Hi There My Question Is Concerning My Face…I Have


hi there
my question is concerning my face…i have noticed over the months that my face does not look smooth and even toned anymore it has a bumpy look to it only noticeable in certain lighting.it looks as if i have acne under the skin but is not painful and does not form into pimples.i do have tiny pimples on my forehead and sometimes on other parts of my face.i use to have really bad acne as a teenager as a result i have large pores on the apple of my cheeks. what can i do? i have tried almost everything, i wash and mosturise and hardly ever wear makeup…what could be the cause?

Submitted by Funkychik 1 on 15 December 2011


Thank you for your question. The skin concerns you describe would be better diagnosed in person for the most effective treatment. We recommend that you have a consult with one of our Skin Renewal doctors or a dermatolgist.

Several factors contribute to an even complexion and rough skin, including the amount of collagen and elastin present in the skin. Collagen and elastin are the proteins responsible for skin elasticity, tone, and texture, and are affected by diet, age, hormones, skin products, cosmetic treatments, and overall health. In order to achieve smooth skin and a radiant complexion, it is important to understand how these factors affect one another. The first step you can take to improve your skin texture is to identify the culprits behind less-than-perfect skin.

There are a number of simple steps you can take to achieve smooth skin and a vibrant complexion.
• Cleanse – Skin that is free of excess oil and debris is going to look and feel better. If you have dry or oily skin, you may want to find a cleanser specifically suited to your skin type.
• Exfoliate – Simple cleansing is usually not enough to improve skin texture. Exfoliation helps remove excess skin, oil, and dirt from the top layer of the skin, making it less prone to roughness and breakouts. Usually, a gentle facial scrub will do the trick; however, if your skin texture is very rough or uneven, aesthetic in exfoliation office treatments will help smooth your skin and brighten your complexion.
• Moisturize – Even if you have acne-prone skin or an oily complexion, it is still important to keep your skin hydrated by using a daily moisturizer combined with regular spa or at-home masque treatments.
• Protect – Sun damage is among the leading contributors to roughened skin texture and uneven tone, not to mention skin cancer. Therefore, it is crucial to protect your skin by wearing a sunscreen or moisturizer with an SPF of 15 or higher every time you are outside

Home Therapies:
• At Skin Renewal we offer traditional therapy such as home prescriptives containing Alpha and Beta Hydroxy acids as well as the NeoStrata brand which is only available at doctors’ offices. Neostrata Ultra Daytime Smoothing Cream with SPF 15 and Ultra Smoothing cream are formulated with anti-aging, rejuvenating and resurfacing benefits for daytime moisturizing and broad-spectrum UVA/UVB sun protection against daily casual sun exposure. Neostrata Face Cream plus is an extra strength, emollient exfoliating cream formulated to improve dry or photo-aged skin on the face and neck. This high strength AHA product should only be used after a period of treatment with the Ultra Smoothing Cream. Over time these products will retexturise and improve the appearance of rough skin.
The dryness, uneven skin tone and tiny bumps on your face that you describe may also be diagnosed as Keratosis Pilaris (KP) but can be better diagnosed in person. KP is a very common skin disorder seen in many people of all ages. It is a benign condition that presents as numerous small, rough, red, or tan bumps primarily around hair follicles on the upper arms, legs, buttocks, and sometimes cheeks. KP creates a "goose bumps," "gooseflesh," or "chicken skin" appearance on the skin. It can be mistaken for acne.

Check out this link for further information on Keratosis Pilaris: http://www.medicinenet.com/keratosis_pilaris/page3.htm
For patients with this benign skin occurrence, general measures to prevent excessive skin dryness, such as using mild soapless cleansers, are recommended. Frequent use of a cosmeceutical skin moisturizer is also the mainstay of treatment for nearly all cases. Best results may be achieved with combination therapy using topical products and physical treatments like gentle exfoliation, professional manual extraction of whiteheads, facials, microdermabrasion, and chemical peels.

A combination of in-clinic treatments may be helpful as adjunctive treatment. Depending on the doctors diagnosis and treatment plan, options may include chemical peels, microdermabrasion, photodynamic therapy (PDT), ALA, Levulan, blue light, laser, and Intense Pulsed Light (IPL). Overall, a combination of in-office treatments and a physician-directed home-maintenance skin-care routine is ideal.

Want to ask a question? Sign in here sign up now

More Questions

From Caythe


I’ve been struggling with pimples/acne for years now and my skin is also becoming dryer. Are tissue oils recommended for people with acne?
Don’t they collect dirt?

View the answer

| Submitted by Caythe on 5 September 2017

Question from Tanya de Langen


Good Day Dr. I exercise but still have some fat around my waist. I have read about the vella treatments and fat freezing. However, I do not have money to waste and would like to know in your opinion what is the best way to go? Or are there some new developments? Also is there something that we can do at home if our finances are limited? Thank You so much. Tanya

View the answer

| Submitted by De Langen on 5 September 2017

Question from Nael


I bought a Cetaphil face wash that is for acne. I’ve been using it for 2 weeks and my acne has gotten even worse and my skin is really irritated. Is this supposed to happen. Should I keep using it? Is it supposed to get worse before it gets better. Help

View the answer

| Submitted by Nael on 15 August 2017

Question from Carol Thomas


I have recently discovered that I am allergic to sulphites. How do tell which make up products contain sulphites?

View the answer

| Submitted by Carol Thomas on 15 August 2017

Question from Diana Van Den Berg


Hi Dr. Allem, I have a question on micro-needling, some say it works to make your face stronger and build collagen. Can you please let me know if this really does work, and how often should one do this? Is it every 3 to 4 weeks?

View the answer

| Submitted by Diana Van Den Berg on 19 July 2017

BeautySouthAfrica - your pre-shop stop for all things beauty

Beautysouthafrica.com is South Africa’s most comprehensive online beauty magazine and your pre-shop stop for product information and reviews. From the latest international make-up trends to the hottest new products on the market, we offer insights into the glamorous world of beauty. Join like-minded beauty fanatics in our loyalty program and earn points, trial beauty products and share your experiences.

Become a beauty addict!

Get great deals and climb the ladder to a Gold Star!


Sign In