Do you think focused NIR lights work? (not full red light panels for a whole room , because they can cause eye damage if you use it every single day as opposed to just once) I have one, it causes warming too
Hello doctor. This might be a little long but please bare with me. I've been struggling with PIE for 3 years now and have tried almost everything. I'm feeling so hopeless. I have brown skin and I am 22 years old now (male). 95% of my acne is gone now on it's own even though I sometimes get acne here and there. But the redness still persists. I've tried the Candela V beam laser. I've done 4 treatments with this setting: 7mm 10 ms,8.5 j/cm2 30/20 I did not get any results. I feel really hopeless doctor. I even used the Niacinamide 10% by The Ordinary and it did not suit my skin. Can you help me? Can you tell me if the settings for the PIE is right?
Hello! PIE is truly very challenging and lasers are for me the best treatment modality yet. But I do not give laser settings or any form of treatments this way. Please come to the clinic for a formal consultation :)
Come to my clinic! We have the yellow laser and soon we will have a new vascular laser for red marks, broken capillaries etc Price kasi depends on the lesions.
Hi doctor I’m on acne treatment, BP and Adapaline it seem to be they flare up my PIE scars and also newly forming acne will also leave a PIE scar. I’m bit worried whether to continue acne treatment or not😕
Hello po doctora.very informative ang mga videos nyo po. Gumagamit po ako ng glycolic with kojic cream every morning at epiduo forte sa gabi.. almost 7 months na po na routine medyo matagal mawala ang red marks ng acne😔
Hello! I have a question, doctor. How should I use oxymetazoline? With my fingers all over the problem area? Or with a q-tip only on the spots? Please answer, thanks🙏
Doc, what kind of ingredients to use that is best with Epiduo Anti-Acne gel kasi po mostly red marks nalang meron po ako pero nagkakaacne parin that's y im using epiduo po. Epiduo lang po gamit ko for night and suncreen lng po sa umaga. Thankyou po.
Oh pinanood mo na pala hehe if you're asking about examples of brands, hmmm for niacinamide there's cetaphil bright healthy radiance, peter thomas roth pro strength niacinamide discoloration treatment yan palang nasubukan ko but actually maraming brands ang may niacinamide ngayon. as for azelaic acid i only know of skinoren na prescription-strength brand :)
Doc, meron din po akong PIE or the redmarks then my derma binigyan po ako ng clindamycin phosphate topical solution sa morning po then acne astrigent and then she also gave me a whitening saop po. Makakatulong puba yung mga gamot na binigay po ng derma ko sa pagtanggal po ng mga PIE kopo doc?
Clindamycin is an antibacterial so hindi cya for PIE. As for the other meds, ask your derma kung anong ingredients, I cannot answer for her because I dont know the components of the astringent and whitening soap.
@@irenegaile Almost 9 months napo yung treatment kupo sa kanya doc and i see na nawala po talaga mga acne and comedones kopo may naiwan ngalang pong mga bakas witch is yung mga redmarks po yung pung binigay na whitening saop po doc is from bioderm po yung thioderm po ata yon and then yung pung astringent doc yung pung brand nya is acne cure.
Hi doc, how can i minimize the inflammation? I have an acne prone skin, super inflamed right now. Im using cleanser ( garnier) and night cream 1 from beautederm.
Please tell me something about pih marks that how they will go away plus i have alot of whiteheads on my face and later on they become pimples. Please tell me best solution for whiteheads and pih marks.
Doc nag recommend yung derma ko ng pdt para sa mga pula pula ko sa muka dahil sa acne makakatulong po ba yun? Hinde kase sya nabanggit sa mga sinabe mo doc.
@@irenegaile yung niacinamide and azelaic acid pwede ko po ba pagsabayin sa routine malakas kase mag produce oil muka ko saka may iilan paren na tagyawat na bumabalik
Hello Doctor. I had a mole removed about 8 months ago with a CO2 laser. The mole is gone, but it left a pinkish/purple mark on my face. I noticed it's a bit less noticeable in the morning and tends to even border the "red" spectrum during a heat flush. Will this ever go away? Also, I can in lighting that the scar it left is a bit shiny. However, the spot is not raised, nor indented. It's flat and you wouldn't be able to tell if you ran your finger across it. However, I'm just wondering when the pinkish/purple mark will go away, since it's about 8 months and it's still not gone?
I personally do not remove moles using CO2 lasers so I have no experience with how they would look afterwards. It would be best for you to go back to the doctor who did the procedure to you and discuss your options :)
Hello! yes ok naman, exfoliants sila so they can speed up PIE resolution in a way :) best if combined with topical or procedural treatments. Dont forget lng to use sunscreen!
hi po Doc may i ask if yung niacinamide, vitiamine c, tranexamic acid and azeleic acid should be put them together all at ounce? or i ta try lang isa isa? im clueless po kase kung ano gagawen dun sa apat na yan e wala naman po akong mapagtanungan
I like to combine my vitamin c (concentration of 5-20%) with vitamin e and ferulic acid -- these make a powerful and stable combination. Although there are so many vitamin c derivatives that are more stable than vitamin c and can be used alone.
Picosure is a pigment laser used in removing tattoos and other pigmented lesions :) Vascular lasers like the Pulsed dye laser or yellow laser are those used in improving PIE.
Omg doc super thank you! Now I know kung ano yung case ko. I thought pigmentation lang siya but its PIE! Buong right na pisngi ko pa naman meron. Sinasabi ko na lang tuloy na free blush on siya AHHAHAHAH Any recommendation doc sa skincare para sa ganitong case? Since magstart pa lang talaga na magtake care ng skin ko huhuhu Thank you doc!
