawline. It seems to have started to purge after I started the Effaclar Duo by LRP. Planning to start PC’s BHA liquid Exfloiant soon to replace it. What’s your opinion on that?
Also what % of Azelaic Acid do you recommend? I’m currently on 10% (alternating with Tretinion in the PM).
I have been on Tretinoin for over a year now and also used Azelaic acid but still continue to have marks ☹️

I’ve been prescribed Epiduo which has Adapalene and Benzyl Peroxide – do I need a anti-inflammatory for the morning? Thanks x

Kay Stary says:

What type of retinoid have you found works best on hormonal acne, topically speaking?

firnheledien says:

How long does azelaic acid take to fade PIE? I find it extremely slow.

Georgia Lee says:

In terms of feedback on the acne solved series – amazing & informative. Gave me structure to all the products I've been dipping in and out of for years, I like many have an awful habit of not sticking to things if I don't see results in a couple of weeks. My skin looks the best it has done for 5 years. Cannot thank you enough.

Mayo J. says:

Thank you so much for this Dr. Sam! ☺️❤️ btw, I just wanna ask if it’s okay to use the Cetaphil cleanser for oily acne prone sensitive skin? Thank youuuu again! 😘

cricketlala says:

Thank you, Dr. Sam. I am using azelaic acid instead of a retinol. Over time, will it achieve the same results for getting rid of acne? I’m not sure I want to go the retinol route.

Would you recommend Vit C for pigmentation (in the AM) or would it be too much for acne-prone skin?

Hi Dr. Sam, what do you think of using Vitamin C in the morning and differin and azelaic acid in the night or alternating some of them every other day? This is for acne scarring.
P.S. I have Sensitive acne prone skin, I would like to know how to safely use strong ingredients without burning the skin.
My second query is, if my skin has purged due to differin, can it still do so after Vitamin C?

Kate Webster says:

Love these videos they are so helpful. Sunscreen always seems to give me spots though, is there one you would recommend? I’m using la Roche posay at the moment

ema _292 says:

I couldnt understand the part where dr Sam talked about rolled scars.. they will improve over the course of three years? 🙂

I wish you did a rosacea series…

Fif Mistah says:

Hi dr Sam.. thanks for these great series.. I would love to know if it's ok to layer niacinamide, tretinoin and azelaic acid.. thanks in advance 🌹

Could we have product recommendations please

More content like this, please! Why are oils not good for acne-prone skin?

I am using duac in the morning and differin in the evening, can I also incorporate azelaic acid in the am? And would it be better before or after duac? 🙂

Thank you SO much for these series! Have started following the routine you’ve suggested in the first video and my acne has stopped for now, its now time to treat the pigmentation. Just to clarify, are these the correct steps for morning routine? Cleanser, preventor (Azelaic acid OR AHAs OR BHAs), targeted anti-inflammatory, niacinamide, moisturiser, SPF?

Quick question- I have a prescription strength 15% azelaic acid gel that I am unsure how to use it. I think I was told to mix a pea size with my cleanser but isn’t it suppose to be left on the skin? Can I just use the gel directly, do I need to buffer it with a moisturizer or do I mix it with my cleanser?

FitriAnni says:

2:43 skincare to use for long-term maintenance
1. Pigmentation treatment
2. Retinoid
3. Preventer, like azelaic acid
4. Occasional use of anti-inflammatory (like spot treatment)
5. Sunscreen
6. Niacinamide
7. Not using comedogenic makeups (change your cosmetics, like changing from long wear foundation to tinted moisturizer)

AAA says:

I just want to say that I have been binge-watching Dr Sam since I discovered her a week ago, and before that, I was so overwhelmed with all the different beauty items available on the market. I had no idea where to start or how many things to put on my skin but Dr Sam has made things so simple and clear and I am obsessed with her videos. I have recommended her channel to everyone that I know and I remind myself to click ‘like’ on every one of her videos I watch. Thanks Dr Sam, you have helped me get rid of my skin anxiety and made me much more knowledgeable about skin!!

Hi Sam. Thank you so much for these series. My beautiful 17 year old daughter is battling with whiteheads, and also bad pimples. I will rush and buy retinoids and anti inflammatory products for her asap. And tell her to BE PATIENT, which I know will be a struggle.

Rick Timmons says:

absolutely beautiful.

Lynstar05 says:

Hey Sam can you please do a video on treatments that are for deeper scarring? I have small acne scars embedded in the skin and want to try and smooth them out somehow. X

can I use both Azelaic Acid and Retinoid in the PM?

Can we use azelaic acid and tretinoin in same routine?

R P says:

Great series, practical and structured, thank you!

Poeticdyme says:

I like you so much better than Dr. Dray lol so glad I found you

Lele says:

Hi Dr Sam..I'm 55, I've always had good skin until last 2 years..breakouts and acne scars on my cheeks..Any recommendations for cleansing, toning and hyperpigmentation for black American sensitive skin? New subscriber today. Thank you! I'm presently using Cetaphil, rose water for toner, and 2 products from the ordinary skincare line and ambi for dark spots from acne..I'm still getting breakouts! I drink 4 to 6 bottles of water. ..I'm so unhappy with the way my skin looks at my age.

Jebin Rahman says:

Hello Dr. Sam Bunting
I am having PIH. I use tretinoin and glycolic acid toner and BHA facewash. Should I use azelaic acid or continue with these products ?
Thank you

It says on the how to use to not use vitamin c and azelaic acid. Is that true? I use vitamin c every morning

I have been following dr Sam's suggestion on using Azelaic Acid on the morning and Retinoid Acid at night. My skin healed faster than using retinoid acid alone and i can see the dark spots fading too (compared before using Azelaic Acid). I also use CeraVe AM for the sunscreen/moisturizer because i'm after the niacinamide on it too 😀 best combination ever

Natasha Kerr says:

If using bha and benzoyl peroxide I know the morning and a retinol or azelaic acid in the evening (I’m rotating), one, is it ok to use the bha daily (I’ve been using azelaic acid in the morning, but wanted to incorporate my bha back into my routine and replace my morning azelaic acid), and two; where would you recommend the niacinamide? With retinol? With azelaic acid? Ok to pair with benzoyl peroxide and the bha?

Kevin Gruen says:

Apparently this video wasn't made for men so I will go elsewhere with my question.

The real answer is you to change your diet, apply vitamin c serum & SPF!

This was great, thanks, been searching for "how do you get rid of skin pigmentation?" for a while now, and I think this has helped. Ever heard of – Ronabriel Foremost Recognition – (Have a quick look on google cant remember the place now ) ? It is a smashing one of a kind guide for discovering how to say goodbye to vitiligo minus the normal expense. Ive heard some amazing things about it and my mate got great results with it.

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