The most commonly prescribed topical retinoids for acne vulgaris include adapalene, tazarotene, and tretinoin. These retinoids should be applied once daily to clean, dry skin, but they may need to be applied less frequently if irritation occurs. Skin irritation with peeling and redness may be associated with the early use of topical retinoids and typically resolves within the first few weeks of use.  The use of mild, nonirritating cleansers and noncomedogenic moisturizers may help reduce this irritation.  Alternate-day dosing may be used if irritation persists.
Azelaic acid cream. Apply to clean, dry skin twice per day to start. Then can decrease to once per day. Improvement usually takes a few weeks. It helps fight bacteria and may decrease comedo formation.
Rolling scars basically look like waves. They’re also referred to as rolling hill acne scars sometimes because they can look like tiny hills sitting on top of your skin. These tend to be shallow, but they appear more grouped together.
Oral antibiotics have been shown to be effective in reducing the number of inflammatory lesions (52% to 67% reduction), but this is based on limited evidence.3 Higher doses can be tried if a patient seeks better control. Doxycycline and minocycline are considered more effective than tetracycline.29 Erythromycin is reserved for patients in whom tetracyclines are contraindicated (e.g., pregnant women and children under nine years of age), although the development of resistance to erythromycin is more common than with the other antibiotics.23
Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.
Worried moisturizer will make your acne worse? Think again — it can actually help improve your skin. “If the skin surface is dry and dehydrated, the oil glands tend to overproduce oil and this can make acne worse,” Dr. Weiser says. “Hydrating the skin surface can re-balance oil glands and help control acne and improve healing.” When buying a moisturizer, she recommends looking for a lightweight, oil-based product that won’t clog your pores.
Italiano: Liberarsi dell’Acne sulla Schiena, Español: eliminar el acné de la espalda, Português: se Livrar de Acne nas Costas, Deutsch: Akne auf dem Rücken loswerden, Français: se débarrasser de l’acné du dos, Русский: избавиться от прыщей на спине, 中文: 治疗背部痘痘, Čeština: Jak se zbavit akné na zádech, Nederlands: Van acne op je rug afkomen, Bahasa Indonesia: Mengatasi Jerawat di Punggung, 日本語: 背中のニキビをなくす, हिन्दी: पीठ की फुंसियों से छुटकारा पायें, العربية: التخلص من بثور Việt: Trị Mụn trên Lưng, 한국어: 등여드름 없애는 방법, ไทย: กำจัดสิวที่หลัง
The best way to use Retin-A is as a gel applied directly to the skin. Products for this purpose are labeled as “topical tretinoin.” You don’t have to get a prescription, and the product is much less expensive over-the-counter than from the pharmacy. Results can be very fast, and you can control the amount of tretinoin you apply to your skin to limit irritation. Using both benzoyl peroxide and topical tretinoin, at different times of day, can prevent new infections as the skin opens up around pores.
Chemical peels can be used to reduce the appearance of acne scars. Mild peels include those using glycolic acid, lactic acid, salicylic acid, Jessner’s solution, or a lower concentrations (20%) of trichloroacetic acid. These peels only affect the epidermal layer of the skin and can be useful in the treatment of superficial acne scars as well as skin pigmentation changes from inflammatory acne. Higher concentrations of trichloroacetic acid (30–40%) are considered to be medium-strength peels and affect skin as deep as the papillary dermis. Formulations of trichloroacetic acid concentrated to 50% or more are considered to be deep chemical peels. Medium-strength and deep-strength chemical peels are more effective for deeper atrophic scars, but are more likely to cause side effects such as skin pigmentation changes, infection, and small white superficial cysts known as milia.
Wear a clean bra. If you wear a bra, it is extremely important it should be clean. Try to wear a fresh one each day. Your straps should be tight enough so as they do not rub against the acne when you move, which irritates it. If possible, wear a strapless bra as this reduces redness on your shoulder blades.
Acne mechanica is sometimes called “sports-induced acne” because it occurs frequently in athletes. Preventive measures include wearing an absorbent material under sports equipment and showering immediately after activity.
Kids who have serious acne can get help from their doctor or a dermatologist (a doctor who treats skin problems). Doctors can prescribe stronger medicine than you can buy at the store. Acne prescriptions can include stronger creams that prevent pimples from forming or antibiotics that decrease swelling (puffiness) and kill bacteria that cause pimples.
Hypertrophic scars are uncommon, and are characterized by increased collagen content after the abnormal healing response. They are described as firm and raised from the skin. Hypertrophic scars remain within the original margins of the wound, whereas keloid scars can form scar tissue outside of these borders. Keloid scars from acne occur more often in men and people with darker skin, and usually occur on the trunk of the body.
Rates appear to be lower in rural societies. While some research has found it affects people of all ethnic groups, acne may not occur in the non-Westernized peoples of Papua New Guinea and Paraguay.
For severe cases of acne, I always prescribe internal herbal remedies together with botanical topical products. For acne that’s mild to moderate, simple botanical ingredients can create a successful protocol to completely clear the skin.
A dermatologist can prescribe oral antibiotics as a quick fix for acne, but it’s not typically the first choice. While you might see immediate results, as soon as you get off of the antibiotics the acne will return. And Linkner warns, “While you’re on them, [you can get] yeast infections, nausea, upset stomach.”