Benzoyl peroxide (BPO) is a first-line treatment for mild and moderate acne due to its effectiveness and mild side-effects (mainly skin irritation). In the skin follicle, benzoyl peroxide kills P. acnes by oxidizing its proteins through the formation of oxygen free radicals and benzoic acid. These free radicals are thought to interfere with the bacterium’s metabolism and ability to make proteins. Additionally, benzoyl peroxide is mildly effective at breaking down comedones and inhibiting inflammation. Benzoyl peroxide may be paired with a topical antibiotic or retinoid such as benzoyl peroxide/clindamycin and benzoyl peroxide/adapalene, respectively.
Find products containing azelaic acid. Azelaic acid is an antibacterial that also helps to reduce redness and inflammation and is found naturally in wheat and barley. If your acne tends to leave dark marks on your skin, try a product that uses azelaic acid to clean your pores and reduce acne-produced dark spots.
The two laser treatment options above are great for acne scar removal, but aren’t generally recommended as acne treatment. If you’re still experiencing active acne breakouts and wondering how to get rid of acne with laser treatments, check out photodynamic therapy. It combats active moderate to severe acne while also diminishing older acne scars by using light energy to activate a powerful acne-fighting solution. Patients may require 2 or 3 treatments over several weeks and should expect some redness, peeling, and sun sensitivity. This treatment will cost between $2000 to $3500 per series.
Shah often recommends over-the-counter retinols or prescription retinoids to her acne-prone patients. “I find that compared to other treatments they are beneficial for not just treating acne but also preventing new acne from forming as they help prevent that initial stage of the follicle getting clogged,” she says. “They can also help with some of the post acne [problems] such as hyperpigmentation.” But keep in mind if you have sensitive skin (or eczema or rosacea), a prescription retinoid might be too strong an option. However, your dermatologist can recommend an over-the-counter retinol with a low concentration (0.1 to 0.25 percent), which might be better tolerated. Retinol also isn’t a quick fix. It takes time to see results, and it’s something you’ll have to keep using to maintain its benefits. Shah also mentions that retinol plays well with other acne treatments on the list. “Retinol can be combined with other over-the-counter or prescription medications such as benzoyl peroxide, topical antibiotics, and oral medications. The right combination depends on the severity of the acne and your skin type.”
Evening primrose oil maintains optimum levels of skin hydration, elasticity, and smoothness with its omega-6 fatty acids (15). It is also an antibacterial agent (16). This home remedy works well for treating adult, hormonal, and cystic acne.
Salicylic acid works by easing the swelling and redness that comes with comedones. It also opens blocked pores, allowing pimples to shrink. Common products containing salicylic acid include Asepxia, Noxzema, and MediPlast.
Jump up ^ Yang, JK; Wu, WJ; Qi, J; He, L; Zhang, YP (February 2014). “TNF-308 G/A polymorphism and risk of acne vulgaris: a meta-analysis”. PLoS ONE (Systematic Review & Meta-Analysis). 9 (2): e87806. doi:10.1371/journal.pone.0087806. PMC 3912133 . PMID 24498378.
Instead of resurfacing the whole area, as 100% resurfacing lasers do, fractional lasers can target very tiny columns of skin with surrounding areas of healthy skin untouched. It means that those lasers can simply target the scars and avoid the healthy skin areas.
Acne removal: Your dermatologist may perform a procedure called “drainage and extraction” to remove a large acne cyst. This procedure helps when the cyst does not respond to medicine. It also helps ease the pain and the chance that the cyst will leave a scar. If you absolutely have to get rid of a cyst quickly, your dermatologist may inject the cyst with medicine.
Use a green tea serum, or simply add 2 tablespoons of loose green tea leaves to one cup of boiling water. Allow the tea to steep for 10 minutes and use as a daily wash. While you’re at it, drink one to two cups of green tea per day for the general anti-inflammatory benefits!
Oral contraceptives can help normalize hormonal surges and regulate monthly cycles so that oil glands don’t go into overdrive, says Zeichner. Doctors may prescribe one of four brands of birth control pills—Yaz, Beyaz, Estrostep, and Ortho Tri-Cyclen—that are FDA approved for treating acne. As always, patients taking oral contraceptives should be aware of potential risks, including blood clots. (Watch Zeichner walk you through more acne solutions, here.)
