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The most common question on acne
Acne is a very common disease. People who have to tend to have the same kind of questions about him and his treatment. In this section some of the common questions raised by people with acne. Please remember that your dermatologist is always the best source specific information about their individual health problems, including acne.
Questions and Answers makes the following:
1. What causes acne?
The causes of acne are related to changes that take place as young people mature from childhood to adolescence (puberty). The hormones that cause physical maturation also cause the sebaceous glands (oil) of the skin to produce more sebum (oil). The hormones that most influence on the sebaceous glands are androgens (male hormones), which are present in females as males, but in higher amounts in men.
The sebaceous glands are found together with a hair shaft in a unit called a sebaceous follicle. During puberty, the skin cells lining the hair began to fall faster. In people who develop acne, the cells shed and stick rather than people who do not develop acne. When the stock cells with as much sebum is produced, it can cover the opening of the follicle. Meanwhile, the sebaceous glands continue to produce sebum, and the follicle swells up with sebum.
In addition, a normal skin bacteria called P. acnes, begins to multiply rapidly in clogged hair follicle. In the process, these bacteria produce irritating substances that cause inflammation. Sometimes the wall of the follicle bursts, spreading inflammation to the surrounding skin. This is the process by which acne lesions, blackheads grains from the nodules, are formed.
2. I wash my face several times a day. Why even acne?
Many people still believe that acne is caused by dirty skin. The truth is that washing alone have not been recovered or prevent acne. Washer, however, help remove excess surface oil and dead skin cells. Many people use all kinds of products, including cleaners based on alcohol, and scrub vigorously, only to irritate the skin further and worsen their acne. Wash the skin gently twice daily with mild soap and water is all that is required. However, acne is actually caused by a variety of biological factors that are beyond the control of washing. For that reason, you should use appropriate acne treatments for acne.
3. Does stress cause acne?
Stress is often blamed for the development of acne. Stress can have many physiological effects on the body, including changes in hormones that may theoretically lead to acne. In some cases, stress may actually be caused by injuries acne, not the reverse! If the acne is an effective treatment, stress may not have much impact on most people.
4. I never had acne as a teenager. Why I am now getting acne as an adult?
Usually, acne begins at puberty and goes for 20 years. In some cases, acne can persist into adulthood. Such types of acne include severe forms that affect the body and face (which affects more men than women) and acne associated with menstrual cycle in women. In other cases, acne is not present until adulthood. Such acne is more likely to affect women men.
There are several reasons for this. As females get older, the pattern of changes in hormones may itself change, disposing sebaceous glands to develop acne. Ovarian cysts and pregnancy may also cause hormonal changes that lead to acne. Some women get acne when they discontinue the pills contraceptive have been keeping acne at bay. Sometimes young women may wear cosmetics that are comedogenic, that is, conditions can be to the formation of comedones.
5. What role does diet play in acne?
Acne is not caused by food. Following not a strict diet, your skin clear. While some people feel that their acne is aggravated by certain foods, particularly chocolate, colas, peanuts, shellfish and other fatty foods, there is no scientific evidence that suggests food causes or influences acne. Avoid foods that seem to worsen your acne and, for general health, eating a balanced diet – but diet should not really matter if the acne is treated.
6. Does the sun help acne?
Many patients feel that sunlight improves acne lesions and do everything possible to find sources of ultraviolet light. There is no proven effect of sunlight on acne. In addition, ultraviolet light in sunlight increases the risk of skin cancer and premature skin aging. Therefore, not a management technique recommended acne, especially since there are many other proven forms of treatment for acne. Moreover, many acne treatments increase the skin sensitivity to ultraviolet light, so the risk of exposure to ultraviolet light all the worse.
7. What is the best way to treat acne?
Everyone acne must be treated individually. If you have not achieved good results of the acne products you have tried, consider seeing a dermatologist. Your dermatologist will decide which treatments are best for you. For more information about the types of acne treatments that are available, and basic guidelines for the treatment Acne, Acne Treatments see in the main part of AcneNet.
8. What kind of cosmetics and cleaning products may use a patient Acne?
Look for "non-comedogenic" cosmetics and toiletries. These products have been formulated so as not to cause acne.
