I’ve been a client for several years and have never been dissatisfied with my results or services. They take the time to explain your skin challenges and recommend products that would be helpful and not just a cookie cutter program. I highly recommend Dermavogue. They always make me feel like a special client when I walk in the door. After moving 80 miles away, I still make the commute to see them. It’s always worth it. Check out their website www.dermavogue.net
For most women, hormonal changes, either around the monthly cycle or during a menopausal shift, are the culprit. But dietary imbalances and stress also cause flare-ups. “Acne in adults is like a whistle blow. Often it’s a sign that something else not quite right is going on,” says Michael Murray, ND, a naturopath and coauthor of The Encyclopedia of Natural Medicine.
In addition to starting acne patients on a benzoyl peroxide cleanser regimen, Doris Day, a clinical associate professor of dermatology at NYU Langone Medical Center in New York City and the author of 100 Questions & Answers About Acne, typically prescribes powerful topical ingredients, such as Aczone, a cream. “It’s dapsone, which is a new category of anti-inflammatory,” she says. “I like it because you can use it in combination with other treatments, and it doesn’t make you more sun-sensitive. And it’s not particularly drying or irritating.” Day also suggests prescription products that combine benzoyl peroxide and clindamycin (an antibiotic that fights acne-causing bacteria), such as Acanya, BenzaClin, and Onexton. She says, “When you’re using an antibiotic for acne, benzoyl peroxide helps increase the effectiveness.”
Less irritating than its chemical cousin benzoyl peroxide, tea tree oil has a long history of fighting mild to moderate acne outbreaks. The oil, which comes from the leaves of a tree native to Australia, has antiseptic properties that help reduce acne-causing bacteria on the skin and quell inflammation in skin cells. “We’ve seen it work against a wide range of organisms, including 27 of the 32 strains of acne-causing bacteria,” says Murray. (Tea tree oil has even been shown to help fight yeast infections.) Multiple studies, including a review in the International Journal of Dermatology, back the plant’s power. You can find tea tree oil in a wide variety of soaps, skin washes, and topical solutions. Look for a minimum concentration of 5% of the oil (up to 15% for more severe acne). Two popular products to consider: Sunday Riley U.F.O. Ultra-Clarifying Face Oil (Buy now: $80, amazon.com) and Dessert Essence Facial Blemish Stick-Anti-Bacterial with Tea Tree (Buy now: $9, amazon.com).
Salicylic acid 0.1 – 2% cream is an alternative to benzoyl peroxide, but is generally less effective and may also cause skin dryness.6 It works by softening and descaling the skin, thereby reducing comedones.
It cleanses the skin by exfoliating the dead skin cells and also killing the bacteria. It also balances the pH levels of the skin (21). Use this remedy for the adamant acne under your buttocks and on your back.
3. Find an effective spot treatment. Once the pimples show up, you need an effective way to get rid of them. Spot treatments formulated with salicylic acid or benzoyl peroxide are typically the most effective at drying out pimples, but gentler, non-drying spot treatments with sulfur or tea tree oil can be effective too. Whichever you opt for, use it once or twice a day after you wash your face.
Patients with mild acne can be treated with topical therapies; however, those with moderate to severe acne will require systemic therapy. Oral antibiotic treatment, hormonal therapies and isotreretinoin are the mainstay systemic therapies for acne.
“A woman’s hormones are kind of like a beautifully orchestrated symphony,” Richichi says. “In the right balance, a woman’s skin will glow.” She recommends nipping acne in the bud with a low-glycemic diet and cutting out refined carbohydrates, gluten and dairy — all of which spike up your insulin levels and, in turn, your androgen levels (see why here). “To me, acne is a symptom and birth control is just a Band-Aid, because birth control pills don’t address the underlying cause,” she says.
The truth? Changing hormones cause acne, which is why so many young people get it during puberty or right before their periods. These hormones stimulate the glands in your pores to make more oil, which can clog your pores. Luckily there are some good acne treatments available today. You don’t have to suffer like your parents did. Here’s what you need to know about getting rid of acne.
So make some changes to your meals. A study in the American Journal of Nutrition suggests you may have fewer breakouts if you add more whole grains, beans, and veggies and cut back on pasta, white rice, white bread, and sugar.
What it is: Originally under the brand name “Accutane” but now available only in generic form, isotretinoin is a derivative of vitamin A taken in pill form for 15-20 weeks. Doctors normally prescribe it for people with “severe nodular acne” that does not respond to other treatments. Nodules are inflammatory lesions with a diameter of 5mm or more. A single course of 15-20 weeks has been shown to result in complete clearing and long-term remission of acne in many people.1-2Learn more on the Accutane page of acne.org.
^ Jump up to: a b c d Goodman, G (July 2006). “Acne and acne scarring–the case for active and early intervention”. Australian family physician (Review). 35 (7): 503–4. PMID 16820822. Archived from the original on 21 April 2013.
