Many people suffer from acne while living in Thailand, and in some cases it is difficult to improve with over-the-counter acne medication. In many cases, especially hard acne, body acne, and acne scars do not improve as much as expected by self-care alone.
Therefore, this article will explain in an easy-to-understand manner why it is difficult to cure acne with over-the-counter medicines, the risks of acne scars, points to consider when choosing a clinic in Thailand, and how to treat acne with cosmetic medicine. If you are suffering from acne that is not easily cured by over-the-counter medicines, please refer to this article.
What acne is difficult to improve with over-the-counter acne medications?

Drugstores and pharmacies in Thailand offer a wide variety of acne medications, both oral and ointment, that can be easily purchased. However, the following types of acne in particular may not be easily cured with over-the-counter medications alone.
- Hard, painful acne (lump type)
- Red pimples with recurring inflammation
- Acne on the body, including back and chest
- Acne scars such as pigmentation and craters
In many cases, these pimples are not merely "surface inflammation," but are a complex combination of various factors such as deep pore blockage, excessive sebum production, and hormonal imbalance, making it difficult for over-the-counter medications to be fully effective.
Body acne, in particular, may have a different cause than acne originating from acne on the face, and in some cases Malassezia, a type of fungus, is involved. In such cases, different measures are needed than those used in general acne treatments.
Furthermore, irritating pimples by crushing them or rubbing them hard on one's own judgment can worsen inflammation and increase the risk of acne scars such as hyperpigmentation and craters.
Care should be taken to avoid incorrect timing and methods of treatment, which can lead to prolonged symptoms.
The relationship between severely inflamed acne and acne scars: why early treatment is important.

Severely inflamed acne can cause damage deep into the skin, which increases the risk of acne scars.
In particular, leaving untreated or forcibly crushing an inflamed pimple can cause further damage and increase the likelihood of remaining symptoms such as hyperpigmentation and uneven skin.
Therefore, it is important to properly treat acne at the earliest possible stage. Professional treatment in the early stages can help reduce inflammation and prevent the development of acne scars.
Acne scars are difficult to improve by self-care alone, and consultation at a medical institution is recommended if symptoms are severe.
For acne and acne scars that do not improve with over-the-counter drugs, cosmetic medicine is an option.

Many people suffer from acne and acne scars that do not improve with over-the-counter acne medication or general care.
In many cases, repeated inflammatory acne, hard lump-type acne, body acne, and acne scars with hyperpigmentation or unevenness are especially difficult to improve by self-care alone.
In these cases, professional treatment is effective. Medical institutions use the following multifaceted approaches, depending on the symptoms, to improve the skin condition from the root.
Laser and light therapy
Laser and light therapy approaches the sterilization of acne-causing bacteria, regulation of sebum secretion, as well as redness and pigmentation of acne scars. The most appropriate equipment is selected according to the skin condition to treat the symptoms from the root.
peeling
It supports skin turnover (rebirth) by gently removing dead skin cells and unclogging pores. This can be expected to prevent acne and improve skin clarity.
Acne scar treatment
For acne scars with pigmentation and cratering irregularities, skin restructuring procedures such as RejuLan and fractional laser are useful. It smoothes the skin texture and leads to a beautiful skin.
In this way, cosmetic medicine combines a variety of treatments tailored to each individual's skin condition and symptoms in order to achieve improvement. For those suffering from acne or scars that are difficult to improve with over-the-counter medications alone, one option is to consider diagnosis and treatment at a specialized medical institution.
Acne treatments available at Bibi Clinic

Our clinic features a diverse menu of procedures, including BIANCA-style hyaluronic acid injections, botulinum toxin injections, and thread treatments supervised by BIANCA CLINIC in Tokyo. Based on a careful consultation by our doctors, we will propose the most suitable treatment according to the type of acne and skin condition.
Sylfirm X
The action of radiofrequency (RF) coagulates sebaceous glands and blood vessels that cause inflammation, thereby inhibiting acne activity. This is expected to improve inflammatory acne.
Lhala Peel
Skin nurturing peeling. It is less irritating and can be performed safely even on sensitive acne-prone skin. It suppresses excessive sebum secretion and leads to healthy skin that is less prone to acne.
diode laser
Controls sebum secretion with the power of heat energy. It has the effect of calming inflammation and is useful in preventing acne.
Bibi Clinic offers customized acne treatment by combining these procedures according to symptoms and skin concerns.
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Points to look for a clinic for acne treatment in Thailand
When considering acne treatment in Thailand, choosing the right clinic is very important. The following points will help you find a reliable medical institution that suits your needs.
Physician expertise and experience
Since acne treatment differs from person to person in terms of skin conditions and causes, proper diagnosis and treatment plans are essential. It is important to have a doctor with extensive experience in acne treatment who can recommend the best treatment for your condition.
Careful counseling and follow-up system
Careful counseling prior to the procedure is a major factor in ensuring peace of mind. Check not only your skin concerns, but also your lifestyle habits and past treatment history, and see if they can explain the details of the procedure and precautions in an easy-to-understand manner. Furthermore, it is reassuring if they have a system in place to follow up with you regularly to check the condition of your skin after the treatment.
Availability of Japanese language support and Japanese staff
Communication anxiety due to language differences is a point that can easily lead to stress and misunderstandings about the procedure. In Thailand, there are an increasing number of clinics that offer Japanese-language services and have Japanese staff on site. We recommend that you choose an environment where you can consult with a doctor about detailed nuances in Japanese, especially if it is your first time for cosmetic treatment or if you are anxious about having a procedure performed overseas.
Summary: Important to have a safe acne treatment in Thailand.
When undergoing acne treatment in Thailand, it is important to understand that some symptoms are difficult to remedy with over-the-counter medications and to see a clinic as soon as possible. When selecting a clinic, make sure to check the doctor's expertise and experience in treatment, the availability of careful counseling and follow-up services, and the availability of Japanese-language services. Based on these factors, you can expect radical improvement of acne and care for acne scars by undergoing treatment at a reliable medical institution.
Among the many cosmetic clinics in Thailand, Vivi Clinic offers personalized care for each patient with professional consultation and an extensive treatment menu. Language support is also available, so please consider this clinic as an option when considering treatment for acne and acne scars.
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