Suggestions for Skin Reconstruction in the Groin Area

Question #28681

20 days ago

Suggestions for Skin Reconstruction in the Groin Area - #28681

Solram Fonseca

Recently, a dermatologist prescribed the use of Adacne Clin in the groin area to help with skin reconstruction in a region that had been severely affected by lesions of molluscum contagiosum and aggravated folliculitis on both sides of the groin. The application was to be once a day if there was no burning or irritation, or once every two days if irritation occurred. After 10 days of use, the area became severely burned, including the penile region, causing even swelling in the area. The use of Adacne was immediately discontinued, and treatment with Verutex B was started every 12 hours, along with the use of Cicaplast Baume B5+ every 6 hours. The antibiotic was used for 7 consecutive days, and Cicaplast is still being used to this day. It has now been 20 days, and the penis has completely healed, but the groin area remains extremely sensitive. Even with reduced movement, minimal sweating in the area causes the skin to become red and burning. To be able to walk, Nystatin + zinc oxide is being applied, which provides some relief to the affected area. I would like suggestions for reconstructing the skin in the groin area.

How long have you been experiencing sensitivity in the groin area?:

- 1-2 weeks

Have you noticed any specific triggers that worsen the sensitivity?:

- Movement

What other treatments or products have you used for the sensitive area?:

- Only Nystatin + zinc oxide

300 INR (~3.53 USD)

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

20 days ago

Your current symptoms are most consistent with post-irritant dermatitis and skin barrier damage in the groin area following the use of a strong topical retinoid like Adacne Clin, which likely caused a chemical irritation or superficial burn in already sensitive, previously inflamed skin; although the penile skin has healed, the groin remains highly sensitive due to incomplete barrier recovery, making it reactive to sweat and friction, and while the use of soothing and protective agents such as Cicaplast Baume B5+ and **Nystatin with zinc oxide is appropriate for symptom relief, full healing may take a few more weeks, during which strict avoidance of irritants, friction, tight clothing, and active ingredients (like retinoids or acids) is essential, and if redness, burning, or sensitivity persist or worsen, a dermatologist review may be needed to consider short-term mild topical steroids or barrier-repair therapies to accelerate recovery.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

18 days ago

It sounds like you’re dealing with a sensitive situation, and you’ve taken some appropriate initial steps. Given the history of burns and ongoing sensitivity, immediate priorities should involve soothing the skin and minimizing further irritation. First, continuing with Cicaplast Baume B5+ is wise; it promotes healing by providing a protective barrier and aids skin regeneration. You might want to consider adding a mild over-the-counter hydrocortisone cream to manage redness and any leftover inflammation but only short-term and sparingly to avoid potential side effects. Once irritation subsides, introducing a product rich in ceramides could help restore the skin barrier—a gentle moisturizer like Eucerin or CeraVe might be beneficial. Patting the area dry after cleansing is crucial; avoid rubbing or scrubbing as this can exacerbate sensitivity. Wearing loose-fitting, breathable cotton clothing will minimize friction and moisture build-up. Managing sweat is vital, and using an unscented, gentle absorbent powder could help; but avoid talc-based powders due to potential health risks. Long-term, if you notice your symptoms are not improving or additional lesions form, it would be sensible to revisit a dermatologist to potentially reassess your symptoms and treatment plan. If any signs of infection recur, such as pus, increasing redness, or fever, seek medical attention promptly. However, for now, these approaches should contribute to soothing and supporting your skin’s recovery process.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

