Topical retinoids should be trialled for at least two months before considering another treatment. The initial phase of treatment may cause a mild acne flare, followed by significantly declining acne severity over one to two months.7 Continued, long-term use of retinoids appears to be safe and effective.7
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
Magin, P., Pond, D., Smith, W., & Watson, A. (2005). A systematic review of the evidence for ‘myths and misconceptions’ in acne management: diet, face-washing and sunlight. Family Practice, 22(1), 62-70. Retrieved from https://academic.oup.com/fampra/article/22/1/62/440463/A-systematic-review-of-the-evidence-for-myths-and
Topical retinoids are used in anti-aging efforts, and can speed up the rate of cell regeneration, aiding your skin in sloughing off the dead skin cells at a regulated rate. In some patients, retinoids can also serve as an anti-inflammatory agent, but they have been known to cause irritation when first used.
Drink More Water – Keeping your body hydrated by drinking enough water during the day will reflect on your skin. When your skin isn’t sufficiently hydrated, the body will produce more oil to compensate for it. This will lead to acne. Drink 8-10 glasses of water every day.
Rinse your face with warm water. Then wash at least 3 strawberries thoroughly to remove all the dirt on them. Mash them carefully without allowing them to become watery. Add two teaspoons of honey and blend them. Add the mixture to your skin and allow it to stay for 30 minutes before you rinse it off.
There is also a growing body of evidence for laser treatment of acne, standalone or in the context of PDT. However, similar to light therapy, the power and quality of research is limited by small patient numbers, lack of a control population, and comparison to standard therapies. Nonetheless, preliminary studies have shown improvement in acne, and even potential long-lasting effects with the 1550-nm erbium-glass laser, 1064-nm Nd:YAG laser, and PDT with laser. 
Grade III: Patients diagnosed with Grade III acne likely suffer from a higher rates of inflammation, leaving the skin tender and often painful to the touch. This severity sees patients with a high number of papules and pustules, and they may also exhibit painful nodules.
Chemical peels: Whether the superficial peels (like glycolic acid) performed by estheticians or deeper ones performed in the doctor’s office, chemical peels are of modest, supportive benefit only, and in general, they do not substitute for regular therapy.
Dermabrasion is used for acne scar removal and to treat skin imperfections like wrinkles. Dermabrasion can only be performed by a qualified medical professional, as it involves removing the top several layers
skin. New skin grows over a period of weeks to replace the damaged layers.
Use a retinoid. As a Retinoid is a prescription medication in the U.S., be cautious of the side affects before usage. Retinoid cleansers contain high levels of vitamin A, which help to clean out clogged pores and dissolve away grime. You can get a prescription for one from your doctor. Trademarked OTC retinoid-like products are ineffective.
The topical retinoids adapalene and tretinoin are prescription only and fully subsidised (one tube at a time) for use in patients with acne. Topical isotretinoin gel is available by prescription, but is not subsidised.
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