Some acne medications cause irritation or pronounced dryness particularly during the first weeks of therapy, and some cosmetics and cleaning products actually may worsen this effect. The choice of cosmetics and cleaning products must be made with your dermatologist or pharmacist.
Heavy foundation makeup should be avoided. Most acne patients should select powder blushes and eye shadow over cream products because they are less irritating and non-comedogenic. Camouflage techniques can be used effectively by the application of a cosmetic lower green on red acne lesions to promote color fusion.
9. Is it harmful to squeeze my faults?
Yes, in general, acne lesions should not be picked or squeezed by the patient. In particular, inflammatory acne lesions should never be squeezed. Squeezing forces infected material deeper into the skin, causing additional inflammation and scarring possible.
10. Can anything be done about scarring caused by acne?
Scarring can be prevented by eliminating acne. Dermatologists can use various methods to improve the scars caused by acne. Treatment should always be individualized for specific patient. Chemical peels can be used in some patients, while dermabrasion or laser abrasion may benefit others. It is important that acne is well controlled before any procedure is used to relieve scars.
11. How long before I see a visible result of using my medicine Acne?
The time for improvement depends on the product being used, but in almost all cases is more a matter of weeks or months instead of days. The Most dermatologists recommend the use of a drug or drug combination daily for 4-8 weeks before they would change the treatment. It is very important that patients are aware of this time frame to not get discouraged and stop their medications. On the contrary, if you do not see any change, you may want to consult with your dermatologist about the need to change treatment.
12. Could I use my medication more frequently than prescribed speed up the clearing of my Acne?
No – always use your medication exactly as your dermatologist instructed. Using topical medications more often than prescribed may actually reinduction of skin irritation, redness and follicular plugging, which can delay clearing time. If oral medications are taken more frequently than prescribed will not work better, but there is a greater chance of side effects.
13. My topical treatment seems to work the points to discuss, but I getting new acne blemishes. What should I do?
Topical acne medications are made to be used in all areas prone acne, not just individual lesions. Part of the goal is to treat the skin before lesions can form and prevent formation, not only to treat injuries existing. Patients are generally advised to treat all areas (forehead, cheeks, chin and nose) that tend to leave more than just individual lesions.
14. My face is clear! "I can stop taking my medication now?
If your dermatologist says you can stop, and then stops – but the instructions your dermatologist. Patients often stop medication suddenly only to have their acne flare up several weeks later. If you are using multiple products, may be advisable to discontinue one medication at a time and judge results before discontinuing them all at once. Consult your dermatologist before you stop using any of your medicines.
15. Does it matter what time I use my medication?
Consult your dermatologist, or pharmacist. If you were taking a daily dose of an antibiotic, which could probably take it morning, noon or night, but you must choose a time of day and stay with him throughout the treatment. With medication orally twice a prescribed day or three times a day, you should try their best to spread the doses evenly. Some antibiotics should be taken the empty or nearly empty stomach. For optimal results with topical treatments, which should strictly follow the recommendations of your dermatologist. For example, if ordered to apply the benzoyl peroxide in the morning and a topical retinoid to bedtime, it is important to follow these instructions strictly. If the two were applied together at bedtime, for example, can reduce the effectiveness of treatment because of chemical reactions that make them less efficient.
16. I have trouble remembering to take oral medication every day. What is a good way to remember? What should I do if I miss a dose?
This is a common problem. Many patients try to associate taking their medication with a daily event such as brushing teeth or applying makeup. It also helps to keep the medication close to the area where the reminder activity is carried out.
In most cases, if you miss a day of oral treatment, do not bend the next day, but return to their daily routine as soon as possible – but may be different instructions for different non. Ask your dermatologist or pharmacist about what to do if you miss a dose of your particular medication.
17. I have been using topical benzoyl peroxide and oral antibiotic for my acne I noticed the marks and blue-black and brown in the developing face and some discoloration on my body. The marks are especially evident between acne lesions and scars recently healed. This is a side effect of medication and permanent?
It is not possible to make general statements about drug side effects that apply to individual cases. A dermatologist should be consulted. The facial markings and body discoloration described by the patient in this case fall within the range of side effects of some antibiotics.
