Acne Treatments

TREATMENT

Acne treatment consists of reducing sebum production, removing dead skin cells, and killing bacteria. Treatment methods differ depending on how serious the acne is.

Topical Drugs

Topical drugs are applied directly to the affected areas of the skin. They are available in the form of creams, gels, lotions, or pads. They are used primarily to treat mild forms of acne in which there is little or no inflammation.

One group of topical drugs used for acne includes antibiotics. These drugs kill the bacteria that contribute to the disease. Another group of drugs is called comedolytics (pronounced KO-mee-do-LIE-tiks). These drugs loosen hard plugs and open pores. Still another group of drugs works by increasing the rate at which new skin cells form. These drugs prevent the formation of new comedos.

Topical drugs are applied once or twice a day after washing with mild soap. Treatment may have to continue anywhere from a few weeks to a few months to a few years. Side effects such as mild redness, peeling, irritation, dryness, and an increased sensitivity to sunlight may occur.

Oral Drugs

Oral drugs are taken by mouth. Doctors sometimes prescribe oral antibiotics for moderate cases of acne. These antibiotics prevent the formation of new comedos and reduce inflammation. They are usually taken once a day
for two to four months. Side effects may include allergic reactions, stomach upset, vaginal yeast infections, dizziness, and tooth discoloration.

A drug that is used for severe cases of acne is isotretinoin (pronounced i-so-TRET-uh-no-un, trade name Accutane). This drug reduces the production of sebum and the stickiness of skin cells. It is used when cysts and nodules are present. The drug may be used alone or with other topical or oral antibiotics.
Isotretinoin treatment usually lasts for four or five months. It is effective in about 60 percent of all patients. If the acne reappears, another course of treatments may be necessary. Some side effects that may accompany the use of isotretinoin include nosebleeds, dry skin, a temporary worsening of the acne, vision disorders, and increased production of liver enzymes, blood fats, and cholesterol. It may also cause birth defects and cannot, therefore, be used by pregnant women.

Women who do not respond to any of these treatments may be given another type of oral drug, an anti-androgen. Anti-androgens reduce the production of androgen and therefore reduce the formation of comedos. Certain types of oral contraceptives are also effective as anti-androgens.

The most serious forms of acne require other types of drugs, including oral corticosteroids, or anti-inflammatory drugs. These drugs are often used for the treatment of a form of acne known as acne fulminans, which occurs mostly among adolescent males. They are also used with acne that produces numerous deep, inflamed nodules that heal with scarring.

Basic Facts on Acne

Acne is the most common skin disorder seen by doctors. In fact, it will affect almost every one of us at some time in our lives. It can happen at any time, but teenagers are the ones who get it most often.

Acne can cause a great deal of embarrassment and anxiety. If it’s really bad it can cause people to become depressed which can lead to withdrawing from friends, and perform poorly at school or work.

Visible Signs Of Acne:

The following are visible signs of acne:

Comedones:
An early acne blemish is caused by blocked pores, and at first the skin does not look red and inflamed. These early blemishes are called open comedones (blackspecks/blackheads) and closed comedones (whiteheads).

Papules and pustules:
As these early spots get larger and inflamed, they become papules and pustules (pimples or zits).

Nodules:
Very large and deep lumps can also develop in some people, these are called nodules and cysts (like boils), and can be painful.

Oily skin:
The sebum production increases so that your skin looks and feels oily.

Hyperpigmentation:
After the inflammation subsides, the skin can be discolored by brown acne stains (called hyperpigmentation) and damaged by scars. Acne scars are common and may occur even in mild acne.

Who Gets Acne?

Acne is the most common of all skin disorders. Almost everyone will have acne, most get mild cases, some moderate and a few are severe. Teens aren’t the only ones who get it. Acne has been diagnosed in young infants as well as in the elderly, but it is most often seen in teens and young adults with 85-100% of adolescents and up to 10% of young adults getting it.

Acne seems to affect the sexes somewhat differently. Before children reach puberty, acne is more commonly seen in girls. During puberty, acne affects boys and girls almost equally, but boys generally have more severe cases and in adulthood, it tends to be seen more often in women.

Where Does Acne Develop?

You can have acne on any part of your skin where sebaceous glands are found. These are the glands that produce oil for the skin. Most, but not all people get acne on their face, but the skin on the chest and back can also be affected. Acne can also be seen on the arms and thighs, but is less common.

When Do People Get Acne?

Acne usually starts around the time you reach puberty, and usually will be mild. Often it will last for about 5 years, but can persist for as long as 10-20 years. About 25% of teens who have acne will still have it when they turn 25. The cause is not understood, but it’s becoming more common for women who are in their 20s, 30s, and 40s to develop acne often for the first time. Temporary acne is often seen on the faces of newborns.

How Does Acne Affect You?

Acne not only causes physical discomfort and damage, but it can also have a big emotional and social impact on your life. Acne (pimples or zits) can be tender and painful, and in extreme cases, the pimples can drain pus and blood, soiling pillowcases and clothing.

