Can acne resolve by itself?

Severe acne scarring

Last week, a couple brought their teenage son for consultation for acne. He has moderate to severe acne over the face with numerous comedones, papules, pustules and some nodules (inflammatory acne). He obviously needed systemic treatment. I counseled them regarding various options and their possible side-effects.

The parents asked one very good question. Can acne resolve by itself?

Well, the answer is, YES.

So, why do we need treatment then?

Well, the answer is pretty obvious from the picture shown above. We want to prevent acne scars!!

Inflammatory acne always lead to scarring. It is of cosmetic concern and treating the scars that had formed is very challenging.

Despite a lengthy explanation, however, they parents decided not to have any treatment. Various reasons were expressed especially concerning side-effects of the treatments. I have re-assured them that the side-effects are uncommon and tolerable.

Anyway, the choice is with them. My only concern is with the acne sufferer. Perhaps my explanation was not convincing. Hope they find other dermatologist that can give them the trust.

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