Unique patterns of pigmentation usually appear in patients with acne treated with certain oral antibiotics, particularly minocycline. The patterns of pigmentation that may occur:
* Located trademark blue-black or brown and about acne scars and the areas of previous acne inflammation
* Skin "muddy" appearance that can cover much of the body
* Diffuse pigmentation brown feet and calves.
The side effect pigment gradually disappears after therapy is discontinued.
Any side effects of a drug taken into account by the patient and brought to the attention of the physician. Although most side effects are temporary, that should be discussed with your doctor and monitoring.
18. My doctor is prescribing a topical retinoid for my acne. He said a retinoid is a substance related to vitamin A. If the drug is related to vitamin A, vitamin A should not be useful supplements in getting clear acne?
The diet of vitamin A is essential for good health, especially vision. Have salutary effects on the skin. Large doses of vitamin A for acne treatment is not recommended for security reasons. Retinoids retinoid and substances used as topical treatment for acne are prepared especially for its strong effect on the shedding of cells lining the follicle sebaceous. Its use should be supervised by a dermatologist.
The diet of vitamin A has multiple health effects on the human body. Vitamin A is essential for good vision. extreme vitamin A deficiency can result in blindness, usually accompanied by dry, scaly skin. Vitamin A overdose that far exceeds the Dietary Allowance Recommended (RDA) of 5,000 IU can have such catastrophic effects. Far vitamin A overdose can cause the skin to blister and peel effect seen for the first time early North Pole explorers who nearly died after eating polar bear liver that has a high vitamin A content dramatically.
Topical retinoids are usually prescribed as a treatment for moderate to severe acne. Side effects are chiefly dermatologic, including redness, scaling and dry skin, itching and burning. These side effects usually can be managed by adjusting the amount and timing of retinoid applied to the skin. Dose adjustment should be discussed with the dermatologist who prescribed the treatment.
19. Are there any acne treatments specifically for people with dark skin? Is there a treatment specifically harmful to dark skin?
There are acne treatments specifically for use on dark skin. Treatments of acne are generally safe and effective on dark skin as on light skin. Some treatments for acne scars may cause temporary skin discoloration dark.
Acne is a common skin disease that has the same causes and follows the same course in all colors of skin.
very dark or black skin may be less well hydrated skin clearer. Topical anti-acne agents such as benzoyl peroxide that have a drying effect on the skin should be used under the supervision of a dermatologist. Benzoyl peroxide is also a strong bleach and therefore must be carefully applied to avoid an inadvertent bleaching patch of hair, towels or clothing.
Darker skin has a tendency to develop post-inflammatory hyperpigmentation (excess skin where dark skin burn). Severe inflammatory acne may result in dark spots. The spots are resolved over time, a cosmetic dermatologist may recommend measures for places less apparent until they resolve. Some treatments for acne, including topical retinoids and azelaic acid, may also help fade the discoloration.
The removal of acne scars by dermabrasion or chemical peeling may cause temporary relief or darkening of dark skin in the areas of treatment. scar treatment should be discussed with a dermatologist or dermatologic surgeon before it is carried out.
Alterations of melanin (pigment dark that gives skin its color) pigmentation such as vitiligo and melasma are not related to acne, but may be present simultaneously with acne. The diagnosis and treatment of disorders of melanin pigmentation such as vitiligo requires a dermatologist with knowledge and experience in treating these conditions.
20. Is the acne that appears for the first time in adulthood different from acne that appears in adolescence?
Acne has a definition specifically as a disease of sebaceous follicles. This definition applies to acne that occurs at any age. However, it may be important to find a underlying cause of acne that occurs for the first time in adulthood.
Current understanding of the causes of acne vulgaris is described in the main section text Why and how acne happens. In brief summary, acne vulgaris develops when excessive sebum production and abnormal growth and cell death in the sebaceous follicle thus plugging of follicles with a mixture of sebum and cellular debris and the formation of comedones (blackheads and whiteheads). The bacteria in the follicles-chiefly Propionibacterium acnes, the most common bacterial colonist of sebaceous follicles may contribute to the inflammation of acne by the release of metabolic products that cause an inflammatory reaction. The pathogenic events that cause the disease in the sebaceous follicle are believed which is due largely to changes in levels of androgens (male) hormones in the body-a circumstance usually associated with growth and development between ages 12
21. Some researchers believe that acne, although this interpretation is correct in general, there is more to learn about the causes of acne vulgaris.