You can go ahead with your current skincare routine naman if it works for you and add products containing ingredients I mentioned in the video. If you want to really make sure of what you have or get specific product recommendations, I suggest a consultation para ma-assess not just your skin issues but your lifestyle, habits and preferences as well :)
Hello doc. Hope you could give me an advice. I don't have acne or big pimples, I had facial then the aesthetician extracted "blackheads" after 2 days, I still had this red marks, like post hyperpigmentation 😭 I still have 7 sessions for Facial, DP and Rejuv laser 😢 How many days would it go away?
PIH resolves, on average, in 12 weeks :) PIE longer if it's due to inflammation. But iba iba ang tao e meron iba mabilis magfade ing flat scars, for others mas matagal.
Hi po doc! Ask ko lang po if Gaano po ba katagal ginagamit ang azelaic acid 15%? Lumipat po kase kami kaya hindi ko na maitanong sa derma ko dati thank you po♥️
They are alpha hydroxy acids that exfoliate the skin. I wouldn't recommend to those with sensitive skin until after their skin barrier has been restored. They may help improve acne but are not considered first line of treatment.
Doc, can you layer cerave's resurfacing retinol serum and the good molecules discoloration correcting serum? Or cerave's resurfacing retinol serum and jumiso all day brightening serum? Thank you~
Anong ingredients nung 2 other serums? If u ask me ok naman to layer wag lng 2 ingredients that go against each other or can cause too much irritation etc.
@@irenegaile Doc, the GM discoloration correcting serum po has 2% cetyl tranexamate mesylate and 4% niacinamide while the jumiso one po has vitamin tree extract and 2% niacinamide.
Hello po, Doc. Cetaphil Cleanser, Serum, at Sunscreen lang po gamit ko, are these enough po? Do I need to use products contains salicylic acid, or aha-bha po? Ano pong kulang? Salamat po nang marami.
Best to consult so that your skin can be assessed and proper recommendations be given. If you have no skin issues and are 25 or younger, a gentle cleanser, moisturizer (if needed) and sunscreen would suffice :)
Retinol is an anti-aging ingredient. At 17, you don’t need it yet. You can however benefit from a basic skincare routine that consists of a gentle cleanser, a sunscreen, anti acne medications and moisturizer (if necessary)
12-24 months on average. In my experience lasers pinaka effective. Sa topicals naman, azelaic acid and exfoliants. Sometimes niacinamide and tranexamic acid.
I'm using sugar dolls sunscreen 2 months doc, but I still have pimples and small bumps, I have also marks they are all visible, should I stop using these sunscreen? And what sunscreen would you recommend for sensitive and acne prone skin doc? THANK YOU in advance doc Happy new year.
Try lightweight, gel- or water-based sunscreens. If not, spray sunscreens may be a good alternative. for sensitive skin, choose those that do not contain other ingredients other than UV filters.
May tanong po ako. Currently red spots tlga ung problem ko. Di ko masabi na PIE sya. Kasi di namn ako tinigyawat kung saan sya nag manifest. Natulog lng ako tapos pag gising ko, meron na. Bandang left temporal and left cheek ko. Considered as PIE din po ba yun? may Niaciamide 10%, Vitamin C, Arbutin 2%, Tranexamic Acid and Azelaic acid 20% akong mga skin care. Ok lang bang pagsabayin sabayin ko po yun?
PIE can result from any form of inflammation and as a consequence of healing of inflammatory lesions. Kung ung red spots mo are temporary then it is not PIE. For me overkill ung sobrang daming products with similar mechanism of action which might lead to irritation rather than benefiting the skin.
@@irenegaile copied! Months na din po ito eh, at kahapon may nadagdag na naman left cheek padin malapit sa nose.. So bale, hanggang ilang active ingredients po pwede ko ipagsama/gamitin? Hanggang 2 lng po ba? Or isa lang? Thank you so much doc!
Thanks for the reco. You know during this time, I didnt know yet how to properly edit my videos and did not have the right equipment. I also did not have a team to help me out. I invite you to check out my latest vidoes and i look forward to hearing your comments about them.
Hi doc thanks you to your pie information.i have 2 tranexamic acid and 5% niacinamide serum it can help din poba to may pie kahit 2% Lang Ang tranexamic?🥰
Hello! based sa studies, 5% tranexamic ung ginamit nila, but it should still have an effect especially combined with 5% niacinamide. I will look into it too and let you know if i find anything on 2% tranexamic acid.
You’re welcome and thank you for the support. Many have asked me to talk about those but I believe prescription and systemic medications are best explained by your attending physician during a proper consultation :)
@@irenegaile Yes doc. My doctor prescribed me spiro. May I ask bakit po tinataasan ang dosage? Or kung ok naman ung 50mg, need pa po ba dagdagan and mg or mag stick nalang dunsa 50mg? Thanks doc. I like the way you explain. Very calm.
@@willmae2519 i honestly don’t give spironolactone. I give other anti-acne meds :) but ginagamit talaga cya for acne and in general, we usually modify the dose of a medication when we feel na kulang or sobra. But with spironolactone, best to ask your derm, since mas familiar cya with it :)
Hi doc i am using BPO (day) and akneclic (adapalene and clindamycin) at night as prescribed by my derma. If im going to use niacinamide saan ko po sya pwede iinsert sa routine ko? I have lots of PIE and everytime my acne ako red marks tlaga sya 😔
You can use it in the morning after your bpo and/or evening after your adapalene+clinda :) best way to prevent pie is to control ur acne and by minimizing inflammation. Thats good youre treating your acne :)
@@irenegaile i want to try pimple eraser recovery concentrate with 10% niacinamide, 1% salicylic, tea tree and vit c. I have seen it in a vlog ni Jan Angelo yung review nya. Or do you have any product recommendation po? Can I use also Belo Kojic + tranexamic toner doc? Dont know lang the exact % of tranexamic first time ko lng kasi itry.