In order to determine the best type of treatment for your skin, it’s important to have a full understanding of the severity and degree of your individual case of acne. A dermatologist skilled in skin care can help pinpoint the proper treatment to help clear up your skin and alleviate the symptoms and effects of acne, helping you avoid permanent skin damage and disfigurement.
Oral contraceptives: Oral contraceptives, which are low in estrogen to promote safety, have little effect on acne one way or the other. Some contraceptive pills have been shown to have modest effectiveness in treating acne. Those that have been U.S. FDA approved for treating acne are Estrostep, Ortho Tri-Cyclen, and Yaz. Most dermatologists work together with primary-care physicians or gynecologists when recommending these medications.
^ Jump up to: a b Ramos-e-Silva, M; Carneiro, SC (March 2009). “Acne vulgaris: Review and guidelines”. Dermatology Nursing/Dermatology Nurses’ Association (Review). 21 (2): 63–8; quiz 69. PMID 19507372.
There has also been an important methodological improvement in isotretinoin prescribing. Recording of patient NHI numbers on prescriptions has improved markedly since access to isotretinoin was widened to include General Practitioner prescribing. From July, 2011 – June, 2012 NHI numbers were recorded in 91% of all isotretinoin dispensings compared to only 60% prior.25 Recording of NHI numbers allows analysis of medicine use to occur.
All of Proactiv’s regimens are heavy on the benzoyl peroxide, and the Proactiv+ three-step kit is no different: a 2.5 percent benzoyl peroxide wash, a 2.5 percent benzoyl peroxide gel, and a 0.5 percent salicylic acid moisturizer.
the new but smaller/less noticeable scar, which was supposed to be smaller and less obvious, may sometimes lead to a hypertrophic scar, a raised bumpy mass that may require another session of skin treatment.
Some patients do not clear after one course of treatment, and a second course of treatment may be an option. Studies show this helps some patients see clear skin. You should wait at least 8 weeks between treatments. The skin often continues to clear for a while after patients stop taking the medicine.
High-glycemic foods: These are foods that break down quickly in the body, triggering an insulin spike and raising blood sugar levels. They trigger hormonal fluctuations and inflammation—both of which encourage acne. We’re talking foods like white bread, processed breakfast cereals, white rice, pretzels, potato chips, cookies and cakes, etc. Choose low glycemic-index foods instead, like vegetables, whole grains, sweet potatoes, and fruits.
Fleischer A, et. al. “Dapsone gel 5% in combination with adapalene gel 0.1%, benzoyl peroxide gel 4% or mosturizer for the tretment of acne vulgaris: A 12-week, randomized, double-blind study.” Journal of Drugs in Dermatology. 2010; 9(1): 33-40.
A major mechanism of acne-related skin inflammation is mediated by P. acnes’s ability to bind and activate a class of immune system receptors known as toll-like receptors (TLRs), especially TLR2 and TLR4. Activation of TLR2 and TLR4 by P. acnes leads to increased secretion of IL-1α, IL-8, and TNF-α. Release of these inflammatory signals attracts various immune cells to the hair follicle including neutrophils, macrophages, and Th1 cells. IL-1α stimulates increased skin cell activity and reproduction, which in turn fuels comedo development. Furthermore, sebaceous gland cells produce more antimicrobial peptides, such as HBD1 and HBD2, in response to binding of TLR2 and TLR4.
Mild cleansers: Washing once or twice a day with a mild cleansing bar or liquid (for example, Dove, Neutrogena, Basis, Purpose, and Cetaphil are all inexpensive and popular) will keep the skin clean and minimize sensitivity and irritation.
If your acne scars are not severe, you can probably ask for a lighter peel. There are many affordable home kits available out there that are very effective like this one. You will probably find every strenth you need depending on your skin condition.
Patients must be carefully screened before using any hormonal therapy for acne because there are numerous contraindications (or factors that increase the risks of a particular medication). Contraindications for use of oral conceptive pills include, but are not limited to:
Once you see clear (or nearly clear) skin, you still need acne treatment. The type of treatment, however, may change. Most people can keep acne away with proper skin care and medicine they apply to their skin. Without this treatment, acne can return quickly.
Antibiotics used to treat acne can cause upset stomach, dizziness and discoloration of the skin. And, of course, overuse of antibiotics ultimately leads to antibiotic resistance, which has now become a global health issue.
Drink a glass of warm water with a teaspoon of honey and lime juice daily in the morning on an empty stomach. This will purify the system by flushing out the toxins from the body and maintain the pH balance of the skin, thus curing pimples and acne.
A study conducted by the Department of Dermatology at the University of Freiburg in Germany reports that using frankincense and five other plant extracts for antimicrobial effects on bacteria and yeast relating to the skin proved effective. The study concluded that their antimicrobial effects were powerful enough to be used as a topical treatment of some skin disorders, including acne and eczema. (19)