Goldsmith LA, Bolognia JL, Callen JP et al. “American Academy of Dermatology Consensus Conference on the safe and optimal use of isotretinoin: summary and recommendations.” J Am Acad Dermatol 2004; 50: 900-6.
Eighty-five percent of young people experience some form of acne, and each year Americans spend more than $2 billion at the dermatologist trying to drive their zits away. Acne is practically a rite of passage—one that teens have gone through for centuries. In ancient Egypt, King Tut apparently suffered from blemishes, and the poor guy must have never found a regimen that worked—his home remedy was found buried alongside him in his tomb.
Jump up ^ White, Stephen D.; Bordeau, Patrick B.; Blumstein, Philippe; Ibisch, Catherine; GuaguÈre, Eric; Denerolle, Philippe; Carlotti, Didier N.; Scott, Katherine V. (1 September 1997). “Feline acne and results of treatment with mupirocin in an open clinical trial: 25 cases (1994–96)”. Veterinary Dermatology. 8 (3): 157–164. doi:10.1046/j.1365-3164.1997.d01-16.x. ISSN 1365-3164. Archived from the original on 12 March 2017.
When treating acne, it’s really important to keep the area moisturized well moisturized. Find a lotion that works for your skin and use it after treating it with whatever products you choose. I also like to moisturize in the shower with body wash. I alternate between using Neutrogena’s Body Clear Body Wash and Dove Creme Mousse Sensitive Skin Body Wash in the shower. It’s great for keeping your skin hydrated, and I love the fresh smell. You can buy it here or at any drugstore.
Long used to treat high blood pressure, prescription Aldactone (spironolactone) is now getting a second life as a treatment for hormonal acne. The drug (a tablet taken orally) blocks receptors of the hormone androgen, helping to limit the testosterone surges that can prompt pimples.
Isotretinoin. If you experience deep, painful cysts and nodules, you may need more aggressive treatment. This oral derivative of vitamin A (commonly referred to by the brand name Accutane) shrinks oil glands and limits how much oil they produce. “This is a fantastic medication that does something no other acne medication does,” says Dr. Lee. After taking it for four to six months, “we say that your acne goes into remission.” Because the drug carries a risk of birth defects, you can absolutely not get pregnant while taking it, so patients are required to take pregnancy tests before, during, and after taking the med.
Although acne is common in teenagers, it isn’t just a teenage affiction.3,9 Adult acne may be more common than previously thought.9 About one-third of people seeking treatment for acne are 25 or older.9
In some cases, your skin might feel a bit irritated the first couple of weeks of treatment, says Diane S. Berson, MD. She is an assistant clinical professor of dermatology at Weill Medical College of Cornell University, Ithaca.
Caring for your newborn baby’s skin may seem complex, but it doesn’t have to be. There are many skin conditions such as peeling, rashes, baby acne, and dryness that can develop on a newborn baby’s skin.
Try over-the-counter acne products to dry excess oil and promote peeling. Look for products containing benzoyl peroxide as the active ingredient. You might also try products containing salicylic acid, glycolic acid or alpha hydroxy acids, which may help with mild and moderate acne. It may take a few weeks before you see any improvement.
^ 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.
Antibiotics are moderately effective for acne and are frequently used for acne treatment. They are often prescribed for months or years, because acne is a chronic skin condition. However, many physicians are concerned about the use of antibiotics for acne, mainly because of reports of increasing rates of bacterial resistance to antibiotics.
Use AHAs and BHAs. Alpha Hydroxy Acids are essentially exfoliants, sloughing off dead skin that tends to clog pores and cause acne. Beta Hydroxy Acids fight the acne bacteria from the inside out. If you can, try to find a body scrub with AHAs and wash with that scrub three times per week. After showering and moisturizing, wipe your back with BHA-medicated pads.
Isotretinoin is a major teratogen, and will cause significant birth defects or spontaneous abortion in approximately half of all pregnant women taking the medicine.21, 22 Practitioners should obtain an up-to-date and reliable sexual history from the patient and ensure that all females of reproductive age are: 17
Note: Do not keep baking soda on your skin for more than 2 minutes as it can be harsh on your skin. If it dries out your skin, you can follow up with a light moisturizer. Do not use this remedy if you have a sensitive skin.
Jump up ^ Andriessen, A; Lynde, CW (November 2014). “Antibiotic resistance: shifting the paradigm in topical acne treatment”. Journal of Drugs in Dermatology: JDD (Review). 13 (11): 1358–64. PMID 25607703.
Bioelements makes a great water-based mask with natural active clay, kaolin for oil absorption, and other calming and soothing ingredients like chamomile, dong quai, and watercress. Use once or twice weekly as an acne treatment to improve skin’s texture, remove excess oil and dirt, deep clean pores, and refine skin.
Blackheads are a mild form of acne that appear as unsightly, open pores that appear darker than the skin surrounding them. They get their dark appearance from a skin pigment called melanin, which oxidizes and turns black when it’s exposed to the air. Blackheads aren’t caused by dirt, but by sebum (oil) and dead cells blocking the pore. If the pore remains open, it becomes a blackhead; if it’s completely blocked and closed, it turns into a whitehead.
Alternatively, mix the contents of 1 vitamin E capsule with 1 teaspoon of castor oil. Apply it on the affected skin before going to bed. Leave it on overnight and rinse it off the next morning using lukewarm water. Repeat daily until your scars fade.
I not only get folliculitis on my butt, it also occurs on the back of my upper legs. Its so frustrating and embarrassing, it occurs more often when I begin to exercise; i rush home from the gym to shower and change but no luck. The only product that has worked for me is “butt acne clearing lotion” by Green Heart Labs. It has Lactic Acid one of the medication the article recommends. I say give it a try, just remember with any skin product it takes time to work – don’t expect results over night. Good Luck everyone.
Lavender oil is another favorite of mine, not only because it can help prevent and keeps acne at bay, but it smells amazing, and provides relaxation qualities — something much needed in today’s world. Lavender helps regenerate skin cells, minimize sun spots and even reduce scarring caused by acne. Additionally, it can help reduce swelling and inflammation that may be caused by acne due to the polysaccharides it contains. (20)
These breakouts are often caused by hormones — for instance, cortisol, a hormone that flares up when you’re stressed and causes inflammation and excess oiliness. But it’s also no myth that breakouts can be linked to your menstrual cycle. In the days right before your period, your estrogen levels nosedive while your testosterone (an androgen that cranks up oil production) holds steady. All that excess oil can block hair follicles and lead to deep, red pimples.
Acne-associated mood changes and depression have also been reported during treatment, but a 2017 meta-analysis involving 1411 cases found no increased risk of depression with isotretinoin use.  Some of the studies that reported a positive causal relationship between isotretinoin and depression included a dose-response relationship with depression of up to 3 mg/kg/day of isotretinoin; however, this high of a dose is not usually prescribed for acne.  Other studies have described new-onset depression in both isotretinoin and antibiotic groups, suggesting depression is associated with acne, regardless of treatment.  Therefore, it is important to consider the risk of depression among all patients with acne.
12. Cunliffe WJ, Holland KT, Bojar R, et al. A randomized, double-blind comparison of a clindamycin phosphate/benzoyl peroxide gel formulation and a matching clindamycin gel with respect to microbiologic activity and clinical efficacy in the topical treatment of acne vulgaris. Clin Ther 2002;24:1117–33 [PubMed]
Salicylic acid 0.1 – 2% cream is an alternative to benzoyl peroxide, but is generally less effective and may also cause skin dryness.6 It works by softening and descaling the skin, thereby reducing comedones.