Hi po doc, okay lang poba gumamit parin ng bha toner 0.5 % kahit may pie? Tyaka po 3months napo ako gumagamit ng niacinamide 5% pero wala pong nangyayari, itutuloy kopa rin poba?
Doc normal lang po tumagal ng 1yr ung pie? And ano po pwedeng gamitin if may kasama po syang tiny bumbs? Yung pwede po sana sa 15yrs old doc. Thankyou po.
Yes minsan more than 1 year talaga especially if new pimples keep coming out. I recommend a proper consultation, para ma asses ka ng mabuti at mabigyan ng tamang gamot.
which is better po tranexamic or vitamin C? i been using tranexamic naka 3 bottle nako, nagminimize naman sila although pagkaheatflush nagared paden talagaaaa , huhu gusto ko magtry ng vit. c . can i ask for your by recommendation po if tranexamic acid paden or vit c?
Hlw doc.i m from bd.And i m also a doc.i have post inflammatory pigmentation. Is laser only one way to treat it??? I used hydroquinone containing cream,solution.but no result. I dont want to do laser.is there any way to cure it???
Sun protection is very important. But it is still best to have a proper consultation so that your skin can be assessed. Sometimes, lasers may not be the best solution especially if you have dark skin type.
Thank you so much Dra. Gaile ❤️💛🤗 btw, Dra. please make a video about Sebaceous Hyperlasia and difference niya sa closed comedones 🙏🏻🤍 Thank you po ulit! 🤗💯
In a way yes but there are other topical ingredients that you can also use such as exfoliants, niacinamide, azelaic acid, tranexamic acid. Also, for me lasers are best at improving PIE.
@@irenegaile so kilig doc nagreply po kayo. thank you po 💖 May marerecommend po ba kayong naicinamide product? Di ko pa po natry mag naicinamide ever eh.
Hii doc i have cleared my acne 95% now i only have pie and i am searching best cream or gel to prevent it plz i am confused suggest me the best help me
Good day po Doc! Sorry to ask as im not familiar with the first 3 topical creams you mentioned, mga over-the-counter lang po ba to? And if im already using cream with niacinamide, should i still use any of the first 3 topical creams po ba? Is niacinamide enough na po ba? Thank you in advance, po!
The first 2 I mentioned -- brimonidine and oxymetazoline -- are prescription medications na hindi na ata available dito satin. All the rest can be bought over-the-counter (niacinamide, vit c, tranexamic acid and azeleic acid) -- all 4 of them are good for PIE and PIH. I recommend trying one first, and then if hindi enough u can try using 2 kinds. For PIE pinaka effective parin ang procedures but I have patients who have responded well naman to topical creams
Hi doc I've been using tretinoin for 6 months can I add niacinamide 5% for my dark marks what is your opinion? May purging po ba sya?can help din po ba sya for close conedone? Hoping for your answer doc THANK YOU❤️
Alam ko pwede nmn yan pagsamahin. Kasi binabawasan ni b3 ung irritation from tret. Ang tanong lang kasi, kaya mo ba ma handle ung 5%? May iba kasi naiirritate padin sila sa 5%
Purging is often due to keratolytics (retinoids, benzoyl peroxide) or exfoliants (AHAs, BHAs). Niacinamide is not one of them. But you can definitely use it with tretinoin. It is not directly beneficial in treating comedones but may have sebum regulatory effects.
Hello po niresetahan po ako ng adapelene + clindamycin gel#1 (klenzit cms) pero im scared of purging since im working po. Should i follow it or take na lang po ko ng other products that include vit c niacinamide and salicylic acid?? :
Dalawa po kasi derma na pinagconsultanko yung isa po adalpene .1% and benzoyl peroxide 5% isa naman po yung klenzit csm i have pie and pah ano po recommended niyo?
Hello po, Doc Gaile😊 My face is about to be covered with these red marks caused by acne. Is it okay for my age (15 years old) to use a Vit C serum? The Garnier Vit C serum, to be exact. Here's the products I'm currently using: Cleanser: Ponds Acne Clear Facial Foam Moisturizer: Luxe Organix Aloe Vera & Snail Soothing Gel Spot treatment: Oxecure Acne Clear Mud Doc Gaile, I'm wondering if I can add a Vit C serum on my regimen. Thank you so much po, Doc. 💟
Hello, Iv had this red blemish on my forehead now for probably over 3 months now, i remeneber having 2 pimples close to the area and im not one who deals with ance, other then a few pimples here and there, im not sure why i have this blemish..it doesnt seem to be going away, im thinking it might be PIE but i really dont know and trying to see a doctor is almost impossible where i live.
Wowww. Thank you for this Dr. Gaile 😍😍😍 Confused tuloy ako now if bakit cream na may hydroquinone yung prinescribe sa akin. Almost 3 weeks ko na din po ginagamit, walang effect. Online lang din ako naassess.
@@lavheejoycecallao1553 there’s no way of finding out if you will have a reaction or not unless you try a product, unless u have a known allergy to any of the components of the product :)
Finally, a discussion about PIE. Thank you so much for this Dr. Gaile!
