Regarding the issues of acne and sebaceous cysts?
Hello doctor, I have been experiencing acne since puberty and have seen many doctors, including traditional Chinese medicine practitioners, but there hasn't been any significant improvement.
Recently, I heard that retinoids (A acid) work very well.
I would like to know if I can buy it over the counter at a pharmacy, or do I need a prescription from a doctor? Will doctors always prescribe it for me?
I also have sebaceous cysts that have been developing since puberty.
When I consulted a doctor, I was told that surgery is the only way to completely resolve them, and since they are located on my scalp, I am worried that I will have patches of hair loss.
I am concerned that if the cysts keep appearing in different locations, I can't possibly have surgery every time one develops.
Is there any way to prevent them? Also, can retinoids be applied to sebaceous cysts? Thank you, doctor.
A Ben, 20~29 year old female. Ask Date: 2016/04/03
Dr. Wu Yuxin reply Dermatology
Acne should still be evaluated by a healthcare professional; self-medicating is not recommended.
The development of sebaceous cysts is often related to individual predisposition, and there are no effective preventive measures.
Reply Date: 2016/04/03
More Info
Acne and cysts are common skin conditions that can significantly impact an individual's self-esteem and quality of life. Over-the-counter (OTC) treatments can be effective for managing acne, but their efficacy can vary based on the severity of the condition and individual skin types.
Acne Treatment Options:
1. Benzoyl Peroxide: This is a common OTC treatment that helps reduce acne by killing bacteria and drying out excess oil. It can be found in various forms, including gels, creams, and cleansers. Benzoyl peroxide is generally safe for most skin types, but it can cause dryness and irritation, so starting with a lower concentration is advisable.
2. Salicylic Acid: Another popular ingredient in OTC acne treatments, salicylic acid helps exfoliate the skin and unclog pores. It is particularly effective for treating blackheads and whiteheads. Like benzoyl peroxide, it can cause dryness, so it's important to use it in moderation.
3. Retinoids: Topical retinoids, such as adapalene (available OTC), are derived from vitamin A and can help prevent clogged pores and promote cell turnover. They are effective for both acne and improving skin texture. However, they can cause irritation, especially when first introduced to a skincare routine.
4. Alpha Hydroxy Acids (AHAs): These are exfoliants that can help improve skin texture and reduce acne. They work by removing dead skin cells from the surface of the skin, which can help prevent clogged pores.
5. AHA/BHA Combination Products: Some products combine AHAs and BHAs (beta hydroxy acids) for enhanced exfoliation and acne treatment.
Acrylic Acid (A酸): Regarding your question about using A酸 (retinoic acid), it is a potent treatment for acne and can be effective in reducing the appearance of acne lesions. However, it is typically available by prescription due to its strength and potential side effects. It is advisable to consult with a healthcare provider before using it, especially if you have sensitive skin or are using other acne treatments.
Cysts (粉瘤): Cysts, particularly sebaceous cysts, can be a source of concern, especially if they are located on the scalp and affect hair growth. While surgical removal is often the definitive treatment for cysts, there are some preventive measures you can consider:
1. Maintain Good Hygiene: Regularly cleansing the skin can help prevent the formation of new cysts. Use gentle cleansers that do not irritate the skin.
2. Avoid Picking or Squeezing: This can lead to inflammation and infection, potentially worsening the condition.
3. Consult a Dermatologist: If cysts are recurrent or bothersome, a dermatologist can provide tailored advice and treatment options. They may suggest procedures to drain or remove cysts if they become problematic.
4. Topical Treatments: While topical retinoids may help with acne, they are not typically effective for cysts. It is best to avoid applying them directly to cysts unless advised by a healthcare professional.
In conclusion, while OTC treatments can be helpful for managing acne, it is essential to approach cysts with caution and seek professional advice for appropriate management. If you are considering using A酸 or any other prescription medication, it is best to consult a dermatologist who can assess your specific situation and provide a personalized treatment plan. Regular follow-ups and open communication with your healthcare provider can lead to better management of both acne and cysts, ultimately improving your skin health and confidence.
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