Acne: Causes, Treatment, and When to See a Dermatologist

Q: Acne: Causes, Treatment, and When to See a Dermatologist

Hello： Regarding the causes, prevention, and treatment of acne, you can refer to a series of articles on the Dermatologist Health Network at http：//www.drskincare.com.tw/Qa/index.aspx?CID=4&pg=1. <br>It is advised not to squeeze or irritate inflamed pimples, as this can lead to s

Skin issues?

Hello Doctor, I have a few questions.
If a girl starts to develop acne, does this mean that changes may occur before the onset of puberty, leading to the development of acne? Will it become more severe and widespread after the age of 30, especially if she originally had smooth skin? Can combination skin that leans towards neutral become oily skin, even if both parents do not have oily skin? Over the past year, I have developed a lot of acne on my face, whereas previously I would only get 1 or 2 pimples.
I have seen a dermatologist and taken medication, and the acne would clear up without needing to take many packs of medication.
It would take a long time before I would get 1 or 2 pimples again.
However, this time I have a lot of acne.
Last year, I saw a dermatologist and took medication for four consecutive months, but it was ineffective, and even anti-inflammatory treatments did not work.
At the beginning of this year, I started seeing a dermatologist again, and it has improved a bit, but I still continue to get inflamed pimples.
One of the pimples is a type I have never encountered before; when I squeeze it, it swells up but does not release anything.
If I leave it alone, it remains swollen.
I have tried using a spot treatment to see if there is anything inside, but there is still nothing.
I have been waiting for it to heal, but it has been a month, and the swelling has not gone down.
What type of acne is this? How should I ask the dermatologist to help me during my next visit? It has been a month, and it no longer hurts, but it remains slightly swollen.
I have the urge to try to get rid of it, leading to this endless cycle.
I am very worried about my face deteriorating.
I have been diligently taking the medications prescribed by the doctor and applying the topical treatments.
I would appreciate your guidance.
Thank you.

aki, 30~39 year old female. Ask Date: 2017/04/06

Dr. Li Yufen reply Dermatology

Hello: Regarding the causes, prevention, and treatment of acne, you can refer to a series of articles on the Dermatologist Health Network at http://www.drskincare.com.tw/Qa/index.aspx?CID=4&pg=1.
It is advised not to squeeze or irritate inflamed pimples, as this can lead to scarring or hyperpigmentation.
You may want to return to your physician to discuss current treatment options and their effectiveness.
Thank you!

Reply Date: 2017/04/06

More Info

Acne is a common skin condition that affects many individuals, particularly during puberty and young adulthood. It is characterized by the presence of pimples, blackheads, and cysts, which can occur due to various factors, including hormonal changes, excess oil production, clogged pores, and bacteria. Understanding the causes, treatment options, and when to seek professional help is essential for managing acne effectively.

Firstly, regarding your question about whether girls experience changes leading to acne before puberty, the answer is yes. Hormonal fluctuations that occur during puberty can trigger increased oil production in the skin, leading to acne. This condition can persist into adulthood, and some women may experience worsening symptoms during their 30s due to hormonal changes related to menstrual cycles, pregnancy, or conditions like polycystic ovary syndrome (PCOS).

As for your concern about skin type changes, it is possible for skin to transition from a combination or normal type to oily, especially with hormonal changes. Genetics play a significant role in determining skin type, but environmental factors, lifestyle changes, and hormonal fluctuations can also influence this. Even if your parents do not have oily skin, your hormonal profile and other factors can lead to increased oiliness.

You mentioned that you have been experiencing a significant increase in acne over the past year, which is concerning. It is not uncommon for individuals to experience flare-ups after periods of relative calm. The fact that you previously had only one or two pimples at a time and are now facing a larger outbreak suggests that there may be underlying factors contributing to this change. Stress, dietary changes, skincare products, and hormonal imbalances can all exacerbate acne.

The specific type of acne you described, particularly the one that is swollen but does not produce pus, could be a cystic acne lesion. Cystic acne is characterized by deep, inflamed nodules that can be painful and may take longer to heal. It is essential to avoid picking or squeezing these lesions, as this can lead to scarring and further inflammation.

When you visit your dermatologist next, it is crucial to communicate your concerns clearly. You should mention the following:
1. The duration and severity of your current acne outbreak.

2. The specific characteristics of the lesions, especially the swollen one that does not drain.

3. Any changes in your skincare routine, diet, or stress levels that may have coincided with the flare-up.

4. The ineffectiveness of previous treatments and any side effects you may have experienced.

Your dermatologist may consider adjusting your treatment plan, which could include topical retinoids, antibiotics, hormonal treatments, or even isotretinoin for more severe cases. Additionally, they may recommend lifestyle changes, such as dietary adjustments or stress management techniques, to help manage your acne.

In summary, acne is a multifaceted condition influenced by hormonal changes, genetics, and environmental factors. If you are experiencing persistent or severe acne, it is essential to work closely with a dermatologist to find an effective treatment plan tailored to your needs. Remember, patience is key, as many acne treatments take time to show results.

Similar Q&A

Dealing with Acne: When to Consult a Dermatologist and Costs Involved

Dear Doctor, hello. I have a skin issue I would like to ask you about. I have a lot of comedones on my nose and I don't know how to deal with them. Can I seek help from a dermatologist for this? Will the costs be high? Also, I go to bed every night before 11 PM, but I still ...

Dr. Jin Lianchun reply Dermatology
Hello, Miss: Acne can certainly be treated by a dermatologist, and there are topical medications available. Chemical peels with alpha hydroxy acids can also be performed, and the cost is reasonable. Acne is caused by multiple factors, including: 1. Excessive keratinization of hai...

Effective Strategies to Treat and Manage Acne Breakouts

Hello, doctor: What can I do to effectively improve my acne problem?

Dr. Jiang Zheen reply Dermatology
First, it is important to consult a dermatologist for diagnosis and treatment. Secondly, it is essential to understand what acne is, and you can refer to books written by dermatologists on the subject.

Where to Seek Help for Acne: A Guide for Teens

I started getting a lot of acne when I was in high school, and I used to not have any on the sides of my face, but now I do. I'm thinking about seeing a doctor. Which type of doctor should I go to?

Dr. Chen Yiying reply Dermatology
Hello: In response to your question, acne is a common issue during puberty, and it requires a long-term commitment to treatment. You may seek assistance from a dermatologist, finding a convenient time for follow-up visits with a trusted physician. Alternatively, you can visit the...

Understanding Acne on Thighs, Arms, and Back: Causes and Solutions

Why do I have acne on my thighs that has lasted for a long time? I also have it on my arms and back, some of which can be squeezed and some cannot?

Dr. Jin Lianchun reply Dermatology
Hello, sir: The medical term for acne is "acne vulgaris," which includes comedones, papules, pustules, and large cysts, not all of which can be extracted. There are many reasons for the development of acne, including the following major factors: 1. Skin type: Some indiv...