Yay! you're welcome :) Thank you too for watching!
Do you think focused NIR lights work? (not full red light panels for a whole room , because they can cause eye damage if you use it every single day as opposed to just once)
I have one, it causes warming too
Hello doctor. This might be a little long but please bare with me. I've been struggling with PIE for 3 years now and have tried almost everything. I'm feeling so hopeless. I have brown skin and I am 22 years old now (male). 95% of my acne is gone now on it's own even though I sometimes get acne here and there. But the redness still persists.
I've tried the Candela V beam laser. I've done 4 treatments with this setting:
7mm 10 ms,8.5 j/cm2 30/20
I did not get any results. I feel really hopeless doctor. I even used the Niacinamide 10% by The Ordinary and it did not suit my skin. Can you help me? Can you tell me if the settings for the PIE is right?
Hello! PIE is truly very challenging and lasers are for me the best treatment modality yet. But I do not give laser settings or any form of treatments this way. Please come to the clinic for a formal consultation :)
@@dgq7130 i agree, dont forget the sunscreen
how about kojic?
More anti-pigmentation
@@irenegaile Is sunscreen enough to fade marks? specifically the tinted one
Hi Doc! Di ko alam kung mababasa mo pa to. Saang derma clinic po available yung mga mentioned lasers sa video and anong price range po kaya? Thank you
Come to my clinic! We have the yellow laser and soon we will have a new vascular laser for red marks, broken capillaries etc
Price kasi depends on the lesions.
Hello doctor will Salicylic Acid help with these scars?
yes, to a certain extent.
@@irenegaile Ohh tysm!! How long will it take to fade if I use Salicylic Acid every night
Hi doctor I’m on acne treatment, BP and Adapaline it seem to be they flare up my PIE scars and also newly forming acne will also leave a PIE scar.
I’m bit worried whether to continue acne treatment or not😕
Discuss your concerns and your plans for your skin with your derm. Kailangab personalized treatment always
Can i apply alove vera gel on pie pleas i dont have money to buy products 😫
I suppose you can but it wont do much for PIE.
Baka po meron po para sa PIH dra.
Meron! :) ruclips.net/video/t0URYnLga_Y/видео.html
Hi, pano po ilelayer ang adapalene, niacinamide, azelaic acid moisturizer, sunscreen? Thanks po.
I have a video on how to layer products: ruclips.net/video/fnP_VSo1_sA/видео.html
Hello po doctora.very informative ang mga videos nyo po.
Gumagamit po ako ng glycolic with kojic cream every morning at epiduo forte sa gabi.. almost 7 months na po na routine medyo matagal mawala ang red marks ng acne😔
Red marks are really stubborn and in my experience the best way to improve them is using lasers :)
I hate it! Mas okay pa 'yung brown kaysa sa red. 2 years bago mag-fade
Matagal nga mag fade ang red and hard to treat with topicals.
hi doc, can you recommend me a clinic that offers vascular laser treatments for pie? i can't seem to find any 😅
we have in my clinic -- dermHQ in Makati
Hello! I have a question, doctor. How should I use oxymetazoline? With my fingers all over the problem area? Or with a q-tip only on the spots?
Please answer, thanks🙏
p help po ..i have rosecea for almost a yr ..anu po mgnda gmot pblik blik lng po yung pimples
I recommend a proper consultation for your skin issue :)
Doc, what kind of ingredients to use that is best with Epiduo Anti-Acne gel kasi po mostly red marks nalang meron po ako pero nagkakaacne parin that's y im using epiduo po. Epiduo lang po gamit ko for night and suncreen lng po sa umaga. Thankyou po.
Oh pinanood mo na pala hehe if you're asking about examples of brands, hmmm for niacinamide there's cetaphil bright healthy radiance, peter thomas roth pro strength niacinamide discoloration treatment yan palang nasubukan ko but actually maraming brands ang may niacinamide ngayon.
as for azelaic acid i only know of skinoren na prescription-strength brand :)
Hi doc. i use dr wongs sulfur soap and naiisip q lang po na parang hindi siya good sa skin.
I havent tried it but it can be drying
Doc, okay lang po ba yung adapelene + benzoyl peroxide sa pie?
Doc, meron din po akong PIE or the redmarks then my derma binigyan po ako ng clindamycin phosphate topical solution sa morning po then acne astrigent and then she also gave me a whitening saop po. Makakatulong puba yung mga gamot na binigay po ng derma ko sa pagtanggal po ng mga PIE kopo doc?
Clindamycin is an antibacterial so hindi cya for PIE. As for the other meds, ask your derma kung anong ingredients, I cannot answer for her because I dont know the components of the astringent and whitening soap.
@@irenegaile Almost 9 months napo yung treatment kupo sa kanya doc and i see na nawala po talaga mga acne and comedones kopo may naiwan ngalang pong mga bakas witch is yung mga redmarks po yung pung binigay na whitening saop po doc is from bioderm po yung thioderm po ata yon and then yung pung astringent doc yung pung brand nya is acne cure.
Hi doc, how can i minimize the inflammation? I have an acne prone skin, super inflamed right now.
Im using cleanser ( garnier) and night cream 1 from beautederm.
You will benefit from prescriptions medications. I recommend that you have a proper consultation to get assessed and be given the right meds :)
Beautederm is way too harsh for me. Made my PIE worst
doc, im planning to get co2 fractional laser. does PIE can get rid of it?
