Wash your face twice a day. Wash your face with a gentle cleanser in the morning and before you go to bed. Also wash your face after you sweat or wear a hat or helmet. Use your fingertips to apply your cleanser. A washcloth or sponge may irritate your skin.
Because wearing silicone gel sheets can be uncomfortable, you can try silicone gel such as this product, which you can wear under makeup. It’s more incognito than the sheets especially when you want to go outside not looking like you’ve wounded your face.
Benzoyl peroxide causes red and scaly skin irritation in a small number of people, which goes away as soon as one stops using the product. Keep in mind that benzoyl peroxide is a bleach, so do not let products containing benzoyl peroxide come into contact with fabrics, leaving unsightly white spots on colored clothes, shirts, towels, and carpets.
The costs and social impact of acne are substantial. In the United States, acne vulgaris is responsible for more than 5 million doctor visits and costs over US$2.5 billion each year in direct costs. Similarly, acne vulgaris is responsible for 3.5 million doctor visits each year in the United Kingdom. Sales for the top ten leading acne treatment brands in the US in 2015, have been reported as amounting to $352 million.
If these treatments are ineffective, it may be necessary to have a dermatologist give you corticosteroid injections. These injections tend to reduce inflammation in the nodules and allow the nodules to heal more quickly, lessening the chance of them leaving scars. If all else fails, a medication known as isotretinoin will often help. Isotretinoin is available by prescription only and its use needs to be carefully monitored since this medication has been known to produce severe and even potentially dangerous side effects on occasion. Dermatologists will normally refuse to prescribe isotretinoin for women who are pregnant, as it has been known to be a cause of birth defects. On the positive side, isotretinoin is quite effective in reducing sebum production, a major contributor to acne, in normalizing follicular desquamation or the thinning and peeling of the skin, in reducing bacterial activity, and in acting as an anti-inflammatory agent.
Folliculitis: Pimples can occur on other parts of the body, such as the abdomen, buttocks, or legs. These represent not acne but inflamed follicles. If these don’t go away on their own, doctors can prescribe oral or external antibiotics, generally not the same ones used for acne.
^ Jump up to: a b Brandt, Staci (May 2013). “The clinical effects of zinc as a topical or oral agent on the clinical response and pathophysiologic mechanisms of acne: a systematic review of the literature”. Journal of Drugs in Dermatology: JDD (Review). 12 (5): 542–5. PMID 23652948.
Pads medicated with salicylic acid, glycolic acid, or other oil-cutting acid ingredients are another beauty routine option. “Medicated pads are a favorite among my patients with oily skin,” Marmur says. “You can carry them in your purse and use them on the run to freshen up your skin and remove excess oil.”
Since everyone gets acne at some time, the right time to treat it is when it becomes bothersome or when the potential for scarring develops. This can be when severe acne flares suddenly, for mild acne that just won’t go away, or even when a single pimple decides to show up the week before one’s prom or wedding.
People who have mild acne have a few blemishes. They may have whiteheads, blackheads, papules, and/or pustules (aka pimples). Many people can treat mild acne with products that you can buy without a prescription. A product containing benzoyl peroxide or salicylic acid often clears the skin. This does not mean that the acne will clear overnight.
Don’t pop the acne: As tempting as it might be, do not pop that pimple. Reason being that the more you squeeze the zit the more prone to infection it becomes and the worse it gets. Also, after it gets worse, it will take longer to heal and afterwards, leave a nasty scar behind. So if you spot a pimple, let it be until it’s ready to come off on its own.
Pustules are inflamed pores filled with the P. acnes bacteria. These lesions are what people typically think of when they think of pimples. The bacteria attracts the body’s natural infection-fighting cells, which cause the irritation and redness associated with pimples.
Scars that are indented aren’t going to go away on their own and most likely need professional treatment. Talk to your derm about laser options, as well as subcision and microneedling—all proven methods to get rid of scarring. But those brown spots left behind once a zit goes away? You can treat them at home if you’re diligent. Dr. Schultz says you have to stick to a regimen of daily sunscreen use, exfoliation, and application of a bleaching product that will help remove the excess pigmentation in the skin. Try Murad Rapid Age Spot and Pigment Lightening Serum.
Benzoyl peroxide. It’s an antibacterial that eliminates P. acnes on skin. Look for this ingredient if you have lots of pustules, since they’re an indication that dealing with higher levels of bacteria on your skin. This ingredient won’t be as effective when used on blackheads.
Fractional laser treatment is less invasive than ablative laser treatment, as it targets only a fraction of the skin at a time. Fractional lasers penetrate the top skin layers, where its light energy stimulates collagen production and resurfaces the top layer of the epidermis. Treatments typically last between 15 and 45 minutes and effects become visible in 1 to 3 weeks.
Exercise not only helps you with fitness, but it can help reduce acne-prone skin irritations. That’s right, add its use on how to get rid of pimples to the list of exercise benefits. Exercise offers stress relief while getting the blood circulating. This blood-pumping activity sends oxygen to your skin cells, which helps remove dead cells from the body.
Topical antimicrobials (Topical antibiotics) help kill the bacteria on skin that can infect plugged hair follicles. Should always be combined with Benzoyl Peroxide in order to prevent the development of bacterial resistances.
Benzoyl peroxide products are also effective against C acnes (formerly P acnes), and bacterial resistance to benzoyl peroxide has not been reported.  Benzoyl peroxide products are available over the counter and by prescription in a variety of topical forms, including soaps, washes, lotions, creams, and gels. Benzoyl peroxide products may be used once or twice a day. These agents may occasionally cause a true allergic contact dermatitis. More often, an irritant contact dermatitis develops, especially if used with tretinoin or when accompanied by aggressive washing methods.  If intensive erythema and pruritus develop, a patch test with benzoyl peroxide is indicated to rule out allergic contact dermatitis.
Even though you may be antsy to know if your skin care routine is working, it’s important to give a new regimen two or three months before expecting results. (As long as your skin isn’t irritated by a new product, of course–if it is, stop using it.) “Your acne didn’t start overnight, so it won’t disappear overnight either,” cautions Dr. Lee.
10. American Academy of Dermatology. How to apply sunscreen. Available at: https://www.aad.org/public/spot-skin-cancer/learn-about-skin-cancer/prevent/how-to-apply-sunscreen. Accessed January 19, 2016.
What it is: Spironolactone is a prescription medication in tablet form used to treat certain patients with hyperaldosteronism (the body produces too much aldosterone, a naturally occurring hormone), low potassium levels, and in patients with edema (fluid retention) caused by various conditions.1Learn more from the U.S. National Library of Medicine.
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.