(Because Dr. Lee found that her patients were overwhelmed by all the anti-acne choices in stores, she created her own line, SLMD Skincare. The products contain her must-use pimple preventing ingredients.)
Acne, also known as acne vulgaris, is a long-term skin disease that occurs when hair follicles are clogged with dead skin cells and oil from the skin. It is characterized by blackheads or whiteheads, pimples, oily skin, and possible scarring. It primarily affects areas of the skin with a relatively high number of oil glands, including the face, upper part of the chest, and back. The resulting appearance can lead to anxiety, reduced self-esteem and, in extreme cases, depression or thoughts of suicide.
Topical antimicrobials, including benzoyl peroxide and antibiotics, are effective in treating inflammatory disease.3,4 Benzoyl peroxide is a bactericidal agent that prevents the resistance of P. acnes to antibiotic therapy9 and has moderate comedolytic and anti-inflammatory properties. It is available in various topical preparations, ranging in strength from 2.5% to 10.0%. Any strength can be used initially, although it may be more prudent to start with a lower concentration; stronger preparations are more irritating and not necessarily more effective.10 Benzoyl peroxide kills P. acnes by releasing oxygen within the follicle. It can be fast-acting, with a response as early as five days.4 The main drawback is that it is a potent bleaching agent.2 Patients should be warned that fabrics that come in contact with benzoyl peroxide, including towels, bed sheets and clothing, may be bleached.
During pregnancy, especially during the first trimester, estrogen and progesterone levels increase therefore increasing the skin’s production of sebum. The risk of getting acne during pregnancy is higher; however, it is rather difficult to predict who will suffer from more severe acne flare-ups, and which women will “glide” through this period without acne problems. One risk factor is whether you have a history of acne or experienced acne flares at the start of your menstrual cycle. If so, you may have a higher risk of experiencing acne during your pregnancy. If you do not develop acne during the first trimester, it’s unlikely you’ll have this problem at all since it is rare to get acne in the second or third trimesters.
David F Butler, MD Section Chief of Dermatology, Central Texas Veterans Healthcare System; Professor of Dermatology, Texas A&M University College of Medicine; Founding Chair, Department of Dermatology, Scott and White Clinic
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
Hair follicles are the tiny structures that grow hair in the scalp. Sebaceous glands produce sebum. On areas where acne develops, sebaceous glands surround the hair follicles. The combination of the sebaceous glands and the hair follicles is the “pilosebaceous unit,” where acne pimples and cysts develop. Sebum moisturizes hair and skin. Each hair pushes up through the skin surface along with sebum.
Getting rid of acne is difficult for me but I have learned to stay patient. I remember to wash my face in the morning and at night, I always tie up my hair because I don’t give a damn on how it looks, I am trying to get rid of acne and leaving my hair down just makes it worse. The only problem I have is my eating habits, I have to make sure to drink lots of water and eat healthy, I have to resist junk food for awhile. I always moisturizer my skin because it is sensitive. The product I use are Nutrogena foaming scrub and Oxy sensitive medicated acne pads. I think the best moisturizer I have ever used would be Eau Thermale Avene hydrance cream but it is really expensive. Don’t give up on acne, just keep trying once you get used to it you can’t forget. Oh, and get lots of sleep!!
Most experience acne on the face area, but the neck, chest, upper back and shoulders are affected as well. Acne can cause scarring and and even psychological distress, especially in teenagers who are already stressed about acceptance with their peers and their schoolwork.
I’ll have to try that. I am a woman of a certain age and I still suffer from acne. The only thing that came close to working was a topic steroid called Fluocinonide but because it was a steroid I had to stop using it. Alot of the over the counter stuff breaks me out mainly because my skin is allergic to the Benzoide Peroxide or salicylic acids that are in them. Oh and I should mention I am a woman of color.
^ 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.
Dermatologists prescribe isotretinoin for severe acne. Severe acne is often very painful. When the painful cysts and nodules of severe acne clear, they leave permanent scars. Many people who have severe acne feel depressed. Some feel anxious. Low self-esteem often develops. Grades can plummet, and job performance can suffer.