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Acne

  • Acne One
    Comedones that stay closed at the surface of the skin are called whiteheads. This happens when oil and skin cells prevent a clogged hair follicle from opening. Many of the same over-the-counter medicines that treat blackheads are also effective against whiteheads.
  • PAPULES:
    Papules are comedones that become inflamed, forming small red or pink bumps on the skin. This type of pimple may be sensitive to the touch. Picking or squeezing can make the inflammation worse and may lead to scarring. A large number of papules may indicate moderate to severe acne.
  • PUSTULE:
    Pustules are another kind of inflamed pimple. They resemble a whitehead with a red ring around the bump. The bump is typically filled with white or yellow pus. Avoid picking or squeezing pustules. Picking can cause scars or dark spots to develop on the skin.
  • NODULE:
    Nodules are large, painful, solid lumps that are lodged deep in the skin.

About

Acne

Acne is one of the most common skin diseases in the United States. It is not contagious, but rather develops most prevalently during the teenage years and the early 20s. Acne is caused by an excess production of oil in the sebaceous glands. Acne comes in many varieties including blackheads, whiteheads and more severe forms including severe nodular acne and cystic acne. The causes for acne are not limited to one portion of the population. Acne affects all ages, races and genders

Causes

Acne appears when a pore in our skin becomes clogged. This clog begins with dead skin cells. Normally, dead skin cells rise to surface of the pore, and the body sheds the cells. When the body starts to make lots of sebum (oil that keeps our skin from drying out), the dead skin cells can stick together inside the pore. Instead of rising to the surface, the cells become trapped inside the pore.

Sometimes bacteria that live on our skin, p. acnes, also get inside the clogged pore. Inside the pore, the bacteria have a perfect environment for multiplying very quickly. With lots of bacteria inside, the pore becomes inflamed (red and swollen). If the inflammation goes deep into the skin, an acne cyst or nodule appears.

Causes of acne include one or a combination of the following:

  • Genetics
  • Hormones
  • Prescribed medications
  • Oil-based cosmetics
  • Stress
  • Physical irritation
  • Humidity and environmental pollutants

Risk Factors

If you have a bad case of acne, you may feel like you are the only one. But many people have acne. It is the most common skin problem in the United States. About 40 to 50 million Americans have acne at any given time.

Most people who have acne are teenagers or young adults, but acne can occur at any age. Newborn babies can get acne. Men and women get acne. Some women get acne when they reach middle age.

Symptoms

Acne is not just pimples. A person who has acne can have any of these blemishes:

  • Blackheads
  • Whiteheads
  • Papules – Small pink bumps that may be tender to touch
  • Pustules – Blockages of the pores and sebaceous glands that have become inflamed
  • Cysts – Deep, inflamed, pus-filled lumps
  • Nodules – Large, painful, solid lumps that are lodged deep in the skin
  • Excessive oil

Acne can cause more than blemishes. Studies show that people who have acne can have:

  • Low self-esteem
  • Depression
  • Dark spots on the skin
  • Permanent scars

*Source:

American Academy of Dermatology

Treatment

Treatment

There are numerous ways to treat acne, and typically a combination of treatments is required. To decide upon an effective treatment for the acne patient, your doctor will take into consideration your medical history and examine the acne lesions carefully to determine their exact nature. Some internal body chemistry conditions like pregnancy, medications, medical problems, rashes, or endocrinological, menstrual, psychological or occupational issues may all play a role in producing acne.

One should not pop, squeeze or pick at the acne. This is the most common habit found in acne patients and it only results in spreading the infection to other, non-infected sites of skin. Aside from spreading the infection, picking and squeezing the acne might worsen the common acne into a more severe form, cysts, which is a deep infection under the skin and has the potential of causing permanent scarring of the skin. While acne cannot be prevented nor cured, there are treatments to help lessen the severity of the acne as well as to avoid scars and infection. Among the most common treatments are:

  • Over-the-counter topical medications, such as cleansers, creams, and lotions to reduce the amount of oil such as benzoyl peroxide or salicylic acid
  • Topical antibiotics
  • Topical retinoids
  • Oral medications
  • Hormonal therapies
  • Corticosteroids

There are also a number of procedures that can be used to control or treat acne related symptoms and acne scarring:

  • Light and laser therapies
  • Chemical peels
  • Acne surgery
  • Microdermabrasion

*Source:

American Academy of Dermatology

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FAQs

Do you treat acne?

Yes, this is one of the most common skin issues we deal with. We treat acne both medically and aesthetically. A consultation with one of our dermatologists is the first step to determine the best course of action. Acne is not only for teenagers, but can affect any age group.

What is acne?

Acne occurs when pores on your face, neck, chest, back or upper arms get plugged. This typically results in comedones (blackheads and whiteheads). The continuous production of oil by the plugged pore can also result in bacterial overgrowth and inflammation which results in painful acne (pustules or inflammatory cysts).

What acne treatments do you have?

After an initial consultation, we will discuss the best possible treatments which may include oral prescriptions, injections, topical ointments (both prescription and non-prescription) and/or acne surgery/extractions, peels or laser treatments.

What is acne surgery?

Acne surgery is a treatment performed by an esthetician in our office working under the supervision of a doctor. The purpose is to professionally cleanse the skin, extract blackheads and whiteheads and clean clogged pores. Acne surgery helps to reduce current acne outbreaks. Patients receiving acne surgery treatments must continue to have periodic visits with the dermatologist for acne management. Acne surgeries are often covered by insurance.

What acne products do you carry?

We carry medical grade cleansers, toners, moisturizers, lotions, and sunscreens which can help with your acne treatment. Your physician will recommend a treatment regimen that is tailored to your skin. Most of our products are in-stock and available for purchase the same day.

How do I know when I need a dermatologist?

Although almost 100% of children between 12 and 17 get some form of acne, you should seek a doctor’s care if you feel any of the below statement fits your situation:

  • My acne makes me shy.
  • I am embarrassed by my acne.
  • My outlook on life is less optimistic since I developed acne.
  • None of the over-the-counter products and/or remedies I've tried have worked.
  • I am beginning to see scars after acne lesions clear.
  • I have painful, pus-filled lesions in addition to blackheads and whiteheads and reddened spots on my skin.
  • I have dark skin, and a patch that is darker than my skin appears when an acne lesion clears.

Can my acne be cured/cleared up?

With new technologies and new products, almost every case of acne can be resolved. In addition, you can work with your dermatologist or aesthetician to develop/create a regime to prevent further outbreaks.

Is acne caused by poor hygiene or diet?

Acne is usually a normal part of adolescence and most teenagers will get some form of acne, but poor hygiene and diet are not direct causes of acne. In most cases, if you vigorously scrub your skin to eliminate excess oils and dead skin, you can further irritate your skin. Numerous studies show there is no direct link between diet and acne; however, eating a balanced diet with plenty of fruits and vegetables is always recommended. If you have adult acne, it is best to consult a dermatologist to determine the cause and the best treatment options.

Is acne treatment just for cosmetic reasons?

No. Although the acne itself poses no threat to a person’s physical health, acne can cause permanent scarring. The appearance of the acne and acne scarring can affect the way a person feels about himself or herself. With significant medical and non-medical advancements, most acne can be cleared up, so it makes sense to explore all options available.

How do you treat acne scars?

We offer several treatment options to reduce the appearance of acne scars. Options for skin resurfacing may include fractional laser skin resurfacing, micro needling, chemical peels, and microdermabrasion.

*Source:

American Academy of Dermatology

Videos

Acne Videos