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Acne
What is Acne?
Acne is disorder
of the skin’s oil glands (sebaceous glands) and hair follicles.
Skin is covered with tiny holes called hair follicles, or pores.
Pores contain sebaceous glands that make
sebum, an oil that moistens your hair and skin. When the
glands make the right amount of sebum, the pores are fine. But
sometimes a pore gets clogged up with too much sebum, dead skin
cells, and bacteria. This can cause acne. If a pore gets clogged up,
closes, and bulges out from the skin, that's a whitehead.
If a pore clogs up but stays open, the top surface can get dark and
you're left with a blackhead. Sometimes the walls
of the pore are broken, allowing sebum, bacteria, and dead skin
cells to get under the skin. This causes a small, red infection
called a pimple. Clogged-up pores that open up deep
in the skin can lead to bigger infections known as cysts.

What Causes Acne?
The cause of acne
is unknown. Doctors think certain factors might cause it:
-
The hormone
increase in teenage years (this can cause the oil glands to plug
up more often)
-
Hormone
changes during pregnancy
-
Starting or
stopping birth control pills
-
Heredity (if
your parents had acne, you might get it, too)
-
Some types of
medicine
-
Greasy makeup.
Who Gets Acne?
Acne is the most
common skin disease. Nearly 17 million people in the United States
have it. People of all races and ages get acne. But it is most
common in teenagers and young adults. Nearly 85 percent of people
between the ages of 12 and 24 get acne. For most people, acne goes
away by age 30. But some people in their forties and fifties still
get acne.
What Are the Treatments For Acne?
There are FOUR
things to treat:
1)
Reduce Sebum Production of the oil glands:
There are several choices: Topical medications (retinoids,
Benzoyl Peroxide, Salicylic acid) act as drying agents; Oral
contraceptive pills or spironolactone are used to block the
release of androgen hormones which are responsible for
overactive oil glands;
Chemical peels and
IPL light therapy also effectively decreases oil
production and are excellent acne treatment choices.
2)
Reduce Bacteria Load of Skin:
Several medications can be used for this such as topical or oral
antibiotics, or oral isotretinoin.
Chemical peels, Photodynamic therapy (blue light),
IPL, Blue Light are all efficient methods to reduce
skin bacteria P. acnes without the use of drug.
3)
Normalize Skin Shedding to prevent pore clogging:
Microdermabrasion and
chemical peels are non-invasive exfoliation
procedures to reduce clogged pores.
4)
Reduce Inflammation to decrease swelling and
redness:
Physician grade skin care products containing
Vitamin C and other anti-inflammatory agents will help reduce
skin inflammation.
Home Care for Acne
-
Clean skin
gently. Use a mild cleanser in the morning, evening, and after
heavy workouts. Scrubbing the skin does not stop acne. It can
even make the problem worse.
-
Try not to
touch your skin. People who squeeze, pinch, or pick their
pimples can get scars or dark spots on their skin.
-
Shave
carefully. If you shave, you can try both electric and safety
razors to see which works best. With safety razors, use a sharp
blade. Also, it helps to soften your beard with soap and water
before putting on shaving cream. Shave lightly and only when you
have to.
-
Stay out of
the sun. Many acne medicines can make people more likely to
sunburn. Being in the sun a lot can also make skin wrinkle and
raise the risk of skin cancer.
-
Choose makeup
carefully. All makeup should be oil free. Look for the word "noncomedogenic"
on the label. This means that the makeup will not clog up your
pores. But some people still get acne even if they use these
products.
Acne Scar Treatments
Depending on the
types of scars, a number of treatment options can be used such as
subcision,
microdermabrasion,
chemical peels,
dermal fillers,
Intense pulsed light, … to reduce acne scars, leaving
clearer and smoother skin.
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