24. Miller YW, Eady EA, Lacey RW, et al. Sequential antibiotic therapy for acne promotes the carriage of resistant staphylococci on the skin of contacts. J Antimicrob Chemother 1996;38:829–37 [PubMed]
Popping pimples seems to be the quickest way to make the red spots on our skin disappear. But it can permanently damage your skin! When you squeeze a pimple, you’re actually forcing the oil substance and dead skin cells deeper into the follicle. The extra pressure exerted will make the follicle wall rupture, and spill the infected materials into the innermost part of our skin. This skin damage will lead to the loss of tissue, and finally cause acne scars.2
Strawberries contain a very important ingredient called salicyclic acid. This is the primary active ingredient is several commercial formulations used to treat pimples. Salicyclic acid stimulates the epidermis (the upper layer of the skin) to shed its cells faster. So the clogged pores open up and the bacteria get neutralized. This substance also encourages the development of fresh skin cells and the subsequent closing of the pores to prevent fresh infection.
13. Zouboulis CC, Derumeaux L, Decroix J, et al. A multicentre, single-blind, randomized comparison of a fixed clindamycin phosphate/tretinoin gel formulation (Velac) applied once daily and a clindamycin lotion formulation (Dalacin T) applied twice daily in the topical treatment of acne vulgaris. Br J Dermatol 2000;143:498–505 [PubMed]
“After sweating, immediately use an exfoliating cleanser to help keep your pores clear and remove excess oil,” says Dr. Zein Obagi of ZO Skin Health. Try keeping Neutorogena Rapid Clear Pads in your gym bag or locker for those times you need an on-the-go cleanse. These will remove any leftover dirt while treating your skin with acne-fighting salicylic acid.
• Milk and dairy consumption is closely linked with acne (and many other skin and health problems) in part because of the hormones (including growth hormone) in dairy and because of the saturated fats.
Rosemary oil has been around for years and used topically for acne and inflamed skin. (15) A Chinese study concluded that rosemary essential oil helps decrease acne due to its antibacterial effects. To better understand the effects, the study increased the concentration of the rosemary essential oil, resulting in severely damaged bacterial bodies. Treated bacteria eventually led to bacterial death. (16)
Acne vulgaris has a substantial impact on a patient’s quality of life, affecting both self-esteem and psychosocial development.1 Patients and physicians are faced with many over-the-counter and prescription acne treatments, and choosing the most effective therapy can be confusing.
22. Ozolins M, Eady EA, Avery AJ, et al. Comparison of five antimicrobial regimens for treatment of mild to moderate inflammatory facial acne vulgaris in the community: randomized controlled trial. Lancet 2004;364:2188–95 [PubMed]
Eady EA, Jones CE, Gardner KJ, Taylor JP, Cove JH, Cunliffe WJ. Tetracycline-resistant propionibacteria from acne patients are cross-resistant to doxycycline, but sensitive to minocycline. Br J Dermatol. 1993 May. 128(5):556-60. [Medline].
Androgens, the male hormones present in both men and women, can contribute to acne flares by overstimulating the oil glands and altering the development of skin cells that line hair follicles in the skin.
Clogged pores and dead skin both contribute to acne. (9) It’s important to exfoliate properly to remove buildup, however keep in mind that commercially available scrubs are ridden with chemicals that can further irritate skin.
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Environment makes a difference. Sometimes humidity or dry air and disrupt your skin. If you noticed a change after a move, this may be the culprit. Unfortunately this is hard to handle without moving again – but maintaining balanced skin with good products should be the aim. Eventually it should acclimatize.
Discuss the severity of the patient’s acne with them. Many people will perceive their acne to be worse than the clinical appearance suggests, and this should be taken into account in the treatment approach. The converse may also be true, e.g. a parent may perceive the acne to be worse than the patient believes or the physical findings suggest.
Washes can be used once or twice daily, and should be applied for thirty seconds before rinsing thoroughly. Topical benzoyl peroxide gels and creams should be applied once daily, removing after two hours, for three days, and then, if tolerated, applied once daily, at night, and left on overnight. Some patients may tolerate twice daily applications.
Doctors will often prescribe topical prescription medications for qualified acne cases. There are a variety of prescription treatments available, including topical retinoids, topical antibiotics, and combination medications for acne.
Recurrent acne may be treated with a further course of isotretinoin, and in some cases long-term, low-dose treatment is appropriate, however, discussion with a Dermatologist is recommended if this is being considered.18
For individuals suffering from the cystic form of acne, a controlled clinical trial has found that Guggul supplements (also known as guggulsterone) outperformed 500 milligrams of tetracycline by a small margin. (16) In the study, 25 milligrams of guggulsterone taken twice daily for three months resulted in the reduction of acne, but more importantly, 50 percent fewer participants had acne relapses. Researchers noted that patients with oily skin responded remarkably better to guggul than others in the study.
What it does: Dapsone targets the inflammatory component of acne by helping to inhibit the body’s inflammatory response. It also possesses antioxidant and minor antibacterial properties.1Dapsone reduces acne lesion count by approximately 30-45%. Initial studies point toward better efficacy in female patients than in male patients.2
People with darker skin often see post-inflammatory hyperpigmentation — marks that appear brown. Those with lighter skin often develop post-inflammatory erythema — which show up as purple or red marks.
For UVA protection, a sunscreen with a high UVA protection of PA+++ or higher of PA++++ as recommended, especially to treat PIE. PPD is the UVA equivalent of SPF; use a sunscreen with a minimum of PPD20. The PA+ system has a + that corresponds to a tier of PPD protection. Of note, different countries use different PA systems. Japan and Taiwan changed their PA system to a 4+ tier system while Korea uses a 3+ tier system.