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Do you eat a diet high in processed carbs like sugary desserts, soft drinks and “white” foods like white bread, potatoes and pasta that lack fiber? These types of carbohydrates are rapidly absorbed by your digestive tract, causing insulin levels to quickly rise and protein called insulin-like growth factor, or IGF-1, to go up. Research suggests that higher levels of IGF-1 and insulin may trigger acne outbreaks. The solution? Cut back on foods high in sugar and packaged and processed carb-rich foods, and replace them with fiber-rich fruits and vegetables. The fiber in these foods slows down absorption and keeps insulin and IGF-1 levels in check. This may reduce the number of acne outbreaks you get. Cow’s milk is also a source of IGF-1, so cutting back on dairy products may help too.
Antibiotics, such as clindamycin solution (Topicil™, ClindaTech™) or erythromycin solution (Stiemycin™) and gel (Eryacne™), which are best used with benzoyl peroxide or azelaic acid to reduce the chance of antibiotic resistance
Contrary to popular belief, you don’t just get acne scars from picking at your pimples. According to Dr. Whitney Bowe, there are acne lesions that are prone to scarring — even if you leave them completely alone.
Those who prefer a bar soap over a liquid body wash can still benefit from acne-fighting salicylic acid with the Clinique Acne Solutions Cleansing Bar. This mild soap unclogs pores and removes excess oil without drying out skin.
Simple way to get rid of acne is using home remedies. Tea tree oil the straight oil is an alternative of benzoyl peroxide cream and prevent from mild acne. Soak the oil with the cotton pad then dip the pad in the water and apply to affected areas three times per day. Baking soda can use as a scrub by mixing with water and paste onto to skin for 30 seconds. It is commonly used for treatment-resistant acne. Oatmeal mask acts as a smoothing and healing of skin.
Scrubbing your face raw with grainy cleansers and exfoliating products can do more harm than good. When done too often, it can make redness, inflammation, and irritation worse. “Exfoliating a pimple can pull away healthy skin cells and create an open wound and higher risk for scarring,” says Jessica Weiser, MD, from New York Dermatology Group. “Exfoliation should be done with caution, and not more than 2-3 times a week maximum.”
Topical retinoids such as adapalene (Differin), tazarotene (Tazorac) and tretinoin (Retin-A). Topical retinoids are actually similar to isotretinoin since they may reach the blood stream. Although studies show that the amount of these medications absorbed through the skin is low (about 5%), they still may increase the risk of birth defects. Please note that all retinoids or cosmetic products that contain them are required to carry a warning that states it is unknown whether they can harm a developing baby or a child that is being breastfed.
Even though isotretinoin does not remain in the body after therapy is stopped, improvement is often long-lasting. It is safe to take two or three courses of the drug if unresponsive acne makes a comeback. It is, however, best to wait at least several months and to try other methods before using isotretinoin again.
Try microdermabrasion. This is a process by which your skin is “sanded” away to produce new skin growth. Getting microdermabrasion treatments once a week over several months is the most effective route to take, as each treatment only affects the outermost layer of skin.
Isotretinoin is an important medicine. It can clear severe acne that does not respond to any other treatment. As acne clears, a patient’s quality of life often greatly improves. Dermatologists are committed to the safe and responsible use of this medicine. Patient safety is a dermatologist’s first priority when prescribing isotretinoin.
Systemic antibiotics are a mainstay in the treatment of moderate-to-severe inflammatory acne vulgaris.  These agents have anti-inflammatory properties, and they are effective against C acnes (formerly P acnes). The tetracycline group of antibiotics is commonly prescribed for acne. The more lipophilic antibiotics, such as doxycycline and minocycline, are generally more effective than tetracycline. 
Definitely avoid dairy foods as much as possible, as they are well known for being the cause of pimples and acne for many. Also any packaged foods and sugary foods are generally not good for the maintenance of clear skin. Try to stay as fresh and natural as possible for your diet, incorporating many fruit and vegetables, as well as nuts.
Treatment of acne with topical crushed dry ice (termed “cryoslush”) was first described in 1907, but is no longer performed commonly. Prior to 1960, the use of X-rays was also a common treatment.
Oral antibiotic use can lead to vaginal candidiasis; doxycycline can be associated with photosensitivity; and minocycline has been linked to pigment deposition of the skin, mucous membranes, and teeth. 
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.