Acne treatments vary, depending on the severity of your acne. Many teenagers and adults can control mild acne with over-the-counter topical solutions, like acne cream and salicylic acid products that loosen blackheads and whitehea…
Medical conditions that commonly cause a high-androgen such as polycystic ovary syndrome, congenital adrenal hyperplasia, and androgen-secreting tumors, can cause acne in affected individuals. Conversely, people who lack androgenic hormones or are insensitive to the effects of androgens rarely have acne. An increase in androgen and oily sebum synthesis can be seen during pregnancy. Acne can be a side effect of testosterone replacement therapy or of anabolic steroid use. Over-the-counter bodybuilding and dietary supplements are commonly found to contain illegally added anabolic steroids.
If you try a doctor-prescribed acne regimen for at least a month and you’re still experiencing severe breakouts, there’s one treatment that’s very effective — but it has significant side effects. Isotretinoin (commonly referred to as Accutane, a brand that was taken off the market in 2009) can help with almost all types of acne, though it may be slightly less likely to clear up hormonal acne, says Zeichner. A type of oral retinoid, isotretinoin works by “significantly reducing oil production from your sebaceous glands, which subsequently reduces the amount of P. acnes bacteria on the skin,” says Zeichner. It also has an anti-inflammatory effect. (If you’re interested in finding out more, ask your doctor about the isotretinoin brands that are available now, such as Claravis, Amnesteem, Myorisan, Zenatane, and Absorica.) Zeichner says that all patients who finish a course of isotretinoin (typically lasting five months, but many physicians recommend a longer treatment plan) will be “significantly better than when they started.” For the majority of patients, that can mean 100 percent clear skin. “Approximately 20 percent of patients will need a second course, 5 percent will need a third course, and one percent will need more than three,” says Zeichner. But even if you end up in the not-completely-clear camp, the post-treatment breakouts you experience will likely be “much more manageable with traditional treatments, like topicals and oral antibiotics,” says Zeichner.
Some oral antibiotics can cause birth defects. Women on these antibiotics who are sexually active must use contraception. They need to make absolutely sure they do not become pregnant either during treatment or for one month after treatment.
As far as pimples go, those deep, humungous cystic-acne ones are probably the most traumatic. Aside from how much surface area those suckers tend to cover, the pain they cause makes them impossible to ignore. Press on one, and it reverberates throughout your entire face (that’s not an exaggeration). “Usually, people run to their dermatologist’s office for a quick cortisone injection to dry up those monsters within hours,” says Rachel Nazarian, a dermatologist with the Schweiger Dermatology Group in New York City. But what if you just don’t have the time (or money) to pop into your derm’s office that regularly? Here are the six next-best treatments top dermatologists recommend for getting rid of those under-the-surface cysts ASAP.
Scarring from severe cystic acne can have harmful effects on a person’s self esteem, happiness and mental health. Thankfully, there are many different acne scar treatment options available, ranging from chemical peels and skin fillers to dermabrasion and laser resurfacing. According to the American Academy of Dermatology, these are all safe and effective acne scar treatment methods. However, Baldwin says it’s important to first clarify what you mean by ‘scar.’ “Many people point to red or brown spots leftover from old zits and call them scars,” she says. “These are marks, not scars and they’ll fade with time. Scars have textural changes and are not flush with the surface of the skin. There are several types of acne scars – innies and outies. Outies can be injected with corticosteroids and flattened. Innies can be either deep and narrow or broad, sloping and relatively shallow. Deep and narrow scars need to be cut out, but broader sloping scars can be made better by fillers, laser resurfacing and dermabrasion.”
Many people worry that isotretinoin can cause mental health conditions. There have been reports of patients developing depression, seeing and hearing things that are not real, and having thoughts of suicide while taking isotretinoin. You may have heard such reports in the news.
Unfortunately, there’s no overnight cure for acne. In order to properly get rid of acne without damaging your skin, you must practice a daily cleansing routine. Use a gentle acne treatment that effectively fights breakouts without causing damage to the skin.
Cystic pimples are inflammatory acne which involves more white blood cells rushing to the area and because there are more enzymes in that area, it leads to more destruction. The skin then tries to desperately heal itself which results in a scar.
Considerations: Unlike oral dapsone which is sometimes prescribed for leprosy and other skin infections, topical dapsone does not come with potentially dangerous blood related side effects.4-5Side effects of topical dapsone are normally mild in nature and can include dryness, rash, and burning.6
[Guideline] American Academy of Dermatology. Ten Things Physicians and Patients Should Question. Choosing Wisely. April 30, 2016. Available at http://www.choosingwisely.org/societies/american-academy-of-dermatology/. August 19, 2015;
Tretinoin keeps the pores clear to prevent the inflammation that causes acne. This drug also helps replace older skin with new skin. Side effects of tretinoin include hair loss, headache, indigestion, itching of the skin, bloating, anxiety, belching, mood changes, blurred vision, nausea, weakness, vomiting and difficulty sleeping.
Jump up ^ Kroepfl, L; Emer, JJ (November 2016). “Combination Therapy for Acne Scarring: Personal Experience and Clinical Suggestions”. Journal of Drugs in Dermatology: JDD (Review). 15 (11): 1413–19. PMID 28095556.