If you are feeling embarrassed and anxious about your appearance, this can be even more painful. Emotional effects can lead to mood changes, depression, social withdrawal and poor performance in school or at work. If acne is bad enough to leave scars, you may have to endure these emotional issues for years, because scarring is not readily correctable. While laser therapy and skin fillers certainly improve scars, it is best if you can prevent their formation in the first place.

Laser Acne Treatments

Your skin has an amazing natural ability to regenerate itself and with proper nutrition and a regular cleansing routine, a new layer of skin growth will generally cover any scarring. But in the rare cases where this regeneration does not occur, then a more advanced scar treatment is in order. Always consult with your doctor or dermatologist before beginning any facial treatments to be sure you are not causing further damage. Read more

Alternative Acne Treatments and Prevention

Several surgical or medical treatments may be used to reduce acne or the scars caused by the disease.
• Chemical peel. A chemical known as glycolic acid is first applied to the skin. When it dries, it is peeled off, taking the top layer of skin with it. This treatment helps reduce scarring.

• Collagen injection. Shallow scars are filled in by injecting collagen, a skin protein, beneath the scars.
• Comedo extraction. A special tool is used to remove a comedo from a pore.
• Dermabrasion. The affected skin is first frozen with a chemical spray. Then it is removed with a brush or sandpaper-like instrument.

• Intralesional injection. Anti-inflammatory drugs are injected directly into inflamed pimples.
• Punch grafting. Deep scars are removed and the area repaired with small skin grafts.

Alternative treatments for acne focus on proper hygiene and diet. Patients are advised to keep their skin clean and oil-free. They are also encouraged to eat a well-balanced diet high in fiber, zinc, and raw fruits and vegetables. They should also avoid alcohol, dairy products, caffeine, sugar, smoking, processed foods, and foods high in iodine, such as table salt.

Some doctors recommend the use of herbs to supplement the diet. Some herbs that have been used in the treatment of acne include burdock root, red clover, and milk thistle. Additional nutrients that may help to control acne include B-complex vitamins and chromium. Chinese herbal treatments that are recommended include cnidium seed and honeysuckle flower. Another herbal treatment is tea tree oil. The proper dose of these substances can be recommended by physicians or nutritionists.

Acne cannot be cured. However, it can be controlled in about 60 percent of patients with the drug isotretinoin. Improvement usually takes at least two months, and the problem may recur after treatment has been stopped. Inflammatory acne that results in the formation of scars may require one of the more aggressive treatments already described.

PREVENTION

There are no sure ways to prevent acne. However, the following steps tend to reduce flare-ups ofthe condition:
• Gently wash—do not scrub—the affected areas once or twice every day.
• Avoid rough cleansers.
• Use makeup and skin moisturizers that do not produce comedos.
• Shampoo often and wear hair away from the face.
• Eat a well-balanced diet and avoid foods that trigger flare-ups.
• Give dry pimples a limited amount of sun exposure unless otherwise directed by your doctor.
• Do not pick or squeeze pimples.
• Reduce stress.

Proactive Acne Treatment

Despite the thousands of products available for acne treatment today, the most proactive thing you can do is take good care of your skin – first.

Acne control is a goal for every adolescent or adult that has suffered from the ravages of this unsightly, stressful and physically painful condition. When the first signs of acne appear, take action to fight the malady right from the beginning. Early and proactive treatment stands a better chance of being successful. Often, early action means the difference between scarring and additional mental distress and a successful alleviation of the acne symptoms with no sign of scarring.

Understand the cause

Successful acne control is a matter of working with known causes of the condition and changing the dynamics to reduce the negative impact of the acne. Beginning the process early is more likely to be successful in reducing the breakouts. For example, it is now known that acne symptoms appear when there is a malfunction of the oil-producing glands at the base of the hair follicles. The cause is probably related to hormonal production, so treatment that begins early can focus on these two aspects. Hormone treatment takes time to work so early treatment is better than delaying.

Reduce physical scarring

Extensive scarring can be the result of acne pimples or inflammation coupled with the high chance of infection from the break in the skin surface. Obviously, acne control that actively fights the conditions that lead to physical scarring has a better chance of preventing such scars. The successful key is early intervention, before there is time to build up pockets of infection under the skin. Since it is now known that acne is not the result of unclean skin, depending upon cleansing for prevention of scarring may not be enough.

Prevent emotional turmoil

The impact of disfiguring and painful outbreaks of acne symptoms on the precarious emotional outlook of an adolescent is easy to remember even if you are long out of your teens. There can be almost irreparable damage done to the self esteem of the teenager. Early and emphatic acne control recognizes that dealing with the symptoms early provides less opportunity for the negative personal view to take hold in the mind of the individual with acne. Being told simply that he or she will outgrow acne symptoms does not solve the immediate drain on confidence.

Reduce the outbreaks

Early and active treatment of the acne symptoms is more likely to be successful in reducing the permanent impact of the condition. Acne control consists of treating the physical and emotional symptoms effectively so that they do not continue. This can consist of basic maintenance; getting proper rest, drinking lots of water, eating healthy clean food and cleansing your face each night and morning.