No :) vascular lasers are best for PIE
Please tell me something about pih marks that how they will go away plus i have alot of whiteheads on my face and later on they become pimples. Please tell me best solution for whiteheads and pih marks.
Please consult a dermatologist to get properly assessed so that you will be given recommendations that will suit your condition.
Doc nag recommend yung derma ko ng pdt para sa mga pula pula ko sa muka dahil sa acne makakatulong po ba yun? Hinde kase sya nabanggit sa mga sinabe mo doc.
May wavelength na anti-inflammatory pero if energy-based device i prefer vascular laser :)
@@irenegaile yung niacinamide and azelaic acid pwede ko po ba pagsabayin sa routine malakas kase mag produce oil muka ko saka may iilan paren na tagyawat na bumabalik
Hello Doctor. I had a mole removed about 8 months ago with a CO2 laser. The mole is gone, but it left a pinkish/purple mark on my face. I noticed it's a bit less noticeable in the morning and tends to even border the "red" spectrum during a heat flush. Will this ever go away? Also, I can in lighting that the scar it left is a bit shiny. However, the spot is not raised, nor indented. It's flat and you wouldn't be able to tell if you ran your finger across it. However, I'm just wondering when the pinkish/purple mark will go away, since it's about 8 months and it's still not gone?
I personally do not remove moles using CO2 lasers so I have no experience with how they would look afterwards. It would be best for you to go back to the doctor who did the procedure to you and discuss your options :)
Hi Doc, will Revlite work for PIE? 😢 I’m hesitant to avail if di naman pala siya ok for red marks
Nope its a pigment laser, the target chromophore is melanin, not hemoglobin :)
I dmed you po 🙏🏻 want to avail PDL
Doc ok po ba yung salicylic acid at aha-bha na ingredients for PIE?
Hello! yes ok naman, exfoliants sila so they can speed up PIE resolution in a way :) best if combined with topical or procedural treatments. Dont forget lng to use sunscreen!
@@irenegaile maraming salamat po doc ☺️
@@princejinpark2663 you’re welcome:)
hi po Doc may i ask if yung niacinamide, vitiamine c, tranexamic acid and azeleic acid should be put them together all at ounce? or i ta try lang isa isa? im clueless po kase kung ano gagawen dun sa apat na yan e wala naman po akong mapagtanungan
I don’t recommend trying several products at the same time kc if something happens you wouldn’t know which one caused it
@@irenegaile salamat po Doc
Hi doc, is it okay if I use johnsons baby soap as facial wash? I have an oily skin.
If it doesnt make your skin irritated, sensitive then it should be ok :)
@@irenegaile thank you doc! 😍
What are your vitamin c recommendations doc??
I like to combine my vitamin c (concentration of 5-20%) with vitamin e and ferulic acid -- these make a powerful and stable combination. Although there are so many vitamin c derivatives that are more stable than vitamin c and can be used alone.
Doc, is picosure laser good for treating PIE?
Picosure is a pigment laser used in removing tattoos and other pigmented lesions :) Vascular lasers like the Pulsed dye laser or yellow laser are those used in improving PIE.
hi doc. is axis y dark spot good for PIE?
what is axis y dark spot?
Omg doc super thank you! Now I know kung ano yung case ko. I thought pigmentation lang siya but its PIE! Buong right na pisngi ko pa naman meron. Sinasabi ko na lang tuloy na free blush on siya AHHAHAHAH Any recommendation doc sa skincare para sa ganitong case? Since magstart pa lang talaga na magtake care ng skin ko huhuhu Thank you doc!
You can go ahead with your current skincare routine naman if it works for you and add products containing ingredients I mentioned in the video.
If you want to really make sure of what you have or get specific product recommendations, I suggest a consultation para ma-assess not just your skin issues but your lifestyle, habits and preferences as well :)
Hello po doc, meron po ba kayo free consultation?
The Philippine Dermatological Society Dermatology Training Institutions are doing free consultations. You can search for them online :)
Hello doc. Hope you could give me an advice. I don't have acne or big pimples, I had facial then the aesthetician extracted "blackheads" after 2 days, I still had this red marks, like post hyperpigmentation 😭 I still have 7 sessions for Facial, DP and Rejuv laser 😢 How many days would it go away?
PIH resolves, on average, in 12 weeks :) PIE longer if it's due to inflammation. But iba iba ang tao e meron iba mabilis magfade ing flat scars, for others mas matagal.
How about retinoids and licorice doc, can they help?
Retinoids in a way because they are keratolytics, licorice is more of a lightening ingredient.
Hi po doc! Ask ko lang po if Gaano po ba katagal ginagamit ang azelaic acid 15%? Lumipat po kase kami kaya hindi ko na maitanong sa derma ko dati thank you po♥️
For me minimum of 4 weeks up to 12 weeks to see improvement. Once youve achieved the desired result, pwede mo na stop.
@@irenegaile Salamat po doc! ♥️♥️
i have a question can i use the cerave resurfacing retinol serum and tretinoin ?
At the same time? Might be too much
THANK YOU SO MUCH DOC!!! 😭😊 I HAVE PIE.
Yay, i hope you learned something from this video! :)
@@irenegaile YES PO DOC!! 😊✊🏼
Hi doc benzoyl po ba ay pwede sa 15 yrs old
yes if you ask me
doc maganda rin po ba ang mandelic and malic acid for acne and sensitive skin?
They are alpha hydroxy acids that exfoliate the skin.
I wouldn't recommend to those with sensitive skin until after their skin barrier has been restored. They may help improve acne but are not considered first line of treatment.
thankyou po!!🤍
Products recomms Doc please huhu thank you
Naku marami, pls send me a DM in IG.
