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Deep peel: phenol. Phenolic peels are the strongest of the peels. It can be a bit toxic to the kidneys, and can bleach skin, which is why it is less and less recommended for the treatment of acne scars. Usually TCA is used instead.
Retinoids and retinoid-like drugs. These come as creams, gels and lotions. Retinoid drugs are derived from vitamin A and include tretinoin (Avita, Retin-A, others), adapalene (Differin) and tazarotene (Tazorac, Avage). You apply this medication in the evening, beginning with three times a week, then daily as your skin becomes used to it. It works by preventing plugging of the hair follicles.
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Hormones. Androgens are hormones that increase in boys and girls during puberty and cause the sebaceous glands to enlarge and make more sebum. Hormonal changes related to pregnancy and the use of oral contraceptives also can affect sebum production. And low amounts of androgens circulate in the blood of women and can worsen acne.
Isotretinoin (eye-soh-tret-in-OH-in) is a prescription medicine for severe acne. This type of acne causes deep, painful cysts and nodules. These can be the size of a pencil eraser — or larger. As this acne clears, scars often appear.
A range of OTC preparations is available from pharmacies and drugstores, usually in the form of gels, pads, creams, lotions, and soaps. Most of these are topical treatments, for applying directly onto the skin.
Some kids will rarely get a pimple — those lucky ducks! But many kids will get some pimples, even if they take steps to prevent acne. It’s totally normal. In fact, some girls who have a handle on their acne may find that it comes out a few days before they their periods. This is a common problem called premenstrual acne and is caused by hormonal changes in the body. Boys undergo hormonal changes, too, and may be more likely to suffer from severe forms of acne.
Jump up ^ Tan, JK; Bhate, K (July 2015). “A global perspective on the epidemiology of acne”. The British Journal of Dermatology (Review). 172 (Supplement 1): 3–12. doi:10.1111/bjd.13462. PMID 25597339.
Most people suffer from acne during their puberty years. For some people the suffering ends when they jump to adulthood, while for others it continues. Then there is another group whose acne sets on them in their adult years.
Pore strips: Pharmacies now carry, under a variety of brand names, strips which one applies to the nose, forehead, chin, etc., to “pull out” oil from pores. These are, in effect, a do-it-yourself facial. They are inexpensive, safe, and work reasonably well if used properly.