Acne that appears after the age of 25-30 years (1) the recurrence of acne after adolescence clarified, (2) an outbreak of acne after a period of relative calm, for example, during pregnancy, or (3) acne that occurs for the first time in a person who never had acne.
Acne that occurs in adulthood can be difficult to treat if there are multiple recurrences. Some patients with severe recurrent acne have undergone to repeated cycles of treatment with the potent systemic drug isotretinoin.
Acne flares in association with pregnancy or menstruation are due to changes in hormonal patterns.
Acne that appears for the first time in adulthood should be investigated for any underlying cause. Drugs that can induce acne include anabolic steroids (sometimes used illegally by athletes to "bulk up"), some anti-epileptic drugs tuberculosis with isoniazid and rifampin, lithium and iodine-containing drugs. Chlorinated industrial chemicals can induce skin disease called chloracne professionals. Chronic physical pressure on the skin, for example, a backpack and its straps, or a violin placed against the angle of the jaw and chin can induce acne mechanica call. Some metabolic disorders can cause changes in hormone balance which can cause acne.
Some lesions that appear acne can be other skin disorders such as folliculitis-infection and inflammation of hair follicles, which require different treatment acne. Acne appearing for the first time in adulthood should be examined and treated by a dermatologist.
22. My daughter age 15, has what I describe as a case very mild acne. She has done much worse by constant picking and squeezing. She looks in the mirror for hours, looking for a black spot or stain that can pick or squeeze. Do you need psychological help?
Excessive picking and squeezing of otherwise mild acne is a condition called excoriated acne, most commonly seen in young women. A dermatologist can provide effective counseling.
The typical person with excoriated acne is a person-often a young woman who is so sad, with their appearance due to acne that literally tries to "squeeze the acne out of existence." Acne is usually very mild, but the face of the person constant can be covered with red marks grip, and open wounds that have been collected open lesions.
The word excoriate means to scratch or abrade the skin. excoriated acne is a recognized medical condition that should be discussed with a dermatologist. Occasionally yield to the temptation to squeeze a blackhead not is defined as excoriated acne. Hours before a mirror squeezing and picking every blemish, is a definition of excoriated acne. A dermatologist may advise the patient over the course of treatment that the patient can participate, but keep "hands off."
23. Can the rate of secretion or the composition sebum be altered by diet? If it can not be altered diet is considered a treatment for acne?
Diet has not been proven to have a role in cause or treatment of acne. diet manipulation may have a role in the treatment of some diseases of the skin peeling, but not in the treatment of acne.
Dietary cause is one of the most persistent myths about acne. Foods such as chocolate or greasy foods do not cause acne, but certain foods seem some people make acne worse. The following factors can bring on or worsen it:
* Hereditary factors
* An increase in male hormones found in men and women
* Menstruation
* Emotional stress
* Oil and grease from cosmetics, work environment
No food has proven effective in the prevention or treatment of acne. A healthy diet is, of course, is necessary for overall good health.
24. Should not simply try to eliminate sebum from my body?
No. When it is blocked in your pores, sebum helps keep the skin healthy.
25. Why does acne usually start at puberty?
Nobody knows for sure. What is known is that the sebaceous glands that produce sebum get much larger at puberty than they were before.
26. Why does the skin around a grain of turn red?
This redness is caused by the body's inflammatory response. Inflammation is a sign that your immune system is working to fight an infection. Without However, the inflammatory response does not always work perfectly, and may even be the cause of scarring.
27. If my skin turns red, does that mean I'm going to have scars?
Generally, no. Although there will be no permanent scar, the side effects of the inflammatory response can leave the skin red for months, sometimes for over a year.
28. What are free radicals?
Free radicals are byproducts of oxidation in the body. We all need oxidation to occur as part of our life process, but there is concern that the accumulation of non-recycled free radicals contribute to many conditions, including skin damage. Antioxidants, including several of the active ingredients in Acuzine, help prevent the accumulation of free radicals.
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