Hi Doc! :) How many laser sessions usually it takes to see improvement in PIE?
Usually 3-4 :)
Omg badly need this I HAVE PIEEEEE
Yay! Sana nakatulong! Super common ang PIE, and even if it resolves with time, minsan matagal.
Hi, doc what are your product recos? Thanks!
U can try forst that I mentioned na OTC :) if you mean brands there are so many good brands- just go with reputable ones :)
@@irenegaile thanks po!
@@syrelssj send me a DM in IG hehe
Hi po Doc! is adapelene good for PIE as well?
Its not something i give for PIE but if youre using it for acne, im sure it can help a little
hi po doc! is to ok to use oswald's azelaic acid 10% for pie? and how long will it take po for pie to disappear using azeliac acid? thank you sm po!
Lasers still the best treatment option for PIE
Azelaic is ok to use but i recommend 15% and it might take at least 6 months to see significant results
hi doc. i am a tretinoin and benzoyl peroxide user. are these products enough to get rid of my PIE at the moment? thank you. 💜
in my opinion laser is best in improving PIE. BPO and tret can help but not so much. Anyway PIE resolves on its own dn naman even without treatment :)
Doc, can you layer cerave's resurfacing retinol serum and the good molecules discoloration correcting serum? Or cerave's resurfacing retinol serum and jumiso all day brightening serum? Thank you~
Anong ingredients nung 2 other serums?
If u ask me ok naman to layer wag lng 2 ingredients that go against each other or can cause too much irritation etc.
@@irenegaile Doc, the GM discoloration correcting serum po has 2% cetyl tranexamate mesylate and 4% niacinamide while the jumiso one po has vitamin tree extract and 2% niacinamide.
@@pearlsugarfairy it should be ok :)
Hello po, Doc. Cetaphil Cleanser, Serum, at Sunscreen lang po gamit ko, are these enough po? Do I need to use products contains salicylic acid, or aha-bha po? Ano pong kulang? Salamat po nang marami.
Best to consult so that your skin can be assessed and proper recommendations be given. If you have no skin issues and are 25 or younger, a gentle cleanser, moisturizer (if needed) and sunscreen would suffice :)
hi Dra, can a 17year old female with acne and acne scars start a skin care routine including a low concentration of Retinol?
Retinol is an anti-aging ingredient. At 17, you don’t need it yet. You can however benefit from a basic skincare routine that consists of a gentle cleanser, a sunscreen, anti acne medications and moisturizer (if necessary)
Doc how long does PIE last?
KC Yung akin parang more than 1 yr na
I used tretinoin nag improve sya konti Pero not much
?
12-24 months on average.
In my experience lasers pinaka effective. Sa topicals naman, azelaic acid and exfoliants. Sometimes niacinamide and tranexamic acid.
Doc, okay po ba ang gumamit ng adapalene + clindamycin gel po? Any recommendations po ng brand or kung ano po na may ganiyan po? Salamat.
I give that to my patients with acne but not for long periods of time. Its a prescription medication that u can buy from drugstores :)
@@irenegaile nakawawala po ba ito ng red marks po? red marks ko po kasi buong pisngi ko na po (both)
@@irenegaile wala pong pimples, pero puro red marks na po talaga siya.
I'm using sugar dolls sunscreen 2 months doc, but I still have pimples and small bumps, I have also marks they are all visible, should I stop using these sunscreen? And what sunscreen would you recommend for sensitive and acne prone skin doc? THANK YOU in advance doc Happy new year.
Try lightweight, gel- or water-based sunscreens. If not, spray sunscreens may be a good alternative. for sensitive skin, choose those that do not contain other ingredients other than UV filters.
@@irenegaile thank you so much doc, keep safe always
@@irenegaile doc it's okay to use hello glow suncare gel? For acne and sensitive skin?
May tanong po ako. Currently red spots tlga ung problem ko. Di ko masabi na PIE sya. Kasi di namn ako tinigyawat kung saan sya nag manifest. Natulog lng ako tapos pag gising ko, meron na. Bandang left temporal and left cheek ko. Considered as PIE din po ba yun?
may Niaciamide 10%, Vitamin C, Arbutin 2%, Tranexamic Acid and Azelaic acid 20% akong mga skin care. Ok lang bang pagsabayin sabayin ko po yun?
PIE can result from any form of inflammation and as a consequence of healing of inflammatory lesions. Kung ung red spots mo are temporary then it is not PIE.
For me overkill ung sobrang daming products with similar mechanism of action which might lead to irritation rather than benefiting the skin.
@@irenegaile copied! Months na din po ito eh, at kahapon may nadagdag na naman left cheek padin malapit sa nose..
So bale, hanggang ilang active ingredients po pwede ko ipagsama/gamitin? Hanggang 2 lng po ba? Or isa lang?
Thank you so much doc!
@@loudeillunzaga4476 2 should be ok :) but for me talaga lasers are the most effective for PIE/PAE.
@@irenegaile Crystal clear doc! Thank youuu ❤️
can i go under microneedling treatment po while using tretinoin?
That would depend on your skin condition and your practitioner :) i generally donprocedures on patients in tretinoin but it varies doctor to doctor.
@@irenegaile thank you so for the info doc
@@gura you're welcome :)
Cut the background music
Thanks for the reco. You know during this time, I didnt know yet how to properly edit my videos and did not have the right equipment. I also did not have a team to help me out. I invite you to check out my latest vidoes and i look forward to hearing your comments about them.