Postinflammatory hyperpigmentation (PIH) is usually the result of nodular acne lesions. These lesions often leave behind an inflamed darkened mark after the original acne lesion has resolved. This inflammation stimulates specialized pigment-producing skin cells (known as melanocytes) to produce more melanin pigment which leads to the skin’s darkened appearance. People with darker skin color are more frequently affected by this condition. Pigmented scar is a common term used for PIH, but is misleading as it suggests the color change is permanent. Often, PIH can be prevented by avoiding any aggravation of the nodule, and can fade with time. However, untreated PIH can last for months, years, or even be permanent if deeper layers of skin are affected. Even minimal skin exposure to the sun’s ultraviolet rays can sustain hyperpigmentation. Daily use of SPF 15 or higher sunscreen can minimize such a risk.
Doxycycline 50 – 100 mg, daily, for four to six months, is the first-line antibiotic choice (N.B. 50 mg tablets are not fully subsidised).6 If effective, the dose can be tapered after four months to alternate day treatment. If the standard dose of doxycycline is ineffective, increase to 100 mg, twice daily, provided it is tolerated. Doxycycline is contraindicated in children aged under 12 years and women who are pregnant.
Harvard shared information regarding isotretinoin, noting that even though the drug shows dramatic results in a short period of time, it’s been shown to “destroy lives.” In fact, Harvard reported that about 25 percent of babies who have been exposed to Accutane while in the womb have serious deformities and develop learning disabilities. (7)
Some acne treatments can be bought over the counter at pharmacies or supermarkets. These work by cleaning the skin and drying up excess oil. Mild irritation can occur with such treatments. If this happens, take a short break from treatment and restart after a few days. If the irritation is excessive, stop the medication and speak to your doctor about an alternative.
2. Turn up the heat. When you have painful, cystic pimples beneath the surface of your skin that haven’t come to a head, use heated compresses to draw the infection to the surface. Encouraging your body to sweat — whether in a sauna, steam room or in an exercise class or at the gym — is a great way to help your body rid the skin of toxins and bacteria.
Jump up ^ Pahwa, M; Pahwa, P; Zaheer, A (July 2012). “”Tram track effect” after treatment of acne scars using a microneedling device”. Dermatologic Surgery (Case Report & Literature Review). 38 (7 part 1): 1107–8. doi:10.1111/j.1524-4725.2012.02441.x. PMID 22587597.
Sleep – Less sleep can cause your skin to produce more sebum, and this can cause acne. Sleep deprivation can also increase the stress levels and worsen your acne. Sleeping for at least six to eight hours day is recommended
On this subject, Renée is most clear: “Whenever a blemish appears, the goal is to get it to heal quickly. Most people have a myriad of zit-zapping spot treatments in their bathroom and will apply these generously the moment a blemish pops up in hopes of drying it out to get it to go away more rapidly. But most spot treatments actually make the blemish stick around longer when used in this way. It will also lead to a prolonged recovery time with scarring.” The reason is that when used too early, the drying lotion will dry out the skin on top of the infection, actually trapping the infection from coming out. “Have you ever tried to squeeze a blemish that has been dried out with a spot treatment? I’m sure you’ve experienced sheets of skin peeling off which will result in more scarring. Not good,” Renée says. “The best solution is to leave it alone to get rid of it faster.” Frustrating, but probably true.
The area on the face where the lines or scars are found is cleansed. The filling agents are then introduced into your skin via a fine-needled injection. It’s quick (depending on the number and depth of your scars ) and the procedure is rather simple.
^ Jump up to: a b Admani, S; Barrio, VR (November 2013). “Evaluation and treatment of acne from infancy to preadolescence”. Dermatologic Therapy (Review). 26 (6): 462–6. doi:10.1111/dth.12108. PMID 24552409.
The best way to determine the best treatment for the kinds of acne scars you have is to go to a doctor and have your skin condition checked. A great skin doctor will be more than willing to guide you through your post-acne scar-self with careful assessment and expert counseling.
There is some evidence that diet and certain nutritional deficiencies may worsen acne symptoms. If you’re having difficulty controlling your acne, make sure you’re eating a well-balanced diet that’s low in processed carbohydrates.
Volcanic mud from the Rotorua area of New Zealand makes the adhesive base for these pore strips, which come seven to a box. The Face Shop’s volcanic clay nose strips come pre-moistened and with a transparent strip to remove before adhering to the skin.
“Tea tree oil is also something I would recommend to relieve any pimples, as it helps inhibit the growth of acne-causing bacteria due to its astringency and also increases cell turnover to help pimples heal faster,” says dermatologist David Bank, M.D..
Crockett SD, Porter CQ, Martin CF, Sandler RS, Kappelman MD. Isotretinoin use and the risk of inflammatory bowel disease: a case-control study. Am J Gastroenterol. 2010 Sep. 105 (9):1986-93. [Medline].