When it comes to skin care, we’re not usually ones for hard and fast rules. Everyone has unique facial features, skin tones, lifestyles and genetic histories that make it impossible to have a single piece of advice be “one size fits all.” It can take years — and dozens of trips to the dermatologist — to discover how to get rid of acne effectively on your unique skin. But here at Teen Vogue, we’ve pretty much made it our life mission to figure out the best tips from the pros who have seen it all and won’t recommend it unless it’s backed up by experience and science.
Approximately 50 million individuals have reported symptoms of acne vulgaris, a chronic inflammation of the skin consisting of whiteheads, blackheads, papules, pustules, or nodules. Eighty-five percent of teenagers report having acne, and 12% of adults can continue to have it. Factors causing acne include follicular hyperkeratinization, microbial colonization, sebum production, and inflammatory mechanisms.
Spironolactone . Spironolactone is an oral drug that can block the action of the body’s hormones on the skin’s oil glands. This medication is not FDA-approved for acne, but is especially helpful for women who have acne that worsens around the time of menstruation.
The reason why people get pimples is because there not healthy (don’t eat the right foods). If you wish to get rid of pimples and acne use crushed up Paw-paw leaf and add water. If you want better results then use water that has been settled overnight in a glass bottle, leave the lid open. The longer it is settled the better.
Years ago, teenagers with acne were told to cut out the potato chips and given a tube of Clearasil. Today, we know far more about the reasons why some people develop acne and how it can most effectively be treated.
I know firsthand how brutal these techniques were—and how counterproductive. In 2002, I interrogated an al-Qaeda associate named Abu Zubaydah. Using tried-and-true nonviolent interrogation methods, we extracted a great deal of valuable intelligence from Zubaydah—including the identities of the 9/11 mastermind Khalid Sheikh Mohammed and the would-be “dirty bomber” Jose Padilla, both of whom would be arrested shortly after. Yet some officials later tried to manipulate the record to make it seem as if this intelligence was gained through torture, even going so far as to misstate the date of Padilla’s arrest, which in fact occurred before Zubaydah or any other al-Qaeda suspect was waterboarded.
Thick or greasy make-up may, possibly, make acne worse. However, most make-up does not affect acne. You can use make-up to cover some mild spots. Non-comedogenic or oil-free products are most helpful for acne-prone skin types.
Some patients only require one course of oral isotretinoin for complete acne remission, while others require additional courses of isotretinoin therapy. A study found 38% of the patients had no acne during 3-year follow up, and, among the remaining patients, 17% were controlled with further topical therapy, 25% with topical and oral antibiotics, and 20% with second course of isotretinoin.  Relapse is more likely in younger or female patients. 
It is a long-term treatment for acne problem in women. It suppress* the overactive gland. However it is recommended to consult with gynecologist first for women who are over 35 and has a long history of migraine or a habit of smoking.
Combination medications are exactly what they sound like—acne medications that harness the power of two acne-fighting ingredients in one bottle. These are generally made up of topical retinoid or benzoyl peroxide treatments along with topical antibiotics.
Topical antibiotics are mainly used for their role against C acnes (formerly P acnes). They may also have anti-inflammatory properties. Topical antibiotics are not comedolytic, and bacterial resistance may develop to any of these agents. Commonly prescribed topical antibiotics for acne vulgaris include clindamycin, erythromycin, or, more recently, dapsone. Topical dapsone is a new sulfone antibiotic with anti-inflammatory properties that has been shown to be effective for mild-to-moderate acne, and it has a convenient once-daily application schedule.  It is available as 5% twice-daily and 7.5% once-daily formulations.  The current American Academy of Dermatology guidelines preceded the FDA approval of the 7.5% formulation. Although no research has compared the efficacy of the 5% formulation with the 7.5% formulation, both have been separately shown to be efficacious and safe. The 7.5% formulation has the additional compliance factor of once-daily application. [29, 34]
Do not wash more than normal. Twice a day is normal for most people. Use a mild soap and lukewarm water. (Very hot or cold water may worsen acne.) Do not scrub hard when washing acne-affected skin. Do not use abrasive soaps, cleansing granules, astringents, or exfoliating agents. Use a soft washcloth and fingers instead. Excess washing and scrubbing may cause more inflammation and possibly make acne worse.
Cystic acne . The most severe form of acne, cystic acne develops as the result of an actual infection in the area of the outbreak. Cystic acne often runs in families. It’s often very painful and can result in disfiguring, permanent scarring.
This type of oral medication is only useful and appropriate for acne cases in adult women. Spironolactone is not designed for acne treatment, but has proven to clear the skin after long-term use. This acne medicine is actually meant to treat conditions that result from too much aldosterone by preventing the body from absorbing too much salt and regulating potassium levels.
Scarring from severe cystic acne can have harmful effects on a person’s self esteem, happiness and mental health. Thankfully, there are many different acne scar treatment options available, ranging from chemical peels and skin fillers to dermabrasion and laser resurfacing. According to the American Academy of Dermatology, these are all safe and effective acne scar treatment methods. However, Baldwin says it’s important to first clarify what you mean by ‘scar.’ “Many people point to red or brown spots leftover from old zits and call them scars,” she says. “These are marks, not scars and they’ll fade with time. Scars have textural changes and are not flush with the surface of the skin. There are several types of acne scars – innies and outies. Outies can be injected with corticosteroids and flattened. Innies can be either deep and narrow or broad, sloping and relatively shallow. and narrow scars need to be cut out, but broader sloping scars can be made better by fillers, laser resurfacing and dermabrasion.”
Zaenglein AL, Graber EM, et al. “Acne vulgaris and acneiform eruptions.” In: Wolff K. et al. Fitzpatrick’s Dermatology in General Medicine, 7th edition. McGraw-Hill Companies, Inc., USA, 2008:696-700.
^ Jump up to: a b Goodman, G (2009). “Cleansing and moisturizing in acne patients”. American Journal of Clinical Dermatology (Review). 10 (Suppl 1): 1–6. doi:10.2165/0128071-200910001-00001. PMID 19209947.
Rosacea: This condition is characterized by pimples but not comedones and occurs in the middle third of the face, along with redness, flushing, and superficial blood vessels. It generally affects people in their 30s and 40s and older.
Acne can almost always be controlled with medication. However, results may not be seen for weeks or months. Most topical medicines work within four to eight weeks. Tretinoin may show peak results in three to six months.
What it does: Azelaic acid is thought to help the skin to renew itself more quickly and prevent the buildup of cells that can plug pores, therefore reducing pimple and blackhead formation. It also helps to kill acne bacteria,1and has anti-inflammatory effects.2