Hi doc thanks you to your pie information.i have 2 tranexamic acid and 5% niacinamide serum it can help din poba to may pie kahit 2% Lang Ang tranexamic?🥰
Hello! based sa studies, 5% tranexamic ung ginamit nila, but it should still have an effect especially combined with 5% niacinamide. I will look into it too and let you know if i find anything on 2% tranexamic acid.
Anong bramd ng tanexamic acid yan?
@@loudeillunzaga4476 the skin abc ultimate brightening serum po
Hi Doc, thank you for this.
Can you make a video about spironolactone? And other pills to prevent acne? Thank you.
You’re welcome and thank you for the support. Many have asked me to talk about those but I believe prescription and systemic medications are best explained by your attending physician during a proper consultation :)
@@irenegaile Yes doc. My doctor prescribed me spiro. May I ask bakit po tinataasan ang dosage? Or kung ok naman ung 50mg, need pa po ba dagdagan and mg or mag stick nalang dunsa 50mg? Thanks doc. I like the way you explain. Very calm.
@@willmae2519 i honestly don’t give spironolactone. I give other anti-acne meds :) but ginagamit talaga cya for acne and in general, we usually modify the dose of a medication when we feel na kulang or sobra. But with spironolactone, best to ask your derm, since mas familiar cya with it :)
@@irenegaile Thanks Doc! Abang po ako sa mga susunod mo pa na vids 🤗😀
Hi doc i am using BPO (day) and akneclic (adapalene and clindamycin) at night as prescribed by my derma. If im going to use niacinamide saan ko po sya pwede iinsert sa routine ko? I have lots of PIE and everytime my acne ako red marks tlaga sya 😔
*akneclin
You can use it in the morning after your bpo and/or evening after your adapalene+clinda :) best way to prevent pie is to control ur acne and by minimizing inflammation. Thats good youre treating your acne :)
@@irenegaile i want to try pimple eraser recovery concentrate with 10% niacinamide, 1% salicylic, tea tree and vit c. I have seen it in a vlog ni Jan Angelo yung review nya. Or do you have any product recommendation po? Can I use also Belo Kojic + tranexamic toner doc? Dont know lang the exact % of tranexamic first time ko lng kasi itry.
Hi doc can I use azelaic acid gel 10% or 15%? To my pie
Yes :) pwede!
Hi thanks you doc.and Yung 15% azelaic acid may purging poba siya? And how many weeks Ang purging process nya p0?
@@paulrojo4308 no one can predict. Malalaman mo lng if ma try mo na.
doc pag ang ilong po ba di nauubusan ng pimples
rosacea po ba yun?
Not necessarily, there are other factors to consider. Best na magpaconsulta ka para sure :)
Hi po doc, okay lang poba gumamit parin ng bha toner 0.5 % kahit may pie? Tyaka po 3months napo ako gumagamit ng niacinamide 5% pero wala pong nangyayari, itutuloy kopa rin poba?
Yes ok lng to use BHA. I suggest you try laser treatment :)
Doc normal lang po tumagal ng 1yr ung pie? And ano po pwedeng gamitin if may kasama po syang tiny bumbs?
Yung pwede po sana sa 15yrs old doc.
Thankyou po.
Yes minsan more than 1 year talaga especially if new pimples keep coming out. I recommend a proper consultation, para ma asses ka ng mabuti at mabigyan ng tamang gamot.
Is cryotherapy effective in PIE ?
I never thought of using it.
Hi po doc, does rice cause acne?
No, it does not :)
which is better po tranexamic or vitamin C? i been using tranexamic naka 3 bottle nako, nagminimize naman sila although pagkaheatflush nagared paden talagaaaa , huhu gusto ko magtry ng vit. c . can i ask for your by recommendation po if tranexamic acid paden or vit c?
for redness? tranexamic acid.
thank you , doc hehe
Hlw doc.i m from bd.And i m also a doc.i have post inflammatory pigmentation. Is laser only one way to treat it???
I used hydroquinone containing cream,solution.but no result. I dont want to do laser.is there any way to cure it???
Sun protection is very important. But it is still best to have a proper consultation so that your skin can be assessed. Sometimes, lasers may not be the best solution especially if you have dark skin type.
Is tretinoin good for pie ?
You can use it and it can help but lasers -- in my experience -- are best for PIE
Thank you so much Dra. Gaile ❤️💛🤗 btw, Dra. please make a video about Sebaceous Hyperlasia and difference niya sa closed comedones 🙏🏻🤍 Thank you po ulit! 🤗💯
Interesting topic, cge isipin ko how to make a video about that :) thanks for the suggestion!
Yes Po doc.
That's my big problem 😭 close comedone, nasa nose ko. Nakaka wala ng confidence 😭😭😭
Very informative doc! Thank you! 🤗
Yay! glad to help! :) thanks too!
Hi Doc... it's meeee again hehe
Thank you sa support 🥰🙏🏻☺️
@@irenegaile you're welcome po, dra. :*
Hi Doc. Helpful po ba ang tretinoin for PIE?
In a way yes but there are other topical ingredients that you can also use such as exfoliants, niacinamide, azelaic acid, tranexamic acid. Also, for me lasers are best at improving PIE.
@@irenegaile so kilig doc nagreply po kayo. thank you po 💖 May marerecommend po ba kayong naicinamide product? Di ko pa po natry mag naicinamide ever eh.
