How to Effectively Treat Severe Cheek Acne: Expert Advice - Dermatology

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Jawline acne


Hello, Director Wu.
I would like to ask how to manage severe acne on my cheeks.
I have been seeing a dermatologist and have been on medication for one to two weeks, but there has been no improvement.
Regarding my lifestyle, I change my pillowcases regularly and clean my computer keyboard and similar items.
I also maintain a good sleep schedule, going to bed early and waking up early, and I drink about 2000 to 3000 CC of water daily.
I am wondering if this could be related to poor lymphatic circulation.
I kindly ask for your response, doctor.

Wenwen, 20~29 year old female. Ask Date: 2017/09/29

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If it is causing significant distress, please seek medical attention promptly.
A proper examination is necessary to understand the problem and to determine the appropriate course of action.

Reply Date: 2017/09/29

More Info


Severe cheek acne can be a frustrating and distressing condition, especially when initial treatments do not yield the desired results. It’s great to hear that you have already consulted a dermatologist and are taking steps to maintain good hygiene and a healthy lifestyle. However, persistent acne can sometimes require a more comprehensive approach to treatment. Here are some expert recommendations and insights into managing severe cheek acne effectively.


Understanding Acne
Acne is primarily caused by the clogging of hair follicles with oil and dead skin cells, leading to inflammation and bacterial growth. Hormonal fluctuations, stress, diet, and even certain medications can exacerbate acne. In your case, it’s important to consider all potential contributing factors, including skin care products, dietary habits, and lifestyle choices.


Treatment Options
1. Topical Treatments: If you haven’t already, ask your dermatologist about topical retinoids (like tretinoin) or benzoyl peroxide. These can help unclog pores and reduce inflammation. Topical antibiotics may also be prescribed to combat bacterial growth.

2. Oral Medications: Since you mentioned that you have been on medication for a couple of weeks without improvement, it might be worth discussing with your dermatologist the possibility of adjusting your treatment plan. Oral antibiotics (like doxycycline or minocycline) can be effective for moderate to severe acne. In some cases, hormonal treatments (like birth control pills) can also help regulate hormones that contribute to acne.

3. Isotretinoin: For severe cases that do not respond to other treatments, isotretinoin (commonly known as Accutane) may be considered. This powerful medication can significantly reduce oil production and prevent future breakouts, but it requires close monitoring due to potential side effects.

4. Chemical Peels and Laser Treatments: These procedures can help reduce acne and improve skin texture. Chemical peels exfoliate the skin and can help unclog pores, while laser treatments can reduce inflammation and bacteria.

5. Lifestyle Adjustments: While you are already maintaining good hygiene and hydration, consider evaluating your diet. Some studies suggest that high-glycemic foods and dairy products may exacerbate acne in some individuals. Incorporating more whole foods, fruits, vegetables, and omega-3 fatty acids can be beneficial.

6. Stress Management: Stress can worsen acne, so incorporating stress-reducing activities such as yoga, meditation, or regular exercise may help improve your skin condition.


Addressing Lymphatic Circulation
You mentioned concerns about lymphatic circulation. While there is limited direct evidence linking lymphatic circulation to acne, maintaining overall skin health is important. Gentle facial massages or lymphatic drainage techniques can promote circulation and may help with skin health. However, be cautious not to irritate the skin further.


Follow-Up with Your Dermatologist
Since you have been on treatment for a couple of weeks without improvement, it is crucial to follow up with your dermatologist. They may need to reassess your condition, consider alternative treatments, or adjust dosages. Be open about your concerns and any side effects you may be experiencing.


Conclusion
Severe cheek acne can be challenging to treat, but with a comprehensive approach that includes topical and oral medications, lifestyle adjustments, and possibly advanced treatments, you can achieve clearer skin. Remember that patience is key, as many treatments take time to show results. Keep an open line of communication with your healthcare provider, and don’t hesitate to seek a second opinion if you feel your concerns are not being addressed adequately. Your skin health is important, and with the right strategy, improvement is possible.

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