15 days ago

Hello, I understand your concern. The symptoms you are describing are most likely due to a severe irritant/contact dermatitis (chemical burn) from the Adacne Clin, especially since the groin skin is very sensitive. It is a good sign that the penile area has healed, but the groin skin is still in the recovery phase, which is why you are experiencing redness, burning, and sensitivity with minimal friction or sweating. The skin barrier in the groin area is damaged and very sensitive. Healing in this region takes longer due to friction, moisture, and sweat.
Continue using a barrier repair moisturizer (like Cicaplast Baume B5+) 2–3 times daily.
Use “Ointment Zinc Oxide” during the day to reduce friction.
Wear loose, breathable cotton underwear. Keep the area dry and sweat-free as much as possible. Avoid any harsh soaps, scrubs, or medicated creams for now.
You can continue Nystatin + zinc oxide if it is giving relief. If burning and redness are significant, kindly consult a doctor physically or take one to one online consultation with a dermatologist/ family medicine specialist as one more medicine should be added, but that should only be done after visual inspection of your skin issue.
Avoid- Reusing adapalene or any acne creams in that area, Tight clothing or excessive walking temporarily, Frequent washing or over-cleaning.
Physically Consult a doctor if: Redness or burning is not improving in 1–2 weeks. There is oozing, cracks, or signs of infection. Pain worsens significantly.
This type of reaction is reversible, but healing in the groin area can take a few weeks due to constant friction and moisture. Focus on gentle care and skin barrier repair, the skin will gradually return to normal.
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

20 days ago

Hello
What you’re dealing with is most likely a post-irritant dermatitis (a kind of chemical burn) from Adacne Clin. The groin skin is very thin and sensitive, so recovery can take a few weeks even after stopping the product.
For healing (“reconstruction”), the focus should be on barrier repair, moisture control, and avoiding further irritation. Continue a soothing barrier cream like Cicaplast Baume B5+ 2–3 times daily. You can also use plain petroleum jelly (Vaseline) at night to help restore the skin barrier faster. Keep using the nystatin + zinc oxide if sweating causes redness, as it protects against friction and fungal overgrowth.
Keep the area dry, wear loose cotton underwear, avoid tight clothes, and avoid soaps or antiseptics on that area—just wash with plain water or a very mild cleanser. Do not restart acne creams or any strong actives there.
If burning with sweating continues beyond another 1–2 weeks, or if redness spreads, a short course of a mild steroid cream (only if prescribed) may be needed to calm the inflammation.
Healing usually takes 2–4 weeks, sometimes a bit longer in the groin.
I trust this helps
Thank you

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

20 days ago

Hello dear
See as per clinical history it seems chemical burn due to
Fusidic acid combination with steroids (verutex)
Nystatin and zinc oxide provides good comfort so continue its application
However below precautions are required
Stop combination of fusidic acid and steroids
Do caucabimb5 for improvement
Use lukewarm water
Avoid phenol
Avoid itching
Wash with betadine water dressing
Apply lulliconazole or fusidic acid topical application but only one among two
In case of no improvement in 1 week consult general physician medicine for better clarity
Regards
Re

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

16 days ago

Hello
It sounds like you’ve been through quite a lot with the irritation and sensitivity in the groin area. I’m glad to hear that the penis has healed, but I understand how frustrating it can be to deal with ongoing sensitivity in the groin.
### Here are some suggestions for reconstructing and soothing the skin in that area:
1. Gentle Cleansing:
- Use a mild, fragrance-free cleanser to wash the area. Avoid harsh soaps or scrubs that can irritate the skin further.
2. Moisturizing:
- Continue using Cicaplast Baume B5+ as it’s great for skin repair. You can also consider using Aquaphor Healing Ointment or Vaseline to create a protective barrier and lock in moisture.
3. Barrier Creams:
- Nystatin + Zinc Oxide is a good choice for preventing further irritation. You can also look for barrier creams specifically designed for sensitive areas, which can help protect the skin from moisture and friction.
4. Avoid Irritants:
- Wear loose-fitting, breathable cotton underwear to reduce friction and allow the area to breathe. Avoid synthetic fabrics that can trap moisture and heat.
5. Hydrocortisone Cream:
- A mild over-the-counter hydrocortisone cream (1%) can help reduce inflammation and itching. Use it sparingly and not for prolonged periods.
6. Avoid Heat and Sweat:
- Try to keep the area cool and dry. If you know that sweating triggers irritation, consider using absorbent powders like talc-free body powder to help keep the area dry.
7. Consult Your Dermatologist:
- Since you have a history of sensitivity, it’s a good idea to follow up with your dermatologist. They may recommend specific treatments or products tailored to your skin type.
8. Patience and Care:
- Skin healing can take time, especially in sensitive areas. Continue to be gentle with the area and give it time to recover fully.
Thank you

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