@@irenegaile bakit po hindi po madalas i recommend ang tretinoin for PIE eh mataas namann po ang kanyang anti inflammatory effect at antioxidant atbp.
yes . thank you doc
Hii doc i have cleared my acne 95% now i only have pie and i am searching best cream or gel to prevent it plz i am confused suggest me the best help me
For PIE a combination of topical creams and lasers give the best results. but if i were to choose between the 2, i would do lasers. :)
Very informative and well explained ❤️❤️❤️
Thank you 🙏🏻☺️
Good day po Doc! Sorry to ask as im not familiar with the first 3 topical creams you mentioned, mga over-the-counter lang po ba to? And if im already using cream with niacinamide, should i still use any of the first 3 topical creams po ba? Is niacinamide enough na po ba? Thank you in advance, po!
The first 2 I mentioned -- brimonidine and oxymetazoline -- are prescription medications na hindi na ata available dito satin. All the rest can be bought over-the-counter (niacinamide, vit c, tranexamic acid and azeleic acid) -- all 4 of them are good for PIE and PIH. I recommend trying one first, and then if hindi enough u can try using 2 kinds. For PIE pinaka effective parin ang procedures but I have patients who have responded well naman to topical creams
@@irenegaile thank u so much, doc!
Galing Talaga ni Doc ❤️
Hehe salamat ☺️🤗
Hi doc I've been using tretinoin for 6 months can I add niacinamide 5% for my dark marks what is your opinion? May purging po ba sya?can help din po ba sya for close conedone? Hoping for your answer doc THANK YOU❤️
Alam ko pwede nmn yan pagsamahin. Kasi binabawasan ni b3 ung irritation from tret. Ang tanong lang kasi, kaya mo ba ma handle ung 5%? May iba kasi naiirritate padin sila sa 5%
Purging is often due to keratolytics (retinoids, benzoyl peroxide) or exfoliants (AHAs, BHAs). Niacinamide is not one of them. But you can definitely use it with tretinoin. It is not directly beneficial in treating comedones but may have sebum regulatory effects.
Hello po niresetahan po ako ng adapelene + clindamycin gel#1 (klenzit cms) pero im scared of purging since im working po. Should i follow it or take na lang po ko ng other products that include vit c niacinamide and salicylic acid?? :
For acne yes you should use that. Dont be afraid of purging. Its all part of the process :) plus it doesnt happen to everyone.
@@irenegaile how long would it take po ba to see the result?
Dalawa po kasi derma na pinagconsultanko yung isa po adalpene .1% and benzoyl peroxide 5% isa naman po yung klenzit csm i have pie and pah ano po recommended niyo?
@@slaystacy3463 in 12 weeks dapat noticeable results already, if not you should consider an alternative treatment :)
@@irenegaile Adapelene n bpo or kelenzit csm po?
Thanks po sa info Dra.❤😊
You’re welcome! Salamat din! 🙏🏻
Thank you so much dr! 💕
You're welcome! sana nakatulong!
Yeheyyy! Thank you Doc ❤️
You’re welcome and thanks din!
Thank you Dra. Gaile😍😍😍
Thank you too! Hope this video helped ☺️
I am so glad Dra. that I found your channel. You are such an angel Dra.🥰
Thank you 💗
You’re welcome :)
Thank you doc ♥️
You’re welcome! Sana nakatulong 🙏🏻
😍😍😍 thank u po doc irene ❤
You’re welcome! Thank you din! :)
Needed this. Thank you po. New Sub.🙂
Yay! glad to help! thanks for the support! :)
Hello Doc! What's your thoughts on evening primrose oil supplement for acne?
It’s not something I give for acne though it is said to have anti-inflammatory benefits.
Hello po, Doc Gaile😊 My face is about to be covered with these red marks caused by acne. Is it okay for my age (15 years old) to use a Vit C serum? The Garnier Vit C serum, to be exact.
Here's the products I'm currently using:
Cleanser: Ponds Acne Clear Facial Foam
Moisturizer: Luxe Organix Aloe Vera & Snail Soothing Gel
Spot treatment: Oxecure Acne Clear Mud
Doc Gaile, I'm wondering if I can add a Vit C serum on my regimen. Thank you so much po, Doc. 💟
I recommend a consultation, hard to make a suggestion without seeing you.
Hello, Iv had this red blemish on my forehead now for probably over 3 months now, i remeneber having 2 pimples close to the area and im not one who deals with ance, other then a few pimples here and there, im not sure why i have this blemish..it doesnt seem to be going away, im thinking it might be PIE but i really dont know and trying to see a doctor is almost impossible where i live.
Wowww. Thank you for this Dr. Gaile 😍😍😍
Confused tuloy ako now if bakit cream na may hydroquinone yung prinescribe sa akin. Almost 3 weeks ko na din po ginagamit, walang effect. Online lang din ako naassess.
Hydroquinone is a skin lightening cream which we prescribe for post inflammatory hyperpigmentation. Baka mix ka ng PIH and PIE :)
@@irenegaile anong products ang pwede sa merong PIH at PIE Doc? Sana po mag reply kayo thank you po
@@lavheejoycecallao1553 niacinamide, azelaic acid, vitamin c and even tranexamic acid will all help with both PIH and PIE.
@@irenegaile Doc okay lang po ba ang 10% niacinamide tulad po ng the ordinary? Hindi po ba yun nakaka iritate sa face? Acne prone and dry skin po ako
@@lavheejoycecallao1553 there’s no way of finding out if you will have a reaction or not unless you try a product, unless u have a known allergy to any of the components of the product :)
First! 😍
❤❤❤
Thank you! 🙏🏻☺️