At 48 I still get pimples, mostly after my time of the month. I hate it.

that is NOT a before and after photo! What a fraud. Look at the picture VERY closely. Look at hairs on her head and the placement of them, which ones are sticking out, etc. They are EXACTLY alike in BOTH pictures! This picture has been photoshopped, nothing more. Unbelievable.

Acne can also be caused by food allergies, which dermatologists cannot seem to get into their thinking; when i stopped eating dairy products, i also stopped taking accutain, antibiotics, retin-A, etc, etc, etc. Stress and hormones are also causes but if someone is struggling with constant, long-term breakouts that don't want to heal (as i did for 14 years of dermatologist visits) - try a nutritionist or an allergy doctor instead.

Umm, Carolyn...read the caption..."hypothetical" surgery.......

I used to have horrible acne as a teen and in early 20's. I was told by old school moms of friends I had food allergies (ex: all nuts, avocados). I was told to eliminate them for a while to see if that was the cause. For me, it was. As I got into my early 20's, standing in line at a checkout, I met a dietician who told me the problem was internal....meaning, that it had to do with a dirty colon. I was told to eat more fruits and vegetables and fiber to clean it out. She said my dirty insides were obvious in the pimples around my chin. Ok. Well, I figured I would try all this because it was healthy food, so why not. I'm 37 and pimple-free and have been for YEARS and YEARS....BUT I do breakout when I eat nuts and chow down on avocados. This is my experience, probably not gonna work for most people, but it doesn't hurt to try it:)

Carolyn if you look at the picture again it quiet clearly states that it is "hypothetical " surgery, nowhere does it state that she actually had the surgery.

Carolyn. They ARE the same picture. If you read the first paragraph, it says that people submit their problem photos, and the doctor shows them how they'd look if they underwent the procedure(s). Also, even the caption under the pictures says "The patient before and after the HYPOTHETICAL surgery".

Western medicines treat acute symptoms. Eastern medicine treats the cause. An easy way to control the acne problem is watch what you eat. Different food cause different problems for different people. Some get breakouts when they eat chocolate or fried food. I get breakouts when I eat spicy food. Cut them out and your acne problem is gone. Cost/Benefit analysis - Let yourself have a treat once a while as long as you are ready to pay the price for the next few days.

I'm sorry, but posting 2 pictures of someone where they have been photoshopped to show how they would look after surgery isn't convincing enough to me to allow myself to do that.

the picture has been photoshopped. they didn't even change her hair. lol!

I don't see "deeper than expected hollows"! As an MD myself, it bothers me that people in my profession would suggest procedures that are unnecessary and do not come without a hefty price and medical risks!

ONLY I HAVE THE CURE FOR ACNE. And it's sure a simple cure. When I had acne as a kid and living along the west coast, I noticed that the surfers were the only kids who had such beautiful skin. So I started my process with a salt paste rub. Only due this strong rub once in a week while you still have the acne. Yes everything will turn red. But I promise that will be the last time in your live. The redness will go away. Then put salt in a spray bottle with water, and spritz your face twice a day. At night rinse your face with water. NEVER NEVER NEVER USE SOAP ON YOUR FACE. After rinsing use a little of Oil of Olay. After you acne is gone, use the Oil of Olay either in the morning under you makeup or at night.

DO YOU HAVE WRINKLES OR PUFFY PLACES. I am 63 years old and truly I don't have any wrinkles. Many times my age is guessed 20 years younger. My solution will remove smokers wrinkles around the mouth. It will soon get rid of the deep line between the nose and as will as deep furrow lines on the forehead. Do you have large pores or undereye bags? NO IT ISN'T PASTIC SURGERY. Buy a cheap tube of equate hemmoride cream. NOT THE GEL...GET THE WHITE CREAM. I put a pin hole in the aluminum seal to keep only a little bit to escape at a time. Becare around the eyes as it will spread after applying. The worst that will happen is your eyes may sting for awhile. I use the cream under my Oil of Olay before I put my makeup on. Waiting enough time for all that to penetrate before applying your makeup. If I have a big day the next day I will apply the cream the night before.

Photoshopped.....look at the hair. it's exactly the same.

I have been getting acne on and off since i was 15, now it is considered "adult acne." I don't get acne as much as i used to, just right before my period.

never had any problems later from my zitts because I left them alone, no squeezing, no diggin at them and no hard scrubbing either, and i had plenty of them too

From photo, she looks like she may have the onset of acne rosacea. This is also indicated from her history: redness, dry areas, late onset acne. Most respectfully, doctor, what you are suggesting for treatment is not effective for this condition. I do agree with the doctor she should seek the advice of a board-certified dermatologist and stay away from scrubs which can aggrivate the condition. Personally, I do not see that she needs surgery/fillers or fat transfers and the more pronounced nasolabial folds may become less noticable once the inflammation is reduced.

I am nearly 60 and STILL get acne. It took me years to figure out, but I finally narrowed it down to "whey", a natural dairy product. It's in milk (but not in cream), in ice cream, in dairy cheese, most diet shakes... When you start looking for it you'll find it everywhere. Taking Minocin, an antibiotic that you cannot build an immunity to, and cutting back on the culprits (I still have occasional pizza and WAY too much ice cream), has given me clear skin for the last four years, for the first time since I was twelve. There's even a website about people allergic to whey. Dermatologists are just now beginning to catch on. Consider your whey intake if you are still breaking out past the teen years.